Payment Integrity Audit Coordinator

May 28, 2026

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PLEASE NOTE BEFORE APPLYING: CODOXO IS NOT ABLE TO OFFER SPONSORSHIP OR ACCOMMODATE ANY CANDIDATES THAT ARE CURRENTLY BEING SPONSORED NOW OR IN THE FUTURE About Codoxo Of the $3.8T we spend on healthcare in the United States annually, about a third of it is estimated to be lost due to waste, fraud and abuse. Codoxo is the premier provider of artificial intelligence-driven solutions and services that help healthcare companies and agencies proactively detect and reduce risks from fraud, waste, and abuse and ensure payment integrity. Codoxo helps clients manage costs across network management, clinical care, provider coding and billing, payment integrity, and special investigation units. Our software-as-a-service applications are built on our proven Forensic AI Engine, which uses patented AI-based technology to identify problems and suspicious behavior far faster and earlier than traditional techniques. We are venture backed by some of the top investors in the country, with strong financials, and remain one of the fastest growing healthcare AI companies in the industry. Position Summary The Payment Integrity Audit Coordinator is an operational role within the Data Mining team, supporting the day-to-day execution of payment integrity audit programs across Codoxo’s client accounts. This role is responsible for the operational groundwork that keeps audit workflows running smoothly — including audit setup and triage, audit queue management, correspondence coordination, and delivery support. The Payment Integrity Audit Coordinator works under the direction of the Data Mining Manager and the Data Mining Analysts, following established processes and SOPs to ensure accurate, timely, and organized audit operations. Key Responsibilities Audit Setup & Triage Support <ul style="margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Assist in the setup and configuration of new audit workflows within the Codoxo platform under manager, analyst or client direction.</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Triage audit queues by organizing, sorting, and routing according to established priority rules and concept specifications.</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Track case volumes and queue status, flagging backlog issues or routing errors to manager.</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Maintain accurate records of audit activity, assignments, and workflow status in designated tracking systems.</li> </ul> Correspondence & Mailing Coordination <ul style="margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Coordinate the preparation and distribution of audit-related correspondence, including overpayment demand letters and provider notifications.</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Ensure mailings are completed accurately, on schedule, and in compliance with client-specific requirements.</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Track correspondence status and maintain logs of outbound communications.</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Support the collection and organization of provider responses and supporting documentation.</li> </ul> Operational & Administrative Support <ul style="margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Assist Data Mining Analysts with the preparation of client-facing deliverables, including report compilation and document formatting.</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Maintain organized file structures, shared drives, and documentation repositories for audit materials.</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Participate in team meetings and contribute to process improvement discussions.</li> </ul> Cross-Functional Coordination <ul style="margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Serve as a reliable operational point of contact for routine coordination tasks between Data Mining, Customer Success, and other internal teams.</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Communicate clearly and professionally regarding task status, deadlines, and escalation needs.</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Follow all established SOPs and escalate process gaps or ambiguities promptly.</li> </ul> Qualifications <ul style="margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">High school diploma or equivalent required; Associate’s or Bachelor’s degree in Healthcare Administration, Business, Health Information, or a related field preferred.</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">At least 1–2 years of experience in a healthcare, administrative, or operational support role.</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Strong organizational skills and attention to detail.</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Ability to manage structured, repetitive tasks accurately and efficiently.</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Comfortable working in a fast-paced environment with defined processes and deadlines.</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Basic proficiency in Microsoft Office Suite, particularly Excel, Word, and Outlook.</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Strong written and verbal communication skills.</li> </ul> Preferred Qualifications <ul style="margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Prior exposure to health plan operations, healthcare claims, or payment integrity environments.</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Experience with case tracking systems, audit platforms, or document management tools.</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Familiarity with healthcare terminology, claim types, or billing processes is a plus but not required.</li> </ul> Technical Skills <ul style="margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Proficient in Microsoft Office Suite (Excel, Word, Outlook)</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Experience with document management or case tracking platforms is a plus</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Familiarity with Confluence, Jira, or SharePoint is desirable but not required</li> </ul> Core Competencies <ul style="margin-bottom: 0in; margin-top: 0px;"> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Organization & Attention to Detail</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Workflow & Queue Management</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Correspondence Coordination</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Process Adherence</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Team Collaboration</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Written & Verbal Communication</li> <li style="margin: 0in 0in 0in 0px; font-size: 11pt; font-family: Arial, sans-serif;">Reliability & Accountability</li> </ul> Physical Requirements Work is performed in an office environment (either in our office or work-from-home) and requires the ability to work on a computer, operate standard office equipment, and work at a desk. Accessibility Notice If you need reasonable accommodation for any part of the employment process due to a physical or mental disability, please send an email to careers@codoxo.com with the subject "Accommodation". Reasonable accommodation requests will be considered on a case-by-case basis. Benefits for You <ul style="margin-top: 0in; margin-bottom: 6.0pt;"> <li style="margin: 0in 0in 6pt 0px; font-size: 11pt; font-family: Arial, sans-serif;">Health, Dental, and Vision insurance with 100% employee premium coverage (Starts Day 1)</li> <li style="margin: 0in 0in 6pt 0px; font-size: 11pt; font-family: Arial, sans-serif;">Unlimited PTO</li> <li style="margin: 0in 0in 6pt 0px; font-size: 11pt; font-family: Arial, sans-serif;">Annual Professional Development stipend</li> <li style="margin: 0in 0in 6pt 0px; font-size: 11pt; font-family: Arial, sans-serif;">Annual home office stipend</li> <li style="margin: 0in 0in 6pt 0px; font-size: 11pt; font-family: Arial, sans-serif;">401K Match (after 90 days)</li> </ul> Equal Opportunity Employer Codoxo provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment.

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