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Payment Integrity Jobs in Washington (NOW HIRING)

Inova Health System

Payment Integrity Analyst

Fairfax, VA · On-site

$80 - $100/hr

Inova is looking for a dedicated Payment Integrity to join the team. This role is full-time Monday through Friday hybrid. Must be located in these states to work remote - VA, MD, DC, DE, FL, GA, NC ...

AArete

Consultant, Payment Intelligence

Vienna, VA · On-site

$48.25 - $66/hr

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

Sagility LLC

Longview Site Lead

Washington, DC · On-site

The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment ...

FARMER MAC

Procurement Manager

Washington, DC · On-site

$130K - $160K/yr

Support audits and regulatory examinations. 4. Payment Integrity & Expense Governance * Ensure payments are authorized, accurate, and compliant. * Prevent duplicate or fraudulent payments.

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How much do payment integrity jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for payment integrity in Washington is $20.38, according to ZipRecruiter salary data. Most workers in this role earn between $17.40 and $22.31 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 popular job titles related to Payment Integrity jobs in Washington?

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

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

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

Payment Integrity jobs near you
Infographic showing various Payment Integrity job openings in Washington as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $42,384 per year, or $20.4 per hour.

Payment Integrity Analyst

Inova Health System

Fairfax, VA • On-site

$80 - $100/hr

Other

Medical, Dental, Vision

Posted 4 days ago

Inova Health System rating

7.5

Company rating: 7.5 out of 10

Based on 261 frontline employees who took The Breakroom Quiz

231st of 898 rated healthcare providers

Job description

Inova is looking for a dedicated Payment Integrity to join the team. This role is full-time Monday through Friday hybrid.

Must be located in these states to work remote - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Committed to Team Member Health:offering medical, dental and vision coverage, and a robust team member wellness program.

Retirement:Inova matches the first 5% of eligible contributions – starting on your first day.

Tuition and Student Loan Assistance:offeringup to $5,250 per year in education assistance and up to $10,000 for student loans.

Mental Health Support:offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.

  • Validates reimbursement accuracy against payor agreements, fee schedules, reimbursement methodologies, and payment policies.
  • Analyzes claims, remittances, contractual allowances, and payment activity to identify payment variances and systemic discrepancies.
  • Investigates reimbursement issues related to contract misapplication, processing errors, coding discrepancies, authorization requirements, or policy changes.
  • Monitors reimbursement trends and escalates recurring issues requiring operational, contractual, or payor intervention.
  • Conducts detailed reviews of claims, remittances, refunds, and recoupments to identify overpayment recovery opportunities.
  • Determines root causes of overpayments and recommends corrective actions to prevent recurrence.
  • Conducts root cause analyses to identify drivers of payment discrepancies, denials, and reimbursement risks.
  • Translates complex reimbursement findings into actionable recommendations for operational teams and leadership.
  • Supports strategic initiatives related to revenue protection, reimbursement optimization, and payment accuracy improvement.
  • May perform additional duties as assigned.


Additional Requirements:

  • Experience - 6 years of experience in Payment Integrity, Denials Management, or similar roles.
  • Education - Associate's degree in Finance, Business Administration, Healthcare Management or related field; or HS Diploma/GED and 2 years of relevant professional experience in addition to the minimum Experience requirement
About Us

We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare.

Inova Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.

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