Payment Validation Analyst

Mosaic Life Care

. Analyze contractual underpayments and resolve daily encounters in Epic work queues .

Posted 10/14/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in hospital financial operations, including reimbursement processes, medical coding, and charge master development. Proficient in analyzing underpayments, resolving discrepancies, and preparing detailed reports using Epic.

Highest-signal resume keywords

Hospital Financial OperationsCPT, HCPC, ICD-10 Medical CodingEpic Contracts Module CertificationMedical BillingCharge Master Development

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contractual Underpayment AnalysisFee Schedule CorrectionsRebill ProjectsData AnalysisCPT Code ResearchRevenue Code ResearchCharge AuditEpic ReportingRoot Cause AnalysisCorrective Action Implementation

Soft Skills

Oral CommunicationWritten CommunicationOrganizational SkillsProblem-SolvingTeam Collaboration

Tools & Technologies

Epic

Certifications & Qualifications

Epic Contracts Module Certification

Industry Keywords

Payer ReimbursementsRevenue IntegrityMedical RecordsNon-Covered ChargesDenied Charges

About the role

Key responsibilities & impact

Analyze contractual underpayments and resolve daily encounters in Epic work queues
Identify root causes and implement corrective actions
Resolve price and contract discrepancies in Epic work queues
Work with CDM Analysts and Revenue Integrity Analysts to implement fee schedule corrections
Perform rebill projects focused on recoupment of underpayments
Serve as a subject matter expert on payer reimbursements and contracts
Research non-covered and denied charges and assist the Revenue Integrity Manager with appeals
Identify coding, charging, and billing issues or patterns causing inaccurate payment
Educate appropriate staff and monitor rebilled accounts to ensure proper payment
Prepare monthly measurement reports using Epic reports, including findings, follow-up actions, and recommendations requiring director approval
Create and maintain contracts in Epic
Assist with new program start-up and identify reimbursable services that are not coded or charged
Research and resolve CPT code, revenue code, and charge master issues
Coordinate routine individual projects by planning and organizing project steps
Use logical sequential steps and flowchart techniques with minimal direction
Perform other duties as assigned

Requirements

What you’ll need

Bachelor's Degree - Required
H.S. Diploma - Required
Minimum five years' experience and knowledge of hospital financial operations including reimbursement, Medical Billing, Charge Master Development and Maintenance, Medical Records/Coding and Charge Audit experience - Required
Broad based knowledge of hospital financial operations including reimbursement, coding and charge master development and maintenance - Required
In-depth knowledge of CPTs, HCPCs and ICD-10 medical coding, and related APC Medicare reimbursement - Required
Ability to input data, type, manipulate a calculator and small business equipment, speak clearly and professionally, answer telephone, and perform copying
Oral and written communication skills with staff, leadership, physicians and consultants, individually and on teams
Ability to analyze, synthesize, evaluate, comprehend, explain, understand, forecast, interpret, manipulate numbers, interpret data, calculate, organize, plan, and present to small and large groups
Highly energetic, motivated self-starter
Ability to determine areas of concern
Accuracy important 95% of the time
Confidentiality important 100% of the time
Travel to off-site locations may be required - Required
Epic Contracts Module Certification - Preferred Upon Hire

Benefits

Comp & perks

Concierge services
Employee lounge
Wellness programs
Free covered parking
Free on-site and virtual health clinics
Compensation and recognition programs