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Payment Integrity Jobs in Texas (NOW HIRING)

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.

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.

Consultant, Payment Intelligence

Dallas, TX · On-site

$47.50 - $65/hr

AArete'sconsulting service line,Payment Intelligence,goes beyond typical payment integrity to ensureerroneousand inefficient payments areidentified, rectified, andrecouped toprevent them in the ...

Analyze claims payment activity, funding, payment activity, adjudication outcomes, and reimbursement trends to ensure financial accuracy and integrity * Monitor claim costs, payment variances ...

Showing results 21-40

Payment Integrity information

See Texas salary details

$9

$16

$24

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 cities in Texas are hiring for Payment Integrity jobs?

Cities in Texas with the most Payment Integrity job openings:

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 Analyst II

Corvel

Fort Worth, TX • On-site

$66K - $101K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago


CorVel rating

7.9

Company rating: 7.9 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

84th of 152 rated financial services


Job description

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.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
  • 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
  • Comfortable interfacing with clients and the C-Suite
  • 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
  • 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
  • 1+ years healthcare revenue cycle
  • 1+ years of relevant experience or equivalent combination of education and work experience
  • 1+ years hospital bill audit

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: $66,941 - $101,258
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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