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Remote Payment Integrity Analyst Jobs (NOW HIRING)

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 ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Reviews, analyzes, and ...

Lyric

Payment Integrity Analyst - Data Mining

JOB SUMMARY The Payment Integrity Analyst (Data Mining) supports the Data Mining (DM) program by investigating payment errors due to incorrect processing of payment policies, contract terms, billing ...

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

As of Jun 7, 2026, the average hourly pay for remote 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.

What are the key skills and qualifications needed to thrive as a Remote Payment Integrity Analyst, and why are they important?

To excel as a Remote Payment Integrity Analyst, you need strong analytical skills, experience in healthcare claims or payment analysis, and a bachelor’s degree in a related field. Familiarity with data analysis tools (such as Excel, SQL, or claims processing systems) and knowledge of industry regulations like HIPAA are typically required. Attention to detail, problem-solving abilities, and effective communication are vital soft skills for investigating discrepancies and collaborating with stakeholders. These competencies ensure the accurate identification of improper payments, cost savings, and compliance within healthcare organizations.

What is the difference between Remote Payment Integrity Analyst vs Remote Claims Auditor?

AspectRemote Payment Integrity AnalystRemote Claims Auditor
Required CredentialsCertifications in healthcare compliance, coding, or auditingCertifications in claims processing, auditing, or healthcare reimbursement
Work EnvironmentRemote, healthcare or insurance companiesRemote, insurance or healthcare organizations
Industry UsageHealthcare payers, insurance companiesInsurance companies, third-party administrators
Common Search IntentUnderstanding roles in payment integrity and fraud preventionAuditing claims for accuracy and compliance

The Remote Payment Integrity Analyst focuses on detecting and preventing improper payments, fraud, and abuse within healthcare claims, often requiring compliance and coding certifications. In contrast, the Remote Claims Auditor reviews claims for accuracy and adherence to policies, typically with auditing certifications. Both roles are remote, industry-specific, and involve analyzing healthcare or insurance claims, but they emphasize different aspects of claims management and compliance.

What is a Remote Payment Integrity Analyst?

A Remote Payment Integrity Analyst is a professional who works from a remote location to review healthcare or insurance claims for accuracy, compliance, and potential fraud. Their primary role is to ensure that payments made by insurance companies or healthcare providers are correct and align with policy guidelines. They use data analysis, auditing processes, and investigative techniques to identify improper payments or billing errors. This helps organizations recover overpayments, prevent financial losses, and maintain regulatory compliance. Remote Payment Integrity Analysts typically work for health insurers, government agencies, or third-party vendors.

How does a Remote Payment Integrity Analyst typically collaborate with other departments to resolve payment discrepancies?

As a Remote Payment Integrity Analyst, you'll regularly work with teams such as billing, claims, and provider relations to investigate and resolve payment discrepancies. Clear communication—often via email, virtual meetings, or internal platforms—is crucial for gathering documentation, clarifying complex cases, and ensuring timely resolution. Collaboration may also involve sharing findings or trends to help improve overall payment processes and prevent future errors. This cross-functional teamwork is essential for maintaining accuracy and compliance in healthcare or insurance payment systems.
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Remote Payment Integrity Analyst jobs near you
Infographic showing various Remote Payment Integrity Analyst job openings in the United States as of May 2026, with employment types broken down into 78% Full Time, 18% Part Time, 1% Temporary, and 3% Contract. Highlights an 80% Physical, 8% Hybrid, and 12% Remote job distribution, with an average salary of $74,823 per year, or $36 per hour.
Payment Integrity Analyst II

Payment Integrity Analyst II

SmartLight Analytics

Plano, TX • Remote

Full-time

Medical, Dental

Posted 17 days ago

Job description

The Payment Integrity Analyst II plays a critical role in analyzing and interpreting healthcare data to provide actionable insights for improving patient outcomes, optimizing clinical workflows, and supporting healthcare decision-making.  This position ensures accurate claims processing, policy interpretation, and regulatory alignment to prevent overpayments and cost-effective healthcare payments.  

What you’ll drive:  

  • You’ll identify, investigate and report on wasteful and inaccurate spend in healthcare claims  

  • You’ll work with industry leading AI, predictive analytics, and automation platforms to uncover patterns and drive smarter decisions.  

  • You’ll foster a culture of learning, refinement, and ethical excellence to create high quality, evidence backed referrals that reduce health insurance costs. 

What you’ll do: 

  • Identify and investigate healthcare billing activities leading to improper payments. This work involves reviewing medical professionals, facilities, insured members, or the broker community in coordination with the customer’s carrier or third-party administrator 

  • Review claims data and conduct analysis to look for patterns of potential FWA and other improper payments 

  • Utilizing information from claims data analysis, plan members, and other sources to conduct confidential claims data reviews, relevant investigative activities, document actionable findings and report any suspect billing that could result in an overpayment through designated channels 

  • Conduct data analysis to review claim and case history 

  • Reviews claims history, medical reviews, provider files, etc. and utilizes data analysis techniques to detect irregularities, billing trends, and financial relationships using state boards, licensing sites, Secretary of State sites, etc. 

  • Identify and resolve issues related to data discrepancies, missing data, or inconsistencies within clinical datasets 

What you bring: 

  • Bachelor's degree or 8 – 10 years of equivalent work experience in healthcare administration, billing, claims adjudication, clinical auditing,  payment integrity operations and/or healthcare reimbursement 

  • RN, CPC, CCS or other relevant clinical/coding certifications strongly preferred 

  • Strong knowledge of clinical terminology, medical procedures, and healthcare workflows 

  • Ability to be concise, independent and provide defensible decisions in writing 

  • Detail-oriented with excellent communication skills (oral presentations and written) and interpersonal skills 

  • Strong critical-thinking, communication and attention to detail skills  

Bonus points for: 

  • An intermediate level of knowledge with Local, State & Federal laws and regulations pertaining to health insurance (commercial health plans and/or dental plans) 

  • 3+ years of experience working in the group health business or experience in a healthcare provider’s practice 

  • Experience in the healthcare industry, clinical research or working clinical trials 

How to be successful in this role: 

  • Analytical Skills: Strong ability to interpret complex data and derive meaningful insights to drive healthcare outcomes 

  • Problem- Solving:  Ability to identify issues in datasets and clinical workflows and suggest data-driven solutions 

  • Attention to Detail: High level of precision and accuracy in handling critical data 

Who is SmartLight Analytics 

SmartLight Analytics was formed by a group of industry insiders who wanted to make a meaningful impact on the rising cost of healthcare. With this end in mind, SmartLight works for self-funded employers to reduce the wasteful spend in their healthcare plan through our proprietary data analysis. Our process works behind the scenes to save money without interrupting employee benefits or requiring employee behavior changes. 

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