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Payment Integrity Jobs in Texas (NOW HIRING)

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 related to quality assurance and provider appeals. The Supervisor manages and prioritizes staff ...

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 related to quality assurance and provider appeals. The Supervisor manages and prioritizes staff ...

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 related to quality assurance and provider appeals. The Supervisor manages and prioritizes staff ...

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 related to quality assurance and provider appeals. The Supervisor manages and prioritizes staff ...

Oscar Health

Associate, Payment Integrity IBR

Dallas, TX · Remote

$82K - $108K/yr

The Associate, Payment Integrity, Itemized Bill Review (IBR) will be responsible for executing internal payment integrity solutions requiring billing and coding expertise with and continual ...

Zelis

Senior Solution Advisor, Payment Integrity

Plano, TX · On-site

$130K - $131K/yr

Provide expertise on Payment Integrity portfolio, including PowerPoint creation and presentation, data analyses, evaluating product fit, and answering client/prospect questions. Strategic partner ...

Corvel

Payment Integrity Analyst II

Fort Worth, TX · On-site

$66K - $101K/yr

The Payment Integrity Analyst is responsible for accurately reviewing and completing pre- and post pay claim audits based on client, policy, industry standards and/or CMS guidelines. This is a remote ...

Corvel

Payment Integrity Analyst II

Fort Worth, TX · Remote

$66K - $101K/yr

The Payment Integrity Analyst is responsible for accurately reviewing and completing pre- and post pay claim audits based on client, policy, industry standards and/or CMS guidelines. This is a remote ...

CERiS

Payment Integrity Analyst II

Fort Worth, TX · On-site

$66K - $101K/yr

The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits based on client, policy, industry standards and/or CMS guidelines. This is a remote position.

Corvel

Payment Integrity Analyst II

Fort Worth, TX · Remote

$66K - $101K/yr

The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits based on client, policy, industry standards and/or CMS guidelines. This is a remote position.

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How much do payment integrity jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for payment integrity in Texas is $16.76, according to ZipRecruiter salary data. Most workers in this role earn between $14.33 and $18.37 per hour, depending on experience, location, and employer.

What is a payment integrity job?

A Payment Integrity job involves reviewing healthcare claims, payments, and policies to identify errors, prevent fraud, and ensure compliance with regulations. Professionals in this role analyze data, conduct audits, and collaborate with providers and payers to recover overpayments and prevent improper billing. Their goal is to enhance cost efficiency, reduce financial losses, and ensure accurate reimbursement in the healthcare system.

What are the key skills and qualifications needed to thrive in a payment integrity position?

To thrive in a Payment Integrity role, you need strong analytical skills, attention to detail, and a solid understanding of healthcare claims, payment processes, or insurance operations, often supported by a bachelor's degree in a related field. Familiarity with claims processing platforms, data analysis tools such as Excel or SQL, and knowledge of industry certifications (like CPC or CPMA) is valuable. Exceptional problem-solving abilities, effective communication, and the capacity to collaborate with cross-functional teams set outstanding candidates apart. These skills are crucial for accurately identifying discrepancies, preventing fraud, and ensuring efficient payment processes in complex healthcare or financial settings.

What are some typical challenges faced in a payment integrity position?

Professionals in Payment Integrity roles often encounter complex claims data, evolving regulatory requirements, and the need to identify subtle errors or irregular billing patterns with precision. Balancing high-quality analysis with efficiency, while navigating between multiple systems and large datasets, can be challenging. The role often requires close collaboration with other departments such as provider relations, compliance, and IT to resolve issues and implement process improvements. Successfully overcoming these challenges helps organizations minimize losses, maintain compliance, and promote fair payment practices.

What does a payment integrity specialist do?

A payment integrity specialist reviews healthcare claims and payments to identify and prevent errors, fraud, and overpayments. They analyze data, ensure compliance with regulations, and use tools like claims processing software to improve payment accuracy and reduce financial losses.

What does payment integrity do?

