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Revenue Integrity Auditor Jobs (NOW HIRING)

Vertek Staffing

Revenue Integrity Analyst

Franklin, TN · Remote

Healthcare Revenue Integrity Analyst - Edits & Charge Capture | Remote | Contract Schedule: Monday ... CPMA (Certified Professional Medical Auditor) * CPC (Certified Professional Coder) * COC (Certified ...

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 ... Data Analysis & Auditing: Conducts audits, analyzes claim data, reviews charge capture, and ...

Sarahbush

$54K - $84K/yr

Revenue Integrity Analyst The Revenue Integrity Analyst ensures accurate and compliant patient ... Data Analysis & Auditing: Conducts audits, analyzes claim data, reviews charge capture, and ...

ChristianaCare

Manager Revenue Integrity

Wilmington, DE · On-site

... auditors, and subordinate staff. DIRECTION/SUPERVISION OF OTHERS: PB Revenue Integrity Coder ... Analysts DIRECTION/SUPERVISION RECEIVED: Director of Physician Billing EDUCATION AND EXPERIENCE ...

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How much do revenue integrity auditor jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for revenue integrity auditor 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 Integrity Auditor?

A Revenue Integrity Auditor is a professional responsible for ensuring that a healthcare organization accurately documents, charges, and collects revenue for the services it provides. They review medical records, billing processes, and coding practices to identify errors or discrepancies that could lead to lost revenue or compliance issues. Their work helps healthcare facilities maintain financial health and comply with regulations. Revenue Integrity Auditors also recommend process improvements to optimize billing and reduce the risk of audits or penalties.

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

Revenue Integrity Auditors work closely with both clinical and billing departments to review documentation, coding, and charge capture processes. They often act as a bridge between clinical staff, who provide care and record services, and billing teams, who process claims and ensure compliance. Through regular audits, educational sessions, and feedback meetings, auditors help identify discrepancies, clarify documentation standards, and recommend process improvements. This collaborative approach not only minimizes revenue leakage but also supports compliance with regulatory requirements.

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

AspectRevenue Integrity AuditorRevenue Cycle Analyst
CredentialsTypically requires a healthcare-related certification (e.g., RHIT, CPC)Often holds similar certifications or degrees in healthcare administration or coding
Work EnvironmentHospitals, healthcare systems, revenue integrity departmentsHospitals, clinics, healthcare organizations, revenue cycle departments
Employer & Industry UsageUsed in healthcare revenue management to ensure billing accuracyUsed to analyze and optimize revenue cycle processes

Revenue Integrity Auditors focus on verifying billing accuracy and compliance to prevent revenue loss, while Revenue Cycle Analysts analyze the entire revenue cycle to improve efficiency. Both roles require healthcare knowledge and certifications, often working within similar healthcare environments. Understanding the differences helps organizations assign the right responsibilities and professionals.

What are the key skills and qualifications needed to thrive as a Revenue Integrity Auditor, and why are they important?

To thrive as a Revenue Integrity Auditor, you need a strong understanding of healthcare billing, coding regulations, compliance standards, and typically a degree in health information management or a related field. Proficiency with electronic health records (EHRs), coding software (such as ICD-10 and CPT), and auditing tools is crucial, and certifications like Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) are often preferred. Attention to detail, analytical thinking, and effective communication skills help auditors identify discrepancies and collaborate with teams to resolve revenue issues. These skills and qualifications ensure accurate reimbursement, regulatory compliance, and financial integrity for healthcare organizations.
More about Revenue Integrity Auditor jobs
What states have the most Revenue Integrity Auditor jobs? States with the most job openings for Revenue Integrity Auditor jobs include:
What job categories do people searching Revenue Integrity Auditor jobs look for? The top searched job categories for Revenue Integrity Auditor jobs are:
Revenue Integrity Auditor jobs near you
Infographic showing various Revenue Integrity Auditor job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 96% Full Time, 1% Part Time, 1% Temporary, and 1% Contract. Highlights an 87% Physical, 6% Hybrid, and 7% Remote job distribution, with an average salary of $46,364 per year, or $22.3 per hour.
Revenue Integrity Analyst

Revenue Integrity Analyst

Vertek Staffing

Franklin, TN • Remote

Contractor

Posted 10 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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