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Provider Data Integrity Analyst Jobs in Texas (NOW HIRING)

Corvel

Payment Integrity Analyst II

Fort Worth, TX · On-site

$66K - $101K/yr

The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits ... Strong analytical and modeling ability and distilling data into actionable results * Superb ...

CERiS

Payment Integrity Analyst II

Fort Worth, TX · On-site

$66K - $101K/yr

The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits ... Strong analytical and modeling ability and distilling data into actionable results * Superb ...

Corvel

Payment Integrity Analyst II

Fort Worth, TX · Remote

$66K - $101K/yr

The Payment Integrity Analyst is responsible for accurately reviewing and completing pre- and post ... Advanced problem-solving and data analysis capabilities * Proven track record of delivering ...

CERiS

Payment Integrity Analyst II

Fort Worth, TX · Remote

$66K - $101K/yr

The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits ... Strong analytical and modeling ability and distilling data into actionable results * Superb ...

Hawk Group

Data Analyst

Midland, TX · On-site

$61.60 - $70.84/hr

Generate exception reports to identify and resolve data integrity issues across multiple platforms ... Provide training, documentation, and user support to improve adoption and effective use of ...

Airswift

Data Analyst III

Midland, TX · On-site

Generate exception reports to identify and resolve data integrity issues across multiple platforms ... Provide training, documentation, and user support to improve adoption and effective use of ...

LP Analyst

Data Analyst - Data Operations

Dallas, TX · On-site

Job Summary : LP Analyst is a leading independent private asset cloud-based analytics and ... data integrity practices, with an awareness of the accuracy and compliance expectations of a ...

Goodwill of Houston

Data Analyst

TX · On-site

Provides data, reporting, dashboard, and systems support for Workforce Development (WFD) and ... and data integrity across CaseWorthy, Goodwill Gateway support files, internal spreadsheets ...

Winaxis

Data Analyst

Dallas, TX · On-site

Provide quality assurance of imported data, working with quality assurance analysts if necessary ... Supporting initiatives for data integrity and normalization. Assessing tests and implementing new ...

Winaxis

Data Analyst

Dallas, TX · On-site

Provide quality assurance of imported data, working with quality assurance analysts if necessary ... Supporting initiatives for data integrity and normalization. Assessing tests and implementing new ...

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Provider Data Integrity Analyst information

What is the difference between Provider Data Integrity Analyst vs Provider Data Coordinator?

AspectProvider Data Integrity AnalystProvider Data Coordinator
CredentialsTypically requires a bachelor's degree in health administration, healthcare, or related field; certifications like CPC or CHDA are commonOften requires a high school diploma or associate degree; certifications are less common but may include medical coding or health information management
Work EnvironmentHealthcare organizations, insurance companies, or data management teamsMedical offices, clinics, or healthcare provider settings
Primary FocusEnsuring data accuracy, integrity, and compliance within provider databasesManaging and updating provider information, scheduling, and administrative tasks

The Provider Data Integrity Analyst primarily focuses on maintaining accurate and compliant provider data, often requiring specialized certifications and working in data management roles. In contrast, the Provider Data Coordinator handles administrative tasks related to provider information, typically with less emphasis on certifications. Both roles are essential in healthcare data management but differ in scope and responsibilities.

What cities in Texas are hiring for Provider Data Integrity Analyst jobs?

Cities in Texas with the most Provider Data Integrity Analyst job openings:

Infographic showing various Provider Data Integrity Analyst job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution.

Payment Integrity Analyst II

Fort Worth, TX • On-site

Corvel
Insurance Services • 1 - 5K employees
Learn more about Corvelexternal

$66K - $101K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago

CorVel rating

7.9

Company rating: 7.9 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

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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