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Program Integrity Director Jobs in Delray Beach, FL

Do What's Right - Honesty, Integrity, Truthfulness * Do Your Best - Exceptional Client-Centric ... Develop and implement standardized MEP templates, technical standards, and QA/QC programs. * Review ...

Do What's Right - Honesty, Integrity, Truthfulness * Do Your Best - Exceptional Client-Centric ... Develop and implement standardized MEP templates, technical standards, and QA/QC programs. * Review ...

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Program Integrity Director information

See Delray Beach, FL salary details

$27.7K

$73.4K

$128.6K

How much do program integrity director jobs pay per year?

As of Sep 6, 2026, the average yearly pay for program integrity director in Delray Beach, FL is $73,426.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,800.00 and $86,900.00 per year, depending on experience, location, and employer.

What is a program integrity director?

Program Integrity Directors are responsible for overseeing and ensuring the compliance, effectiveness, and accountability of organizational programs, often within government agencies or large organizations. They develop and implement policies to prevent fraud, waste, and abuse, and they monitor program operations to ensure adherence to regulations and standards. Program Integrity Directors often lead teams, conduct audits, and collaborate with other departments to promote transparency and ethical practices. Their work is crucial for maintaining public trust and ensuring resources are used appropriately.

What are some typical challenges faced by a program integrity director, and how can they be addressed?

Program Integrity Directors often face challenges such as navigating complex regulatory requirements, detecting and preventing fraud, and ensuring compliance across multiple departments or partners. Addressing these requires strong analytical skills, clear communication, and effective collaboration with legal, compliance, and operational teams. Staying updated on industry best practices and fostering a culture of transparency can also help mitigate risks and support program goals.

What are the key skills and qualifications needed to thrive as a program integrity director, and why are they important?

To thrive as a Program Integrity Director, you need expertise in compliance, risk management, regulatory analysis, and a relevant degree such as in business administration, public policy, or law. Familiarity with data analytics tools, case management systems, and certifications like Certified Fraud Examiner (CFE) or Certified Internal Auditor (CIA) are often important. Strong leadership, ethical judgment, and effective communication skills are crucial for building trust and guiding teams through complex investigations. These skills ensure the organization maintains regulatory compliance, prevents fraud, and promotes operational transparency.

What is the difference between Program Integrity Director vs Claims Manager?

AspectProgram Integrity DirectorClaims Manager
Required CredentialsBachelor's degree, certifications in healthcare compliance or auditingBachelor's degree, experience in claims processing or insurance
Work EnvironmentHealthcare or insurance organizations, compliance departmentsInsurance companies, healthcare payers, claims processing units
Employer & Industry UsageUsed in healthcare, government programs, insurance sectorsPrimarily in insurance companies and healthcare payers

The Program Integrity Director focuses on ensuring compliance, preventing fraud, and maintaining program integrity within healthcare or insurance organizations. In contrast, Claims Managers oversee the processing and adjudication of insurance claims. While both roles require knowledge of healthcare or insurance operations, the Program Integrity Director emphasizes compliance and fraud prevention, whereas the Claims Manager concentrates on claims processing efficiency and accuracy.

What are popular job titles related to Program Integrity Director jobs in Delray Beach, FL?

For Program Integrity Director jobs in Delray Beach, FL, the most frequently searched job titles are:

What job categories do people searching Program Integrity Director jobs in Delray Beach, FL look for?

The top searched job categories for Program Integrity Director jobs in Delray Beach, FL are:

What cities near Delray Beach, FL are hiring for Program Integrity Director jobs?

Cities near Delray Beach, FL with the most Program Integrity Director job openings:

Infographic showing various Program Integrity Director job openings in Delray Beach, FL as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 23% Part Time, and 2% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $73,426 per year, or $35.3 per hour.

Coding Integrity Specialist - Boynton Beach, Florida

NYULMC

Boynton Beach, FL • On-site

Full-time

Medical, Retirement

Re-posted 10 days ago


NYU Langone Health rating

8.4

Company rating: 8.4 out of 10

Based on 250 frontline employees who took The Breakroom Quiz

22nd of 898 rated healthcare providers


Job description


Position Summary:
We have an exciting opportunity to join our team as a Coding Integrity Specialist.
In this role, the successful candidate Reports to the Coding Quality Manager.
Job Responsibilities:
  • Perform other duties as needed.
  • Objectively review and Audit clinical documentation, CPT-4, HCPCS, modifiers and ICD-10 coding to ensure accurate reimbursement and compliance with CMS and third party payer laws and regulations.
  • Develops complete reports reflecting audit findings including negative and positive trends. Reports findings to leadership and follows through as directed.
  • Effectively and professionally communicate complex information in both oral and written format in a way that is understandable to the audience.
  • Provide professional coding, billing, and compliance guidance/education to offshore coding teams.
  • Independently analyze and weigh the risks verses benefits in decisions and recommendations related to provider billing and bill audit issues.
  • Promptly report any and all potential compliance issues to leadership and the Director of Compliance if necessary.
  • Research and update new and/or revised coding and compliance standards utilizing multiple government resources including: CMS, AMA, OIG, etc.
  • Assist in the development of coding policies and procedures.
  • Reviews, monitors, and facilitates implementation of billing and coding changes affecting charge capture processes in accordance with payer requirements.
  • Apply critical thinking, negotiation and conflict resolution skills.
  • Maintain collaborative relationships with internal and external teams to ensure integration and alignment of department priorities.
  • Effectively use various computer applications to conduct research, create reports and presentation material.
  • Assist with special projects on as-needed basis.
  • Prepares and presents coding materials at revenue cycle meetings.

Minimum Qualifications:
To qualify you must have a Bachelor's degree and 4-6 years of auditing and revenue cycle management experience in a healthcare environment.
Extensive knowledge of coding principles and guidelines.
Knowledge of RAC process including targeted coding areas.
Extensive knowledge of reimbursement systems, as well as federal, state and payer-specific regulations and policies pertaining to documentation, coding and billing.
Knowledge of Electronic Medical Records.
Proficient in Microsoft Office applications: Word, Excel and Powerpoint and others as required
Strong interpersonal communication and presentation skills, effectively presenting information to management, faculty practice groups and individuals.
Excellent organizational and project management skills.
Strong time management, attention to detail, and follow through.
Well-developed research skills.
Strong knowledge of revenue cycle process, revenue integrity and its impact throughout the revenue cycle.
Required Licensure/Certification skills: Certified Coding Specialist Certification (CCS) or Certified Coding Specialist- Physician-based (CCS-P) or Certified Professional Coder (CPC), Certified Outpatient Coding (COC).
Light, accurate keyboarding skills required. Candidates must receive a score of 35 words per minute (wpm) or greater on the typing assessment that will be administered prior to onboarding..
Required Licenses: Outpatient Coder - Cert, Coding Spclst - Physician-Cert, Certified Coding Specialist
Qualified candidates must be able to effectively communicate with all levels of the organization.
NYU Langone Florida provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family.
NYU Langone Florida is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online.
View Know Your Rights: Workplace discrimination is illegal."

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