Payment integrity professionals ensure that healthcare or insurance payments are accurate, valid, and compliant with policies. They review claims, identify errors or fraud, and implement processes to prevent improper payments, often using data analysis and auditing tools.

What are the most commonly searched types of Payment Integrity jobs in Texas?

The most popular types of Payment Integrity jobs in Texas are:

What are popular job titles related to Payment Integrity jobs in Texas?

For Payment Integrity jobs in Texas, the most frequently searched job titles are:

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

The top searched job categories for Payment Integrity jobs in Texas are:

What cities in Texas are hiring for Payment Integrity jobs?

Cities in Texas with the most Payment Integrity job openings:

Payment Integrity jobs near you
Infographic showing various Payment Integrity job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 3% Contract, and 1% Nights. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $34,864 per year, or $16.8 per hour.

Payment Integrity Supervisor

CERiS

Fort Worth, TX • On-site

$77K - $120K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Job description

The Payment Integrity Supervisor is responsible for the daily activities of payment integrity team related to quality assurance and provider appeals. The Supervisor manages and prioritizes staff daily work assignments necessary to ensure the timely and accurate processing of internal and external requests, interdepartmental quality audits and appeals. Additionally, the supervisor works to reduce response timeframes and mitigate future inquiries or escalations by being proactive, taking ownership of challenges, and formulating solutions to improve overall department activities while maintaining a focus on improving how we deliver service to our customers.
This is a remote position.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
  • Supervises all daily activities of payment integrity team related to quality assurance and provider appeals
  • Ability to assist team with problem-solving, payer policy and clinical questions regarding audits performed by CERIS
  • Ability to review and apply clinical knowledge along with payer policy to charges submitted on UB's, itemized bills and medical records to determine accuracy of charges billed
  • Responsible for ensuring new employees are oriented to the organization, its policies, facilities, etc. Supervisors should also provide ongoing guidance to employees, often in the forms of ongoing career coaching, counseling and performance appraisal
  • Ensures appeals and grievances are resolved in a timely manner
  • Demonstrate ability to manage multiple projects, set priorities and manage to committed schedule
  • Keeps manager informed of any issues that arise with appeals, quality assurance and/or team that cannot be resolved
  • Act as a point of contact for internal departments to answer and resolve any questions related to appeals and quality assurance
  • Prepare and distribute reporting materials and team training presentations as directed by the manager
  • Maintain HIPAA privacy and security protocols
  • Perform audits and/or appeal review as necessary
  • Additional duties as assigned

KNOWLEDGE & SKILLS:
  • Strong understanding of claims processing, ICD-10 Coding, DRG Validation (if applicable)
  • Strong understanding of healthcare claims reimbursement
  • Proficient in Microsoft Office including Excel and Word
  • Strong interpersonal skills and adaptive communication style, complex problem-solving skills, drive for results, innovative
  • Excellent written and verbal communication skills
  • Ability to think and work independently, while working in an overall team environment
  • Strong attention to detail and ability to deliver results in a fast paced and dynamic environment

EDUCATION/EXPERIENCE:
  • Associate Degree in Nursing or higher required as applicable. BSN preferred
  • Must maintain current licensure as a Registered Nurse in the state of employment as applicable
  • Must maintain current coding certification as applicable
  • Completes required CEUs to maintain Registered Nurse license and/or coding certification as applicable
  • Demonstrated knowledge of CMS guidelines and ICD-10 coding guidelines as applicable
  • 5+ years 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 preferred for non-DRG audits
    • As applicable for DRG roles
      • CCS or CIC required with DRG auditing experience in ICD-10-CM, ICD-10-PCS
      • Proficiency in both MS and APR DRG reimbursement methods
      • Demonstrated knowledge and understanding of clinical criteria documentation requirements used to successful substantiate code assignments.
  • 3+ years of relevant experience or equivalent combination of education and work experience
  • 2+ years medical claims auditing of inpatient, outpatient and ASC claims preferred.
  • 2+ years of supervisory or management 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: $77,960 - $120,368
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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About CERIS

Sourced by ZipRecruiter

Industry

Health care and social assistance

Company size

51 - 200 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1990

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