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Payment Integrity Auditor Jobs (NOW HIRING)

University Health

Senior Integrity Auditor

San Antonio, TX · On-site

$73K - $89K/yr

The Senior Integrity Auditor will work under the supervision of the Chief Compliance/HIPAA Officer ... ASC payment methodologies - Ability to perform claims validation reviews and apply regulatory ...

University Health

Senior Integrity Auditor

San Antonio, TX

$69K - $85K/yr

The Senior Integrity Auditor will work under the supervision of the Chief Compliance/HIPAA Officer ... ASC payment methodologies - Ability to perform claims validation reviews and apply regulatory ...

Lyric

Payment Integrity Analyst - Data Mining

Minimum of one (1) year experience auditing medical claims to identify improper payments as a Payment Integrity Vendor or within a Health Plan's Payment Integrity team. * Minimum of one (1) year of ...

Bcbsa

Director, Payment Integrity

Chicago, IL

Payment Integrity Expertise including deep knowledge of PI methodologies (prepay/post-pay edits, audits, fraud detection, COB, Subrogation, DRG Auditing, Overpayment Recoveries, Clinical Coding ...

CERiS

Payment Integrity Supervisor

Fort Worth, TX · On-site

$77K - $120K/yr

The Payment Integrity Supervisor is responsible for the daily activities of payment integrity team ... CCS or CIC required with DRG auditing experience in ICD-10-CM, ICD-10-PCS * Proficiency in both MS ...

Corvel

Payment Integrity Supervisor

Fort Worth, TX · Remote

$77K - $120K/yr

The Payment Integrity Supervisor is responsible for the daily activities of payment integrity team ... CCS or CIC required with DRG auditing experience in ICD-10-CM, ICD-10-PCS * Proficiency in both MS ...

Corvel

Payment Integrity Supervisor

Fort Worth, TX · On-site

$77K - $120K/yr

The Payment Integrity Supervisor is responsible for the daily activities of payment integrity team ... CCS or CIC required with DRG auditing experience in ICD-10-CM, ICD-10-PCS * Proficiency in both MS ...

CERiS

Payment Integrity Supervisor

Fort Worth, TX · Remote

$77K - $120K/yr

The Payment Integrity Supervisor is responsible for the daily activities of payment integrity team ... CCS or CIC required with DRG auditing experience in ICD-10-CM, ICD-10-PCS * Proficiency in both MS ...

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Payment Integrity Auditor information

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How much do payment integrity auditor jobs pay per year?

As of Jun 24, 2026, the average yearly pay for payment integrity auditor in the United States is $92,797.00, according to ZipRecruiter salary data. Most workers in this role earn between $72,000.00 and $112,000.00 per year, depending on experience, location, and employer.

What are some common challenges Payment Integrity Auditors face when reviewing healthcare claims?

Payment Integrity Auditors often encounter challenges such as identifying complex billing errors, staying current with frequently changing healthcare regulations, and navigating large volumes of claims data. They must also collaborate with various departments, like clinical teams and compliance, to verify the accuracy of claims and resolve discrepancies. Strong analytical skills and attention to detail are crucial for success in this dynamic and fast-paced environment.

What are the key skills and qualifications needed to thrive as a Payment Integrity Auditor, and why are they important?

To thrive as a Payment Integrity Auditor, you need strong analytical skills, attention to detail, and a solid understanding of healthcare claims, typically supported by a degree in finance, healthcare administration, or a related field. Familiarity with claims processing systems, data analysis tools like Excel or SQL, and knowledge of relevant regulations such as HIPAA are often required. Effective communication, investigative mindset, and problem-solving abilities are essential soft skills for identifying discrepancies and collaborating with cross-functional teams. These skills are crucial for ensuring accurate payments, detecting fraud, and maintaining compliance within healthcare organizations.

What is the difference between Payment Integrity Auditor vs Claims Analyst?

AspectPayment Integrity AuditorClaims Analyst
Required CredentialsCertification in auditing or healthcare compliance often preferredRelevant degrees in healthcare, finance, or related fields; certifications vary
Work EnvironmentHealthcare organizations, insurance companies, government agenciesInsurance companies, healthcare providers, third-party administrators
Employer & Industry UsageFocuses on verifying payment accuracy and fraud detectionAnalyzes claims data to determine validity and processing issues

Payment Integrity Auditors primarily focus on verifying the accuracy of payments and detecting fraud, while Claims Analysts review and process claims data to ensure proper reimbursement. Both roles require knowledge of healthcare billing and compliance, but Payment Integrity Auditors emphasize auditing and fraud prevention, whereas Claims Analysts focus on claims processing and analysis.

What are Payment Integrity Auditors?

Payment Integrity Auditors are professionals who review healthcare claims and financial transactions to ensure payments are accurate and compliant with regulations. They identify overpayments, underpayments, and fraudulent activities by analyzing billing data, medical records, and policy guidelines. Their work helps healthcare organizations minimize financial losses, improve operational efficiency, and maintain compliance with government and industry standards.
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Payment Integrity Auditor jobs near you
Senior Integrity Auditor

Senior Integrity Auditor

University Health

San Antonio, TX • On-site

$73K - $89K/yr

Full-time

Posted 18 days ago

University Of Nevada (Reno) rating

8.4

Company rating: 8.4 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

77th of 539 rated colleges and universities

Job description

Position Summary:
University Health is seeking a dedicated and detail-oriented Senior Integrity Auditor to join our Compliance team. This pivotal role is responsible for leveraging departmental resources to conduct analytical auditing and monitoring activities to support our comprehensive compliance program.
The Senior Integrity Auditor will work under the supervision of the Chief Compliance/HIPAA Officer to assist in the development and execution of the Compliance Work Plan. The auditor conducts complex operational and compliance audits from inception to completion, ensuring alignment with departmental practices and regulatory standards.
Key Responsibilities:
- Perform audits and reviews in areas such as coding, billing, medical record documentation, claims, and clinical data.
- Routinely review University Health’s revenue cycle and internal control structures to prevent and detect errors, fraud, waste, and abuse.
- Assist in other audits and investigations with approval from the Chief Compliance/HIPAA Officer.
- Generate detailed reports related to findings and compliance concerns.
- Maintain strong relationships with internal and external stakeholders while upholding the highest standards of integrity and confidentiality.
- Serve as a champion for compliance, accuracy, and ethical standards across the organization.
Qualifications:
- Bachelor's degree from an accredited college or university strongly preferred.
- Certification required from one or more of the following:
- AAPC (CPC, CPMA)
- AHIMA (CCS, RHIA, RHIT)
- Minimum of three (3) years of experience in audit functions, with a strong preference for experience in multi-specialty outpatient or Ambulatory Surgery Center environments.
- Expert knowledge in:
- ICD, CPT, HCPCS coding classifications
- DRG, APC, and ASC payment methodologies
- Ability to perform claims validation reviews and apply regulatory standards with credibility and objectivity.
Why University Health?
- A mission-driven organization that values innovation, diversity, and excellence.
- Competitive compensation and benefits package.
- Opportunity to work alongside industry leaders in a collaborative and supportive environment.
If you are passionate about integrity in healthcare and possess the skills and qualifications to make a difference, we invite you to apply and become a part of our respected team.

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