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Why this grade
This listing scored 54/100, which is a D. It lost the most ground on pay transparency.
- Description depth 20 / 20 How much the posting actually says about the work, measured in characters of real text.
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- Pay transparency 0 / 25 A published salary range, worth more than any other single factor because it is what a candidate cannot find out without applying.
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This listing does not state a salary
$104k – $142k
That is the middle half of what comparable roles paid on this board over the last 90 days — 17 listings that did publish a figure, median $125k. It is not this employer's offer, and we have no idea what they pay. It is only what the rest of the market advertised.
Senior Full Time
Description
Bluespine is an innovative new startup in the health-IT domain. By employing cutting-edge technologies, Bluespine is developing an engine that detects errors in medical billing, which causes billions of dollars in losses across the entire industry. Bluespine can offer personalized precision by tailoring assessments to each unique medical claim, considering the relevant provider, payer, and plan, and ensuring unparalleled accuracy.
We are looking for a Payment Accuracy and Concept Lead to discover medical billing errors and fraudulent billing patterns of medical claims for commercial payers.
Utilized Bluespine platform to develop and enhance new audit concepts using healthcare. Leads concept creation across multiple audit verticals, collaborating with R&D for testing
Responsibilities
- Leverages the Bluespine platform to develop and refine new audit concepts in healthcare. Leads concept creation across multiple audit verticals.
- Works closely with Medical Coders, Data Sciences, and Engineering teams to ensure alignment and drive impactful results
- Lead in-depth research of new ideas and concepts
Requirements
- Extensive knowledge of medical terminology, medical records, health information management, medical coding, DRG methodologies, CPT/HCPCS coding guidelines, physician specialty guidelines, reimbursement programs, claims adjudication processes, member contract benefits, and provider billing systems and practices.
- Previous auditing or consulting experience in a provider or payer environment is preferred
Advantages
- Registered Nurse required; Bachelor's or Graduate degree
- Previous auditing or consulting experience with self-insured companies
Originally posted on Himalayas
Apply for this role Opens himalayas.app — the link as listed; we have not yet verified it is the employer's own page
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Where this listing came from
- 03 Oct 2026 Himalayas first sighting
Seen on 1 board over 0 days.