ZipRecruiter

Log In

1

Payment Integrity Jobs in Wisconsin (NOW HIRING)

Mercyhealth

Internal Auditor

Janesville, WI · On-site

$58K - $94K/yr

Perform routine and moderately complex audits on claims for payment integrity in alignment with regulatory standards and timelines, business policy, contract, appropriate coding, and system ...

Mercyhealth

Internal Auditor

Janesville, WI · On-site

$58K - $94K/yr

Perform routine and moderately complex audits on claims for payment integrity in alignment with regulatory standards and timelines, business policy, contract, appropriate coding, and system ...

Quartz Health Solutions

Senior Quality Analyst

Madison, WI · Remote

$66K - $83K/yr

Assess and validate provider reimbursement methodologies, including contract interpretation and payment integrity * Build advanced expertise across multiple business systems and operational processes ...

Quartz

Senior Quality Analyst

Madison, WI · On-site

$66K - $83K/yr

Assess and validate provider reimbursement methodologies, including contract interpretation and payment integrity * Build advanced expertise across multiple business systems and operational processes ...

Quartz

Senior Quality Analyst

Madison, WI · Remote

$66K - $83K/yr

Assess and validate provider reimbursement methodologies, including contract interpretation and payment integrity * Build advanced expertise across multiple business systems and operational processes ...

Sagility

$20/hr

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

Sagility

$20/hr

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

Sagility

$20/hr

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

Sagility LLC

$20/hr

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

Sagility LLC

$20/hr

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

Sagility LLC

$20/hr

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

Sagility

$20/hr

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

Sagility LLC

$20/hr

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

previous pagenext page

Showing results 21-40

All JobsPayment Integrity JobsPayment Integrity Jobs in Wisconsin

Payment Integrity information

See Wisconsin salary details

$10

$18

$26

How much do payment integrity jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for payment integrity in Wisconsin is $18.16, according to ZipRecruiter salary data. Most workers in this role earn between $15.53 and $19.90 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 Wisconsin?

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

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

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

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

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

Payment Integrity jobs near you
Infographic showing various Payment Integrity job openings in Wisconsin as of August 2026, with employment types broken down into 100% Full Time. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $37,772 per year, or $18.2 per hour.

Medical Records - Field Reviewer

Altegra Health

Milwaukee, WI

Contractor

Re-posted 10 days ago

Job description

Company Description

Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in:

1. CMS HCC Risk Adjustment

2. HEDIS

3. Medical Record Reviews (Accreditation)

4. And more


Job Description

About the Job:

We are currently recruiting RNs, LPNs, MA's, Certified Coders, and RHIT or RHIA professionals to work as Medical Records Reviewers (Field Reviewers) in your area. We may also consider Medical Records Professionals that have a minimum of 2 years of hands on medical records experience, EMR/EHR experience a plus, based on the type of experience and the health plans we are currently working with. Our reviewers visit physicians' offices to retrieve and review specific documents from medical records for various projects and studies, within a 40 mile radius of the area you live in. This can be reduced a bit if needed to accommodate possible travel issues on a case by case basis. This work is project based and is not considered to be full time permanent employment.


You will be provided a personal scheduler and advocate to help you plan your daily activities. Altegra will schedule and confirm all of your appointments to make your days are as efficient as possible. We will also provide computer equipment for scanning charts and transferring files to our secure file transfer site. We provide help desk assistance for both IT support and medical record retrieval support.


We pay competitive wages. We also provide thorough training in the use of our technology, processes, documents to be scanned or copied, and HIPAA confidentiality requirements for protected health information. If you have substantial medical records experience, a professional demeanor, and can work independently then we invite you to join the most respected name in the industry.


Summary of Duties and Responsibilities:

1. Accurately and efficiently conduct medical record review services

2. Scan relevant components of the medical record to support reviews performed

3. Upload scanned medical records daily

4. Maintain communication lines with Outcomes advocate

5. Successfully complete required training, testing and quality assessments

6. Communicate effectively and professionally with care provider offices, clinics, hospitals, other clinical facilities

7. Travel to medical facilities in specified area of region from home to complete review services

8. Abide by all HIPAA and associated patient confidentiality requirements



Qualifications

1. Must be an RN, LPN, Certified Coder, RHIT, RHIA, MA or Medical Records Professionals with a minimum of 2 years of hands on medical records experience, EMR/EHR experience a plus, based on the type of experience you have and the health plans we are currently working with.

2. Strong computer skills and high-speed internet access at home (no dial-up)

3. Reliable transportation, auto insurance and a valid driver's license

4. Commitment to confidentiality of patient health information

5. Professional, articulate and able to work independently

6. Availability at least 20 hours per week during business hours

7. Ability to manage and meet deadlines

8. Must be willing to travel within a 40 mile radius

9. Business attire is required when visiting physician offices

10. Must have a working cell phone, home computer, and printer


Apply