It can indeed be shown using just integration by parts and the fact that $\operatorname{Ai}(x)$ and $\operatorname{Bi}(x)$ both satisfy the differential equation $$y''(x) -xy(x) =0. $$
$$ \begin{align} I &= \int \operatorname{Ai}'(x) \operatorname{Bi}''(x) \, dx \\ &= \int\operatorname{Ai}'(x) \, x \operatorname{Bi}(x) \, dx \tag{1}\\ &= \operatorname{Ai}'(x) \operatorname{Bi}'(x) - \int \operatorname{Ai}''(x) \operatorname{Bi}'(x) \, dx \\ &= \operatorname{Ai}'(x) \operatorname{Bi}'(x) - \int x \operatorname{Ai}(x) \operatorname{Bi}'(x) \, dx \tag{2} \\ &= \operatorname{Ai}'(x) \operatorname{Bi}'(x) - \frac{x^{2}}{2} \operatorname{Ai}(x) \operatorname{Bi}'(x) + \frac{1}{2} \int x^{2} \operatorname{Ai}'(x) \operatorname{Bi}'(x) \, dx + \frac{1}{2} \int x^{2} \operatorname{Ai}(x) \operatorname{Bi}''(x) \, dx \end{align} $$
But $$ \small \frac{1}{2} \int x^{2} \operatorname{Ai}'(x) \operatorname{Bi}'(x) \, dx = \frac{x^{2}}{2} \operatorname{Ai}'(x) \operatorname{Bi}(x) - \frac{1}{2}\int x^{2} \operatorname{Ai}''(x) \operatorname{Bi}(x) \, dx- {\color{red}{\int x \operatorname{Ai}'(x) \operatorname{Bi}(x) \, dx}} \tag{3} $$
Therefore, $$ \small \begin{align} \color{red}{2I} &= \operatorname{Ai}'(x) \operatorname{Bi}'(x) - \frac{x^{2}}{2} \operatorname{Ai}(x) \operatorname{Bi}'(x) + \frac{x^{2}}{2} \operatorname{Ai}'(x) \operatorname{Bi}(x) + \frac{1}{2} \int x^{2} \left(\operatorname{Ai}(x) \operatorname{Bi}
''(x) - \operatorname{Ai}''(x) \operatorname{Bi}(x) \right)\, dx \\ &= \operatorname{Ai}'(x) \operatorname{Bi}'(x) - \frac{x^{2}}{2} \operatorname{Ai}(x) \operatorname{Bi}'(x) + \frac{x^{2}}{2} \operatorname{Ai}'(x) \operatorname{Bi}(x) + \frac{1}{2} \int x^{2} \underbrace{\left(\operatorname{Ai}(x) x \operatorname{Bi}(x) - x \operatorname{Ai}(x) \operatorname{Bi}(x)\right)}_{0} \, dx \\ &= \operatorname{Ai}'(x) \operatorname{Bi}'(x) - \frac{x^{2}}{2} \operatorname{Ai}(x) \operatorname{Bi}'(x) + \frac{x^{2}}{2} \operatorname{Ai}'(x) \operatorname{Bi}(x) + C, \end{align} $$
and the result follows
$(1)$ Let $u = \operatorname{Ai}'(x)$ and $dv = x \operatorname{Bi}(x) \, dx$
$(2)$ Let $u = \operatorname{Ai}(x) \operatorname{Bi}'(x)$ and $dv = x \, dx$
$(3)$ Let $u = x^{2} \operatorname{Ai}'(x)$ and $dv= \operatorname{Bi}'(x) \, dx$