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Remote Him Data Integrity Analyst Jobs (NOW HIRING)

HHAeXchange

Sr. Program Integrity Analyst

$118K - $119K/yr

... data and translating those findings into scalable detection capabilities embedded within the ... This is a remote opportunity for candidates that are located within the EST or CST time zones ...

Avera Health

Revenue Integrity Analyst

Sioux Falls, SD

$25.50 - $38.25/hr

Analyze trends and translate complex data into actionable insights for stakeholders. * Conduct ... integrity. Essential Qualifications The individual must be able to work the hours specified. To ...

SpaceX

Sr. Platform Integrity Analyst (Starlink)

Redmond, WA · On-site +1

$120K - $175K/yr

... data querying languages (e.g., SQL), scripting languages (e.g., Python), geospatial tools (e.g ... This position is based in Redmond, WA and requires being onsite-remote work not considered * Must ...

Highmark Health

Revenue Integrity Analyst

... analysis and prioritized evaluation. Assists with maintaining the integrity of the CDM (charge ... data used to support medical necessity of billed services, conducts quality assurance reviews of ...

Saintfrancis

Senior Revenue Integrity Analyst

The Senior Revenue Integrity Analyst serves as a subject-matter expert in charge capture, charge ... Strong data analysis capabilities, including with large datasets, financial modeling, and root ...

St. Joseph Medical Center

HIM Specialist Sr

Tacoma, WA · On-site

$19.96 - $30.94/hr

Every day you will independently manage complex workflows including document imaging, chart analysis, data integrity resolution, and record completion processes, serving as a resource within the HIM ...

St. Joseph Medical Center

HIM Specialist Sr

Tacoma, WA · On-site

$19.96 - $30.94/hr

Every day you will independently manage complex workflows including document imaging, chart analysis, data integrity resolution, and record completion processes, serving as a resource within the HIM ...

CERiS

Payment Integrity Analyst II

Fort Worth, TX · Remote

$66K - $101K/yr

This is a remote position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: * Reviews, analyzes, and ... Strong analytical and modeling ability and distilling data into actionable results * Superb ...

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How much do remote him data integrity analyst jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for remote him data integrity analyst in the United States is $37.33, according to ZipRecruiter salary data. Most workers in this role earn between $29.09 and $42.31 per hour, depending on experience, location, and employer.

What is a remote HIM data integrity analyst?

A Remote HIM (Health Information Management) Data Integrity Analyst is a professional who works remotely to ensure the accuracy, completeness, and consistency of health data within medical records and healthcare information systems. Their responsibilities include auditing health records, identifying discrepancies, and implementing data quality standards to maintain compliance with healthcare regulations. They play a crucial role in supporting patient safety, billing accuracy, and organizational data reporting by verifying that all health information is correctly documented and coded.

How does a remote HIM data integrity analyst typically collaborate with other healthcare professionals to ensure accurate patient records?

A Remote HIM Data Integrity Analyst regularly works with clinical staff, coding teams, and IT departments to identify and correct discrepancies in patient records. This collaboration often involves virtual meetings, secure email communications, and shared access to electronic health record (EHR) systems. By fostering open communication and providing guidance on documentation standards, analysts help maintain data accuracy and compliance with regulatory requirements. Strong interpersonal skills and a proactive approach to problem-solving are essential for success in this remote, collaborative environment.

What are the key skills and qualifications needed to thrive as a remote HIM data integrity analyst, and why are they important?

To thrive as a Remote HIM Data Integrity Analyst, you need a strong understanding of health information management, medical coding, and data quality standards, usually supported by a degree in HIM or a related field and relevant certifications like RHIA or RHIT. Familiarity with electronic health record (EHR) systems, data analytics tools, and coding software such as ICD-10 and CPT is typically required. Excellent attention to detail, analytical thinking, and effective communication are critical soft skills for ensuring accuracy and collaborating with remote teams. These skills and qualifications are essential for maintaining accurate patient records, supporting regulatory compliance, and enabling high-quality healthcare delivery.
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Remote Him Data Integrity Analyst jobs near you
Infographic showing various Remote Him Data Integrity Analyst job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $77,642 per year, or $37.3 per hour.

