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Revenue Capture Audit Rn Jobs (NOW HIRING)

HHC

Revenue Integrity Auditor

Indianapolis, IN

Researches and resolves charge concerns identified through Charge Capture Audit (CCA) tool ... Medical Technician, LPN or RN, with current state licensure OR certified R.H.I.A., R.H.I.T., CCS ...

UCLA Health

Revenue Capture Analyst

Los Angeles, CA · On-site

$80K - $168K/yr

As a Revenue Capture Analyst, you will bring expertise in billing, charge capture, and regulatory ... Support audits, compliance reviews, and policy updates related to charge capture and billing ...

U1402

Project Audit RN

Dallas, TX · Remote

JOB SUMMARY The Revenue Integrity Project Audit Nurse plays a dual, highly impactful role ... charge capture accuracy and compliance across hospitalbased and outpatient settings. The ideal ...

844106 - Decision Support

Project Audit RN

Dallas, TX · On-site

$79K - $105K/yr

JOB SUMMARY The Revenue Integrity Project Audit Nurse plays a dual, highly impactful role ... charge capture accuracy and compliance across hospital-based and outpatient settings. The ideal ...

WhidbeyHealth

Coding Quality Auditor (RN)

Coupeville, WA · On-site

$95K - $133K/yr

Charge capture processes Revenue Capture & Integrity * Ensure complete and accurate revenue capture ... Maintain audit readiness for external reviews (e.g., RADV, payer audits) Provider Collaboration ...

WhidbeyHealth

Coding Quality Auditor (RN)

Coupeville, WA · On-site

$26.50 - $30/hr

Charge capture processes Revenue Capture & Integrity * Ensure complete and accurate revenue capture ... Maintain audit readiness for external reviews (e.g., RADV, payer audits) Provider Collaboration ...

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Healthcare Revenue Cycle Audit & Operations Analyst

Dallas, TX · On-site

$90K - $115K/yr

Maximized revenue capture through disciplined, complete account-level follow-up * Improved vendor ... Audit vendor work directly within client EHR/EMR and practice management systems -- including Epic ...

Park Center Inc.

Revenue Recognition Manager

Nashville, TN · On-site

$78K - $82K/yr

Develop and maintain processes that maximize revenue capture across all funding sources. * Monitor ... Participate in audits, monitoring visits, and compliance reviews. * Grant Research and Funding ...

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Revenue Capture Audit Rn information

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How much do revenue capture audit rn jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for revenue capture audit rn in the United States is $22.29, according to ZipRecruiter salary data. Most workers in this role earn between $17.07 and $26.44 per hour, depending on experience, location, and employer.

What is a Revenue Capture Audit RN?

A Revenue Capture Audit RN is a Registered Nurse who specializes in reviewing clinical documentation and billing records to ensure that healthcare services are accurately coded and billed. Their primary role is to identify missed revenue opportunities, billing errors, and documentation gaps that could impact a healthcare organization's financial performance. They work closely with clinical staff, coders, and revenue cycle teams to optimize reimbursement and compliance with regulations. This position requires a strong understanding of medical coding, billing processes, and healthcare reimbursement systems.

What are the key skills and qualifications needed to thrive as a Revenue Capture Audit RN?

To excel as a Revenue Capture Audit RN, you need a solid background in nursing practice combined with knowledge of healthcare billing, coding, and reimbursement processes, often requiring an active RN license and experience in clinical documentation improvement. Familiarity with electronic health record (EHR) systems, coding software (such as ICD-10 and CPT), and auditing tools is typically necessary. Attention to detail, analytical thinking, and effective communication are crucial soft skills for identifying discrepancies and collaborating with clinical and financial teams. These skills ensure accurate revenue capture, regulatory compliance, and financial integrity for healthcare organizations.

How does a Revenue Capture Audit RN typically collaborate with other departments to ensure accurate billing and reimbursement?

A Revenue Capture Audit RN works closely with coding, billing, and clinical teams to review patient records and verify that all services provided are accurately documented and billed. Collaboration often involves clarifying clinical documentation, addressing discrepancies, and providing education to nursing and medical staff on best documentation practices. This role requires strong communication skills and a proactive approach to problem-solving, as it serves as a bridge between clinical care and financial operations to maximize appropriate revenue capture.

What are popular job titles related to Revenue Capture Audit Rn jobs?

For Revenue Capture Audit Rn jobs, the most frequently searched job titles are:

Revenue Integrity Auditor

Indianapolis, IN

HHC
Software Development • 1 - 10 employees
Learn more about HHCexternal

Full-time

Posted 7 days ago

Job description

Division:Eskenazi Health  

Sub-Division: Hospital  

Req ID:  26635 

Schedule: Full Time 

Shift: Days 

Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis.

