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Revenue Integrity Analyst Rn Jobs (NOW HIRING)

Vertek Staffing

Revenue Integrity Analyst

Franklin, TN · Remote

Healthcare Revenue Integrity Analyst - Edits & Charge Capture | Remote | Contract Schedule: Monday ... RHIA (Registered Health Information Administrator) Primary Responsibilities * Review and resolve ...

MUSC

Revenue Integrity Analyst

Charleston, SC · On-site

Summary The Revenue Integrity Analyst will perform internal quality assessment claim reviews to ensure compliance with federal, payer and internal Revenue Cycle policies to ensure complete, accurate ...

Sarahbush

$54K - $84K/yr

Revenue Integrity Analyst The Revenue Integrity Analyst ensures accurate and compliant patient ... Interacts with medical staff, provider offices, nursing, ancillary departments, and outside ...

Sarah Bush Lincoln

Revenue Integrity Analyst

Mattoon, IL · On-site

$54K - $84K/yr

Revenue Integrity Analyst The Revenue Integrity Analyst ensures accurate and compliant patient ... Interacts with medical staff, provider offices, nursing, ancillary departments, and outside ...

Ventura County, CA

Revenue Integrity Analyst

Ventura, CA · On-site

$91K - $128K/yr

The Revenue Integrity Analyst plays a critical role in supporting the financial health and ... Registered Health Information Technician (RHIT) * Certified Coding Associate (CCA) * Certified ...

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How much do revenue integrity analyst rn jobs pay per year?

As of Aug 28, 2026, the average yearly pay for revenue integrity analyst rn in the United States is $76,256.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $86,000.00 per year, depending on experience, location, and employer.

What is a Revenue Integrity Analyst RN?

A Revenue Integrity Analyst RN is a registered nurse who specializes in ensuring the accuracy and compliance of healthcare billing and reimbursement processes. They review clinical documentation, coding, and billing practices to identify discrepancies and optimize revenue cycle performance. Their role involves collaborating with clinical and administrative staff to ensure that healthcare organizations receive appropriate payment for services provided, while also adhering to regulatory guidelines and preventing fraud or errors. Their nursing background helps them interpret clinical information effectively and bridge the gap between clinical care and financial operations.

What are the key skills and qualifications needed to thrive as a Revenue Integrity Analyst RN?

To thrive as a Revenue Integrity Analyst RN, you need a strong clinical background, expertise in medical coding, and knowledge of healthcare reimbursement, typically supported by an RN license and experience in revenue cycle management. Familiarity with coding systems like ICD-10, CPT, HCPCS, and proficiency in electronic health records (EHRs) and billing software are essential. Attention to detail, analytical thinking, and effective communication are crucial soft skills for identifying discrepancies and collaborating with cross-functional teams. These skills ensure accurate billing, regulatory compliance, and optimal revenue capture for healthcare organizations.

How does a Revenue Integrity Analyst RN typically collaborate with clinical and billing teams to ensure accurate reimbursement?

A Revenue Integrity Analyst RN works closely with both clinical staff and billing teams to bridge the gap between patient care documentation and financial reimbursement. They review clinical documentation for accuracy, ensure proper coding, and identify areas where processes can be improved to prevent revenue leakage or compliance issues. Regular meetings and open communication with both departments are common, allowing the analyst to clarify documentation requirements, educate staff on billing guidelines, and address any discrepancies proactively. This collaborative approach helps maintain regulatory compliance and maximizes the organization's revenue potential.

What is the difference between Revenue Integrity Analyst Rn vs Revenue Cycle Analyst?

AspectRevenue Integrity Analyst RnRevenue Cycle Analyst
CredentialsRN license, certifications in revenue cycle or healthcare complianceTypically bachelor's degree in healthcare administration or related field
Work EnvironmentHospitals, healthcare facilities, revenue integrity departmentsHospitals, clinics, healthcare organizations, focusing on billing and collections
Primary FocusEnsuring accurate billing, compliance, and revenue integrity within clinical settingsManaging the entire revenue cycle, from patient registration to collections

The Revenue Integrity Analyst Rn primarily focuses on clinical revenue accuracy and compliance, often requiring nursing credentials, while the Revenue Cycle Analyst handles the broader billing and collections process. Both roles are vital in healthcare revenue management but differ in scope and required qualifications.

