Description review
Payment Integrity Subject Matter Expert - Inpatient/Outpatient
EXL · United States · back to the listing
HR standards
52/100
needs work
Title ↔ description
77/100
solid
Reads as
Unclear
no confident match
What this role officially is
ICT business analyst — ESCO, the EU occupation classification
ICT business analysts are in charge of analysing and designing an organisation's processes and systems, assessing the business model and its integration with technology. They also identify change needs, assess the impact of the change, capture and document requirements and then ensure that these requirements are delivered whilst supporting the business through the implementation process.
Also known as: ICT business analysts, business process specialist, IT business analyst
How others title the same work
Startups
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- Strategic Projects Associate Corgi Insurance
What the listing never says
- No section describes what the person would actually do. Scope clarity
- No location or timezone policy stated, so a candidate cannot tell where they may work from. Scope clarity
The listing, marked up
Nothing in the wording of this listing tripped a check. The scores above still judge how complete and coherent it is.
We are seeking experienced Inpatient and Outpatient Payment Integrity Subject Matter Experts (SMEs) to support the identification of overpayment opportunities, development of new audit concepts, enhancement of existing concepts, and improvement of payment integrity analytics. This role requires deep knowledge of healthcare claims, coding, reimbursement, audit outcomes, and billing patterns across inpatient and outpatient settings.
The SME will collaborate closely with analytics, clinical, coding, operations, and technology teams to translate healthcare billing expertise and claim-level insights into scalable, high-performing audit concepts, business rules, and automated selection strategies.
This is a part-time, temporary position requiring up to 20 hours per week. Work hours may vary based on project needs, audit concept development priorities, and collaboration requirements with analytics and operational teams. Project is expected to last 4-6 months.
*Base Pay Range: $75.00 - $100.00/hr
For more information on benefits and what we offer please visit us at
Originally posted on Himalayas
The SME will collaborate closely with analytics, clinical, coding, operations, and technology teams to translate healthcare billing expertise and claim-level insights into scalable, high-performing audit concepts, business rules, and automated selection strategies.
This is a part-time, temporary position requiring up to 20 hours per week. Work hours may vary based on project needs, audit concept development priorities, and collaboration requirements with analytics and operational teams. Project is expected to last 4-6 months.
*Base Pay Range: $75.00 - $100.00/hr
For more information on benefits and what we offer please visit us at
Originally posted on Himalayas