FLSA Status
Exempt
Job Role Summary
The Revenue Integrity Auditor is responsible for pre- and post-payment auditing of medical records and associated clinical documentation to ensure proper charge capture, billing in accordance with standard billing policies and reimbursement principles. This position is responsible for assisting Revenue Cycle Services, Health Information Management (HIM), Coding, Clinical Documentation Improvement (CDI), and other departments with resolution of billing issues and/or denials requiring clinical expertise, participating in external audit requests, and special projects as needed. This position also serves as an audit outcome educator with clinical staff in clinic and department settings.
Essential Functions and Responsibilities
  • Coordinates, conducts and documents full or partial chart-to-bill audits for:
    • Existing services to ensure revenue capture and documentation accuracy
    • Newly implemented hospital services
    • Defense audits requested by payers or outside agencies
    • Cost outlier and high balance accounts prior to billing or post third party vendor review
    • Other audits as assigned by management
    • Prepares written reports or trending data related to findings and facilitates sign off with leadership
    • Facilitates timely turnaround of audit results
    • Prepares written summaries of departmental audit results, which allow clinical leadership the ability to monitor and manage their revenue capture and documentation processes
    • Keeps Revenue Integrity Supervisor informed on various findings and communications with areas assigned for audit and/or process review
    • Notifies Charge Reconciliation, Charge Description Master (CDM), and Revenue Cycle Education Staff of pertinent audit issues requiring their intervention to remedy or correct
  • Works cooperatively within Revenue Cycle Support, and clinic/department leadership to ensure all charges are available within the Electronic Health Record (EHR) on an as-needed basis and according to department standards
  • Requests appropriate CDM additions, modifications, deletions and reactivations through the NThrive Workflow Tool
  • Develops and maintains a highly effective working relationship with Corporate Compliance, Finance, HIM, Revenue Cycle Services, Transition Support, and various clinic/department staff and their leadership
  • Provides education to clinical staff and clinic/department leadership on the appropriate utilization of charges in the Electronic Health Record (EHR) and suggests documentation improvements where appropriate
  • Identifies inappropriate billing patterns in accordance with hospital charging protocols and industry standards; makes recommendations for improvement of procedures, documentation, and revenue optimization opportunities
  • Works diligently to attain appropriate Revenue Integrity goals
  • Researches and resolves EHR billing, payer, and customer service related issues in a timely and compliant manner:
    • Retrieves and validates patient account information and charge-related documentation from multiple information systems and/or from hospital department personnel
    • Researches and resolves charge concerns identified through Charge Capture Audit (CCA) tool
    • Researches and resolves Revenue Guarding Edits that are built to identify accounts with missing charges
    • Validates that charges are on the correct account via EHR Charge Review work queues
    • Resolves National Correct Coding Initiative (NCCI) Edits, Correct Coding Initiative (CCI) Edits, and Medically Unlikely Edits (MUE)
    • Recommends and/or applies appropriate modifiers in support of medical services rendered
    • Researches and corrects Room & Bed and Observation Hour issues
    • Ensures patient satisfaction by resolving charge-related issues routed from Customer Service inquiries
    • Resolves charge issues associated with credit balance accounts
    • Enters account corrections and detailed comments in EHR to ensure a clear line of communication
    • Resolves coding requests that are sent to Revenue Integrity from the Coding department
    • Ensures appropriate revenue direction to ensure charges are accurately reported for financial reports
  • Researches, works proactively with charging departments, and resolves billing and/or charging issues; resolves Do Not Bill (DNB) Errors and Warnings
Job Requirements
  • Medical Technician, LPN or RN, with current state licensure OR certified R.H.I.A., R.H.I.T., CCS, CCS-P, CPC, CPC-H, CCA, OR Associate's degree required; bachelor's degree preferred
  • Experience with Health Information Management (HIM), Facility/Physician Billing, Charge Description Master (CDM), Denials Management, Charge Integrity, Financial Analysis
  • Three years of experience in a hospital or physician setting with extensive Revenue Cycle knowledge
  • Two years of hospital audit experience with a concentration in High Balance and Cost Outlier and/or facility-based clinic audits
Knowledge, Skills & Abilities
  • Requires extensive knowledge of various coding systems, including but not limited to ICD-10-CM, CPT-4, HCPCS, as well as medical terminology, anatomy and physiology, diagnostic and therapeutic tests
  • Knowledge of DRG and APC classifications and reimbursement methodologies
  • Extensive knowledge of billing processes and payer requirements
  • Extensive knowledge of NCCI and CCI requirements for Medicare and Medicaid patients including MUE edits
  • Ability to implement or facilitate change utilizing change management techniques
  • Excellent oral and written communication skills; must be able to effectively interact and present information with clinical and non-clinical staff
  • Excellent customer service and organizational skills; detail- and task-oriented; effectively manages time and workload, and sets appropriate priorities
  • Possesses critical thinking and analytical skills
  • Ability to work independently and exercise professional judgment to meet daily operational demands
  • Ability to work as an effective team member
  • Demonstrates team-oriented, professional conduct when resolving issues which cross operational units within Revenue Cycle and/or across Eskenazi Health
  • Possesses Microsoft Excel skills including the ability to create and build new worksheets, import and sort data, and use basic formulas
  • Possesses Microsoft Word skills to summarize audit outcomes and write internal and external correspondence
  • Familiarity with information systems used at Eskenazi Health, including but not be limited to: EPIC, McKesson, NThrive, OnBase, G3, and Careweb preferred

Accredited by The Joint Commission and named as one of Indiana's best employers by Forbes magazine for two consecutive years and the top hospital in the state for community benefit by the Lown Institute, Eskenazi Health's programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city's primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the first verified adult burn center in Indiana and Sandra Eskenazi Mental Health Center, the first community mental health center in Indiana, just to name a few.

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About HHC

Sourced by ZipRecruiter

Industry

Software development

Company size

1 - 10 Employees

Headquarters location

Fairfax, VA, US

Year founded

2001

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