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Revenue Capture Audit Rn Jobs (NOW HIRING)

City of Hope

Revenue Cycle Manager

Duarte, CA · On-site

... audit processes * Analyze denials and reimbursement trends to identify payor patterns and ... Design and implement standardized workflows to ensure consistent and accurate revenue capture

City of Hope

Revenue Cycle Manager

Duarte, CA · On-site

... audit processes * Analyze denials and reimbursement trends to identify payor patterns and ... Design and implement standardized workflows to ensure consistent and accurate revenue capture

Medix

Clinical Revenue Auditor

New York, NY · On-site

$46.15 - $69.23/hr

Job Summary Our client is seeking a Clinical Auditor to lead efforts in improving billing processes through thorough charge capture and clinical audits. The primary goal is to maximize revenue ...

WakeMed

Charge Capture Analyst *hybrid*

Raleigh, NC · On-site

Maintains revenue integrity of Chargemaster files, fee schedules, and charge capture through annual updates, periodic audits, and ongoing reviews. Serves as a resource in developing and documenting ...

Corrohealth

Charge Capture Analyst

... nursing) in Epic or Cerner * Working knowledge of Charge Description Master (CDM) structure and ... Experienced with revenue cycle compliance and charge capture audit processes Preferred but Not ...

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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 Coordinator

Salinas, CA

Salinasvalleyhealth
See more jobs at Salinasvalleyhealthexternal

$46.70 - $55/hr

Full-time

Posted 27 days ago

Job description

It's fun to work in a company where people truly BELIEVE in what they're doing!

We're committed to bringing passion and customer focus to the business.

Department:Patient Financial Services

The Revenue Integrity Coordinator is responsible for supporting the hospital's revenue integrity program by ensuring accurate charge capture, compliant billing practices, reimbursement optimization, and prevention of revenue leakage. This position serves as a liaison between clinical departments, Revenue Cycle, Health Information Management (HIM), Coding, Compliance, Patient Financial Services, and Information Technology to promote accurate documentation, charging, coding, and billing processes. The coordinator conducts audits, analyzes revenue cycle data, identifies process improvement opportunities, supports Chargemaster maintenance, and assists with regulatory compliance initiatives to maximize net patient revenue while maintaining adherence to federal and state regulations.

Revenue Integrity Operations
Perform routine reviews of charge capture processes to ensure accurate and complete revenue recognition.
Monitor charging practices and identify opportunities to improve revenue cycle performance and reduce
revenue leakage.
Investigate and resolve charging, coding, billing, and reimbursement discrepancies.
Analyze claim edits, denials, and payment variances to identify root causes and recommend corrective
actions.
Support revenue recovery initiatives by identifying missed charges and reimbursement opportunities.
Chargemaster Management
Assist with maintenance, validation, and periodic review of the hospital Chargemaster.
Ensure charge descriptions, HCPCS/CPT codes, revenue codes, and pricing structures are accurate and
compliant.
Collaborate with departmental leaders to implement charge updates and service changes.
Participate in Chargemaster audits and testing activities.
Compliance and Audit Support
Conduct revenue integrity audits to evaluate charging accuracy and regulatory compliance.
Support compliance with Medicare, Medicaid, commercial payer, and regulatory requirements.
Revenue Integrity Coordinator
Assist with internal and external audit requests and documentation.
Identify compliance risks and escalate findings appropriately.


Revenue Analysis and Reporting
Collect, analyze, and interpret revenue cycle data to identify trends and performance improvement
opportunities.
Prepare reports related to charge capture, denials, reimbursement variances, and audit findings.
Monitor key performance indicators and communicate findings to leadership.
Assist with financial impact analyses related to revenue integrity initiatives.

Cross-Functional Collaboration
Work closely with clinical departments, Coding, HIM, Finance, Patient Access, and Patient Financial
Services to resolve revenue cycle issues.
Participate in workflow improvement projects designed to enhance revenue capture and billing accuracy.
Assist with implementation of new services, procedures, and system updates affecting charging and
reimbursement.

Education and Support
Provide guidance and education to operational departments regarding charging and documentation
requirements.
Support training efforts related to revenue integrity policies, billing compliance, and charge capture
processes.
Maintain current knowledge of healthcare reimbursement methodologies and regulatory updates.

Education: High school diploma or GED required.

Licensure: None.

Experience: Two (2) years of progressive experience in a revenue integrity capacity within a hospital environment preferred. Five (5) years of experience in healthcare revenue cycle operations required. Demonstrated track record of success in revenue cycle operations. Experience in monitoring and analyzing
revenue cycle trends, variances and opportunities for improvement. Understanding in payer compliance and chargemaster review and maintenance processes.

Pay Range: The hourly rate for this position is $46.70 - $55.00 The range displayed on this job posting reflects the target for new hire salaries for this position.

Job Specifications:

Union: Non-Affiliated Work Shift: Day Shift FTE: 1.0 Scheduled Hours: 40

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

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