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Program Integrity Jobs in Virginia (NOW HIRING)

SOSi

Safety Manager

Reston, VA · On-site

The QA/QC Safety Manager is a critical guardian of program integrity, ensuring safe working environments, regulatory compliance, and continuous improvement across all related functions. Essential Job ...

SOSi

Safety Manager

Reston, VA

The QA/QC Safety Manager is a critical guardian of program integrity, ensuring safe working environments, regulatory compliance, and continuous improvement across all related functions. Essential Job ...

Amentum

Regional Security Manager (RSM)

Culpeper, VA · On-site

$20 - $40/hr

The RSM is responsible for maintaining security program integrity while supporting project schedules, customer objectives, and regulatory requirements associated with secure construction activities.

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Showing results 1-20

All JobsProgram Integrity JobsProgram Integrity Jobs in Virginia

Program Integrity information

See Virginia salary details

$24.8K

$51.9K

$89.7K

How much do program integrity jobs pay per year?

As of Jul 8, 2026, the average yearly pay for program integrity in Virginia is $51,911.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,700.00 and $59,000.00 per year, depending on experience, location, and employer.

What are some common challenges faced in a Program Integrity role, and how can they be effectively managed?

Program Integrity professionals often encounter challenges such as ensuring regulatory compliance, detecting and preventing fraud, and navigating complex data systems. Managing these challenges typically involves staying current with evolving policies, collaborating closely with compliance, audit, and legal teams, and leveraging advanced analytics tools to monitor program performance. Effective communication and proactive problem-solving are crucial, as the role often requires balancing the organization's objectives with strict adherence to external regulations.

What is the difference between Program Integrity vs Claims Analyst?

AspectProgram IntegrityClaims Analyst
Required CredentialsTypically requires a bachelor’s degree in healthcare, public health, or related fields; certifications like Certified Professional Coder (CPC) may be beneficialUsually requires a bachelor’s degree in finance, healthcare administration, or related fields; certifications like Certified Claims Professional (CCP) are common
Work EnvironmentGovernment agencies, insurance companies, healthcare organizations focusing on compliance and fraud detectionInsurance companies, healthcare providers, or third-party administrators analyzing claims data
Employer & Industry UsagePrimarily in healthcare, insurance, and government sectors for compliance and fraud preventionIn insurance and healthcare sectors for processing and analyzing claims

Program Integrity professionals focus on preventing fraud, waste, and abuse in healthcare programs, ensuring compliance with regulations. Claims Analysts primarily review and process insurance claims, verifying accuracy and eligibility. While both roles work within healthcare and insurance industries, Program Integrity emphasizes compliance and fraud detection, whereas Claims Analysts concentrate on claims processing and data analysis.

What are program integrity jobs?

Program integrity jobs focus on ensuring that government or organizational programs operate effectively, efficiently, and in compliance with laws and regulations. Professionals in these roles are responsible for identifying and preventing fraud, waste, and abuse, often through audits, investigations, and data analysis. They ensure program funds are used as intended, maintain accountability, and help organizations meet regulatory and ethical standards. These positions are commonly found in healthcare, social services, and government agencies.

What are the key skills and qualifications needed to thrive in a Program Integrity role, and why are they important?

To thrive in a Program Integrity role, you need strong analytical skills, attention to detail, and a solid understanding of compliance or regulatory frameworks, usually backed by a relevant degree such as public administration, law, or accounting. Familiarity with data analysis tools, case management systems, and auditing software is often required, along with certifications like Certified Fraud Examiner (CFE) being advantageous. Excellent problem-solving, ethical judgment, and effective communication are vital soft skills for investigating issues and collaborating with stakeholders. These competencies help ensure organizational compliance, prevent fraud, and safeguard resources in regulated environments.
Program Integrity jobs near you
Outpatient Coding Integrity Specialist

Outpatient Coding Integrity Specialist

HCA Healthcare

Richmond, VA • On-site

$34.59 - $51.89/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago

HCA Healthcare rating

6.5

Company rating: 6.5 out of 10

Based on 2,223 frontline employees who took The Breakroom Quiz

600th of 880 rated healthcare providers

Job description

Hourly Wage Estimate: $34.59 - $51.89 / hour
Learn more about the benefits offered for this job.

The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Inpatient Coding Auditor with Parallon you can be a part of an organization that is devoted to giving back!

Job Summary and Qualifications

As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments.  

What you will do in this role:  

  • Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs 
  • Assists in ensuring HSC coding staff adherence with coding guidelines and policy 
  • Demonstrates and applies expert level knowledge of medical coding practices and concepts 
  • Participates on special reviews or projects 
  • Maintains or exceeds 95% productivity standards 
  • Maintains or exceeds 95% accuracy 
  • Meets all educational requirements as stated in current Company policy 
  • Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current  

What qualifications you will need: 

  • High school diploma and/or GED preferred 
  • Undergraduate degree in HIM/HIT preferred 
  • Minimum of 3 years acute care inpatient/outpatient coding experience preferred 
  • Minimum of 3 years coding auditing/monitoring experience strongly preferred 
  • RHIA, RHIT and/or CCS preferred 

 Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding Opportunities.  

 CLICK HERE for more information on Parallon HCA Coding  

Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

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Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

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"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Be a part of an organization that invests in you! We are reviewing applications for our Inpatient Coding Auditor opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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