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Provider Payment Integrity Analyst Jobs (NOW HIRING)

CorVel Corporation

$80 - $100/hr

Payment Integrity Analyst III - QA Analyst Job Category : CERIS Requisition Number : PAYME011526 ... Assists with staff communication, providing updates, resolving issues, setting goals and ...

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$150 - $200/hr

... provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more ... than 25,000 employees across 5 countries. Job title: Director Payment Integrity Analytics Sagility ...

Sagility LLC

Director Payment Integrity Analytics

... provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more ... than 25,000 employees across 5 countries. Job title: Director Payment Integrity Analytics Develop ...

Paradigm

$60 - $80/hr

... integrity programs. We're proud to be recognized--again! For the fourth year in a row, we've been ... Analyze payment activity trends and provide reporting related to payment accuracy, aging, rejection ...

Capital Rx

Director, Payment Integrity

Denver, CO · On-site

Partner with analytics and technology teams to define data requirements, reporting infrastructure, and tooling that support program scale * Represent payment integrity in provider dispute resolution ...

Capital Rx

Director, Payment Integrity

Charlotte, NC · On-site

Partner with analytics and technology teams to define data requirements, reporting infrastructure, and tooling that support program scale * Represent payment integrity in provider dispute resolution ...

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How much do provider payment integrity analyst jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for provider payment integrity analyst in the United States is $35.97, according to ZipRecruiter salary data. Most workers in this role earn between $25.24 and $42.07 per hour, depending on experience, location, and employer.

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Infographic showing various Provider Payment Integrity Analyst job openings in the United States as of August 2026, with employment types broken down into 83% Full Time, 15% Part Time, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $74,823 per year, or $36 per hour.

Payment Integrity Analyst III - Trainer

Fort Worth, TX • On-site

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

$73K - $113K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago

Key responsibilities

  • Assist with leading the Policy and Payment Integrity team while maintaining review duties.

  • Review, analyze, and complete internal audits and appeals in accordance with client policy, CMS guidelines, and industry standards.

  • Oversee team member work for quality and compliance, provide training, and communicate deadlines and goals.

CorVel rating

7.9

Company rating: 7.9 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

83rd of 154 rated financial services

Job description

The Payment Integrity Analyst (Team Lead) assists with leading the Policy and Payment Integrity (PPI) team while maintaining the regular duties and responsibilities of this role which is accurately reviewing pre and post pay claim audits based on client, policy, industry standards and/or CMS guidelines.
The Team Lead must also be knowledgeable of the application of client policy and industry standards within reviews conducted by CERIS including but not limited to itemized bill review, professional review, hospital outpatient; trend analysis of internal auditing, appeals of pre and post payment claims, and any other claim or record that requires quality review to determine claim accuracy; assist with development of internal quality assurance measures based on client policy and industry guidelines; perform quality assurance reviews; assist in researching and implementing best practices related to payment policy, and/or policy initiatives; researching various healthcare policies.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
  • Assists with staff communication, providing updates, resolving issues, setting goals and maintaining standards as well as dialogue with team members in efforts to answer their questions and resolve barriers
  • Oversees team member work for quality and compliance and communicates deadlines and productivity goals to team members while providing ongoing training and education to staff to ensure policies and procedures are followed
  • Verifies and corrects as necessary, the audit work completed by PPI QC analysts and clinical appeal review teams as needed
  • 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
  • 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 (this applies only to RN hires, not coders)
  • 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
  • 3+ years healthcare revenue cycle or payment integrity experience
  • 3+ years of relevant experience or equivalent combination of education and work experience

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: $73,345 - $113,247
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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