Sr. Program Integrity Analyst

HHAeXchange

Remote

$118K - $119K/yr

Full-time

Medical, Retirement, PTO

Posted 29 days ago

Job description

HHAeXchange is the leading technology platform for home and community-based care. Founded in 2008, HHAeXchange was born out of an idea to create a fully comprehensive end-to-end homecare solution to help people who are aging or have disabilities thrive in their homes and communities. Our employees are passionate about transforming the healthcare space by building the only homecare ecosystem that fully connects patients, personal care providers, managed care organizations, and states.
The Sr Program Integrity Analyst is a key member of HHAeXchange's growing Program Integrity function, responsible for identifying fraud, waste, and abuse patterns in Medicaid home and community-based care data and translating those findings into scalable detection capabilities embedded within the HHAeXchange platform. This role sits at the intersection of investigative analysis, product development, and customer engagement - serving as the domain expert who grounds product development in operational and regulatory reality, ensuring that detection logic is clinically sound, investigatively credible, and directly actionable by the customers who rely on it to protect public funds and program integrity. The role works closely with product, engineering, and client-facing teams to ensure that analytical findings create measurable value for HHAeXchange customers.
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This is a remote opportunity for candidates that are located within the EST or CST time zones within the United States.
Essential Job Duties
Fraud Waste and Abuse Analysis and Fraud Pattern Identification
  • Analyze Medicaid claims, visit, and EVV datasets to identify patterns and anomalies indicative of fraud, waste, or abuse in home and community-based care settings.
  • Apply knowledge of how FWA manifests in Medicaid billing to identify suspicious patterns, including visit overlaps, impossible billing hours, upcoding, duplicate or unbundled claims, provider billing spikes, beneficiary identity issues, and EVV inconsistencies.
  • Distinguish between fraud (intentional misrepresentation), waste (overutilization without intent), and abuse (improper practice), and recommend appropriate investigative or corrective responses for each category.
  • Conduct proactive analysis to surface emerging fraud trends and systemic program integrity risks, not solely in response to known or referred patterns.
  • Apply knowledge of the Medicaid revenue cycle to contextualize billing anomalies and assess their program integrity implications.

Product and Engineering Collaboration
  • Translate analytical findings and fraud patterns into clear, precise business requirements for product and engineering teams, specifying what detection logic should catch, what data signals trigger it, and what thresholds or conditions apply.
  • Contribute to the design of fraud detection dashboards, alerting systems, and investigation workflows, ensuring that tools are grounded in how investigators and compliance teams actually operate.
  • Validate that detection tools and analytical models perform as intended - identifying false positives, coverage gaps, and missed risk categories as they are developed and refined.
  • Serve as the subject matter expert on FWA and program integrity concepts, ensuring that detection logic embedded in the platform is operationally sound and clinically credible.

Customer and Stakeholder Engagement
  • Present fraud findings and program integrity insights to state Medicaid agencies, managed care organizations, and internal stakeholders in formats that are clear, credible, and directly actionable.
  • Support customers in understanding what detection findings mean for their regulatory reporting obligations, corrective action priorities, audit readiness, and program integrity outcomes.
  • Advise state and payer partners on how HHAeXchange detection capabilities align with CMS Medicaid Integrity Program (MIP) standards and applicable federal program integrity requirements.
  • Document analytical methodologies and investigation approaches to support customer compliance reviews, regulatory audits, and reporting obligations.
  • Contribute to customer discussions on detection strategy, helping state and MCO partners prioritize program integrity efforts based on risk exposure and data findings.

Other Job Duties
  • Other duties as assigned by supervisor or HHAeXchange leader.

Travel Requirements
  • Travel up to 10%, including overnight travel

Required Education, Experience, Certifications and Skills
  • Bachelor's degree and a minimum of 5 years experience in healthcare fraud detection, program integrity, payment integrity, SIU investigation, or a closely related field, with substantive knowledge of how fraud, waste, and abuse manifests in healthcare billing data.
  • Working knowledge of how Medicaid programs operate, including how providers enroll, document services, submit claims, and are reimbursed.
  • Demonstrated ability to recognize FWA patterns in healthcare claims or billing data and distinguish between fraud, waste, and abuse in context.
  • Strong analytical thinking and investigative problem-solving skills, including the ability to follow a data thread from anomaly to finding to recommendation.
  • Ability to communicate complex analytical findings clearly and credibly to both technical and non-technical audiences, including engineers, compliance officers, state regulators, and executive stakeholders.
  • Comfort working with ambiguous or fragmented data architecture - able to locate and reconcile relevant information across multiple systems and tables without a single, spoon-fed source of truth, and willing to invest the time needed to understand data nuances rather than waiting to be handed a clean dataset.
  • Demonstrated ability to work as a builder in an evolving environment - proactively identifying the resources, data, and stakeholders needed to solve a problem rather than waiting for an established process or playbook.
  • Working familiarity with data tools sufficient to query, explore, and validate analytical outputs independently.
  • Willingness to explore and adopt AI tools responsibly to enhance productivity and innovation in your role.

Preferred
  • Experience with Medicaid HCBS, personal care services, or home care programs.
  • Familiarity with electronic visit verification (EVV) data and the EVV mandates under the 21st Century Cures Act.
  • Experience presenting fraud findings to state regulators, managed care compliance teams, or legal and law enforcement partners.
  • Exposure to AI or machine learning tools applied to healthcare fraud detection or payment integrity.
  • Professional certifications such as: Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified in Healthcare Compliance (CHC), or Certified Professional Coder (CPC).
  • Experience with Python, R, or data visualization / business intelligence tools.

The base salary range for this US-based, full-time, and exempt position is $155,000-165,000/yr, not including variable compensation. An employee's exact starting salary will be based on various factors including but not limited to experience, education, training, merit, location, and the ability to exemplify the HHAeXchange core values.
This is a benefits-eligible position. HHAeXchange offers competitive health plans, paid time-off, company paid holidays, 401K retirement program with a Company elected match, including other company sponsored programs.
HHAeXchange is an equal-opportunity employer. The Company offers employment opportunities to all applicants and employees without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, medical condition, marital status, veteran status, citizenship, genetic information, hairstyles, or any other status protected by local or federal law.
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

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