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Payment Integrity Auditor Jobs (NOW HIRING)

Corvel

Payment Integrity Analyst III - Trainer

Fort Worth, TX · On-site

$73K - $113K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical bill auditing * Experience in the acute clinical areas of facilities in O.R., I.C.U., C.C.U ... payment integrity experience * 3+ years of relevant experience or equivalent combination of ...

Corvel

Payment Integrity Analyst III - Trainer

Fort Worth, TX · Remote

$73K - $113K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical bill auditing * Experience in the acute clinical areas of facilities in O.R., I.C.U., C.C.U ... payment integrity experience * 3+ years of relevant experience or equivalent combination of ...

Corvel

Payment Integrity Analyst II

Fort Worth, TX · Remote

$66K - $101K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Payment Integrity Analyst is responsible for accurately reviewing and completing pre- and post ... Medical bill auditing * Experience in the acute clinical areas of facilities in O.R., I.C.U., C.C.U ...

Corvel

Payment Integrity Analyst II

Fort Worth, TX · On-site

$66K - $101K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

The Payment Integrity Analyst is responsible for accurately reviewing and completing pre- and post ... Medical bill auditing * Experience in the acute clinical areas of facilities in O.R., I.C.U., C.C.U ...

Corvel

Payment Integrity Analyst III - QA Analyst

Fort Worth, TX · On-site

$73K - $113K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical bill auditing * Experience in the acute clinical areas of facilities in O.R., I.C.U., C.C.U ... payment integrity experience * 3+ years of relevant experience or equivalent combination of ...

Corvel

Payment Integrity Analyst III - QA Analyst

Fort Worth, TX · Remote

$73K - $113K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Medical bill auditing * Experience in the acute clinical areas of facilities in O.R., I.C.U., C.C.U ... payment integrity experience * 3+ years of relevant experience or equivalent combination of ...

Avera Health

Revenue Integrity Analyst

Sioux Falls, SD · On-site +1

$25.50 - $38.25/hr

  • Retirement

  • PTO

This role combines expertise in analytics, charge auditing, and payment integrity to support strategic decision-making, operational efficiency, and compliance. The analyst collaborates with clinical ...

Avera Health

Revenue Integrity Analyst

Sioux Falls, SD · On-site

$25.50 - $38.25/hr

  • Retirement

  • PTO

This role combines expertise in analytics, charge auditing, and payment integrity to support strategic decision-making, operational efficiency, and compliance. The analyst collaborates with clinical ...

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Payment Integrity Auditor information

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$38.5K

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How much do payment integrity auditor jobs pay per year?

As of Aug 16, 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?

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 is a payment integrity auditor?

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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Cities with the most Payment Integrity Auditor job openings:

What states have the most Payment Integrity Auditor jobs?

States with the most job openings for Payment Integrity Auditor jobs include:

What job categories do people searching Payment Integrity Auditor jobs look for?

The top searched job categories for Payment Integrity Auditor jobs are:

Payment Integrity Auditor jobs near you
Infographic showing various Payment Integrity Auditor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 15% Part Time, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $92,797 per year, or $44.6 per hour.

Payment Integrity Analyst III - Trainer

Corvel

Fort Worth, TX • On-site

$73K - $113K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago

CorVel rating

7.9

Company rating: 7.9 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

85th of 150 rated financial services

Job description

The Payment Integrity Analyst (Team Lead) assists with leading the Policy and Payment Integrity (PPI) team while maintaining the regular duties and responsibilities of this role which is accurately reviewing pre and post pay claim audits based on client, policy, industry standards and/or CMS guidelines.
The Team Lead must also be knowledgeable of the application of client policy and industry standards within reviews conducted by CERIS including but not limited to itemized bill review, professional review, hospital outpatient; trend analysis of internal auditing, appeals of pre and post payment claims, and any other claim or record that requires quality review to determine claim accuracy; assist with development of internal quality assurance measures based on client policy and industry guidelines; perform quality assurance reviews; assist in researching and implementing best practices related to payment policy, and/or policy initiatives; researching various healthcare policies.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
  • Assists with staff communication, providing updates, resolving issues, setting goals and maintaining standards as well as dialogue with team members in efforts to answer their questions and resolve barriers
  • Oversees team member work for quality and compliance and communicates deadlines and productivity goals to team members while providing ongoing training and education to staff to ensure policies and procedures are followed
  • Verifies and corrects as necessary, the audit work completed by PPI QC analysts and clinical appeal review teams as needed
  • Reviews, analyzes, and completes internal audits and/or appeals in accordance with client policy, CMS guidelines and industry standards in clear and professional written communication
  • Ability to use clinical judgement and analytical skills to appropriately review documentation submitted for claim audits
  • Utilize clinical judgement to appropriately interpret and apply client policies along with CMS guidelines as it relates to reviews done by CERIS such as itemized bill, DRG and/or specialty audits
  • Utilize applicable tools and resources to complete internal audits and/or appeals
  • Timely completion of internal audits and/or appeals
  • Attends Clinical Team Meetings, All Company Meetings, Education Opportunities, Trainings, and other potential meetings
  • Additional duties as assigned

KNOWLEDGE & SKILLS:
  • Ability to demonstrate understanding of CMS and commercial payer policy in written and verbal format
  • Strong understanding of claims processing, ICD-10 Coding, DRG Validation, Coordination of Benefits
  • Strong understanding of healthcare revenue cycle and claims reimbursement
  • Proficient in Microsoft Office including Pivot Tables and Database Management
  • Demonstrate ability to manage multiple projects, set priorities and adhere to committed schedule
  • Strong interpersonal skills and adaptive communication style, complex problem-solving skills, drive for results, innovative
  • Excellent written and verbal communication skills
  • Proven track record of delivering concrete results in strategic projects/programs
  • Strong analytical and modeling ability and distilling data into actionable results
  • Superb attention to detail and ability to deliver results in a fast paced and dynamic environment

EDUCATION/EXPERIENCE:
  • Must maintain a current LPN, LVN and/or RN licensure (this applies only to RN hires, not coders)
  • Preferred experience with health insurance denials and/or appeals, payer audits, or vendor audits
  • Previous experience in one or more of the following areas required:
    • Medical bill auditing
    • Experience in the acute clinical areas of facilities in O.R., I.C.U., C.C.U., E.R., Telemetry, Medical/Surgical, OB or L&D, Geriatrics and Orthopedics
    • Knowledge of worker's compensation claims process
    • Prospective, concurrent and retrospective utilization review
  • Bachelor's degree in healthcare or related field preferred
  • 3+ years healthcare revenue cycle or payment integrity experience
  • 3+ years of relevant experience or equivalent combination of education and work experience

PAY RANGE:
CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
Pay Range: $73,345 - $113,247
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
ABOUT CERIS:
CERIS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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