What cities are hiring for Revenue Integrity Analyst Rn jobs?

Cities with the most Revenue Integrity Analyst Rn job openings:

What states have the most Revenue Integrity Analyst Rn jobs?

States with the most job openings for Revenue Integrity Analyst Rn jobs include:

Infographic showing various Revenue Integrity Analyst Rn job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 15% Part Time, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $76,256 per year, or $36.7 per hour.

Revenue Integrity Analyst

Franklin, TN • Remote

Vertek Staffing
Recruiting and Staffing Services • 11 - 50 employees
Learn more about Vertek Staffingexternal

Contractor

Re-posted 27 days ago

Job description

Healthcare Revenue Integrity Analyst - Edits & Charge Capture | Remote | Contract

Schedule: Monday - Friday | Full-Time

Position Summary

The Healthcare Revenue Integrity Analyst is responsible for reviewing, analyzing, and resolving billing edits, charge review exceptions, and revenue cycle discrepancies to ensure accurate reimbursement and regulatory compliance. This role serves as a key resource in identifying revenue leakage opportunities, improving charge capture processes, reducing denials, and optimizing revenue cycle performance.

The analyst will work closely with Revenue Integrity, Patient Financial Services, HIM, Coding, Clinical Departments, CDI, and Information Technology teams to support compliant billing practices and maximize reimbursement.

Required Qualifications

  • Minimum 3 years of Revenue Integrity, Revenue Cycle, Billing, Coding, or Charge Capture experience within a hospital or health system.
  • Experience working claim edit workqueues and billing edits.
  • Knowledge of Medicare, Medicaid, and commercial payer reimbursement methodologies.
  • Experience researching and resolving charging, coding, and billing discrepancies.
  • Understanding of NCCI edits, medical necessity edits, modifier usage, and reimbursement guidelines.
  • Experience with Epic Resolute, Epic Revenue Integrity, Cerner, Meditech, or similar hospital billing systems.
  • Strong analytical and problem-solving skills.

Preferred Certifications
One or more of the following certifications is preferred:

  • CPMA (Certified Professional Medical Auditor)
  • CPC (Certified Professional Coder)
  • COC (Certified Outpatient Coder)
  • CCS (Certified Coding Specialist)
  • CRCR (Certified Revenue Cycle Representative)
  • RHIT (Registered Health Information Technician)
  • RHIA (Registered Health Information Administrator)

Primary Responsibilities

  • Review and resolve claim edits and billing exceptions.
  • Analyze charging and reimbursement issues impacting revenue cycle performance.
  • Identify trends related to denials, underpayments, and revenue leakage.
  • Collaborate with Coding, CDI, Revenue Cycle, Clinical Departments, and Patient Financial Services to resolve reimbursement issues.
  • Validate compliance with payer regulations, CMS guidelines, and organizational policies.
  • Support charge capture improvement initiatives and CDM maintenance activities.
  • Perform root cause analysis on recurring billing and reimbursement issues.
  • Assist with revenue cycle audits and process improvement initiatives.
  • Develop recommendations to improve clean claim rates and reduce denials.
  • Monitor and report key revenue integrity performance metrics.

Preferred Background
Candidates with experience in Revenue Integrity, Charge Capture, Revenue Cycle Analytics, Denials Management, Patient Financial Services, Hospital Billing, or HIM Operations are strongly encouraged to apply.

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About Vertek Solutions

Sourced by ZipRecruiter

Vertek Solutions is a boutique staffing firm that specializes in recruiting top level IT talent who can enhance our clients’ teams. Our team works every day to foster relationships with both our consultants and clients to understand their needs and ensure that we are providing a solution that is mutually beneficial.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Franklin, TN, US

Year founded

2006

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