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Revenue Integrity Auditor Jobs (NOW HIRING)

UCLA Health

Revenue Integrity Analyst

Los Angeles, CA · On-site

$78K - $163K/yr

... also auditing data input for all components of revenue cycle management. You will: * Analyze ... Oversee charge integrity, reconciliation, and charge linkages from ancillary charging systems

St. Joseph's/Candler

Compliance Auditor

Savannah, GA · On-site

$25.49/hr

The auditor is expected to conduct independent compliance audits and monitor revenue cycle and ... In conjunction with the Director of Revenue Integrity and Revenue Cycle leaders, make ...

St. Joseph's/Candler

Compliance Auditor

Savannah, GA · On-site

$25.49/hr

The auditor is expected to conduct independent compliance audits and monitor revenue cycle and ... In conjunction with the Director of Revenue Integrity and Revenue Cycle leaders, make ...

St. Joseph's/Candler

Compliance Auditor

Savannah, GA · On-site

$25.49/hr

The auditor is expected to conduct independent compliance audits and monitor revenue cycle and ... In conjunction with the Director of Revenue Integrity and Revenue Cycle leaders, make ...

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How much do revenue integrity auditor jobs pay per hour?

As of Aug 15, 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.
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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 August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 15% Part Time, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $46,364 per year, or $22.3 per hour.

HIS - Professional Coding Integrity Specialist (PRN)

Blanchard Valley Health System

Findlay, OH • On-site

Other

Posted 3 days ago

New

Blanchard Valley Health System rating

5.8

Company rating: 5.8 out of 10

Based on 59 frontline employees who took The Breakroom Quiz

774th of 887 rated healthcare providers

Job description

PURPOSE OF THIS POSITION
The primary purpose of the Professional Coding Integrity Specialist (PCIS) is to review, enter and/or modify charges as appropriate, including review of clinical documentation to ensure charge is supported and/or to determine specific charge/modifier assignments, for designated clinical areas.
JOB DUTIES/RESPONSIBILITIES
Duty 1: Review, enter and/or modify charge on encounters to ensure accurate and compliant and optimal charge capture in a time-sensitive manner for designated clinical service lines. Review clinical documentation to ensure charge is appropriately supported and/or to determine the assignment of the accurate charge, modifier, E&M levels, etc. Assign ICD-10 diagnosis codes as appropriate. Work "exception" accounts (e.g. canceled accounts, combined, unique modifier or charge rules requiring review, etc.) through review of clinical documentation and/or collaboration with appropriate resources, as needed, to resolve.
Duty 2: Support resolution of claim-scrubber edits (Quadax) resulting from charges entered by the Revenue Integrity Validation team; collaborate with clinical areas, coding, PFS, etc. to support resolution of edits; trend, identify opportunities, and collaborate with RI Educator and/or Claims Resolution Specialist to avoid/reduce future edits. Support Condition 44 notifications (inpatient to observation status) process by properly modifying charges and calculating hours etc.
Duty 3: Track and quantify revenue impact to organization as a result of charge corrections made, including impacts from modifications to processes.
Duty 4: Identify opportunities related to clinical documentation and/or other system enhancements to support optimal and accurate charge processes; collaborate with CDI Specialist, Claims Resolution Specialist, Revenue Integrity Auditor, Revenue Integrity Educator, clinical area, and other areas to support resolution of issues.
Duty 5. Demonstrate proficient knowledge of federal, state and third party charging guidelines of clinical areas supported by the Revenue Integrity Validation team to ensure optimal, accurate and compliant charging. Understand changes to applicable coding and billing regulations, including annual IPPS/OPPS revisions, by resourcing credible references (i.e. CMS website, Craneware, publications, professional contacts, reliable internet sources, seminars, etc.). Collaborate with clinical areas, Revenue Integrity Team, Coding Integrity Team and/or other impacted areas to support implementation of changes.
Duty 6: Participates in system testing as a result of upgrades, changes, enhancements, new application implementations, etc. that may impact Revenue Integrity Validation processes.
Duty 7: Regularly attends and actively participates in in-services, organizational and department meetings and continuing education programs as offered in order to remain current with organizational and industry changes and best practice. Communicate and disseminate information to other departments as applicable.
REQUIRED QUALIFICATIONS
  • An Associate's degree in a related field including, but not limited to, health information, business or related clinical profession preferred or 1-2 years' experience from which comparable knowledge and abilities have been acquired.
  • Coding certification (CCA or CPC) required or obtained with 9 months of hire date
  • Knowledge of medical terminology and anatomy and physiology required.
  • Knowledge of CPT/HCPCS/APC coding systems, appropriate use of applying modifiers, CPT Assistant, LCD/NCD and ICD-10 required.
  • Ability to research, review and interpret Federal, State and Local billing regulations required.
  • Familiarity with utilization of computers and commonly used applications, including Microsoft Office Suite, (Windows, Excel, Word, Outlook), electronic health record, internet required.
  • Ability to track and monitor data to identify trends pertaining to charge issues.
  • Excellent organizational, time management and problem-solving skills required; detail oriented and follow through.
  • Positive service-oriented interpersonal and communication (written and verbal) skills required.

PREFERRED QUALIFICATIONS
  • Other certifications applicable to primary clinical service line supported preferred.
  • Knowledge of regulatory compliance and reimbursement methodologies preferred.
  • Encoder experience preferred
  • Training and education skills preferred.

PHYSICAL DEMANDS
This position requires a full range of body motion with intermittent activities in walking, lifting, bending, squatting, climbing, kneeling, and twisting. The associate will be required to sit for five hours a day. The individual must be able to lift ten to twenty pounds and reach work above the shoulders. This position requires corrected vision and hearing in the normal range. The individual must have excellent eye-hand coordination and verbal communication skills to perform daily tasks.

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About Blanchard Valley Health System

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Blanchard Valley Health System, located in Findlay, OH, US, is a non-profit, integrated regional health system dedicated to providing a full continuum of health services to the residents of Hancock County and the contiguous communities in Ohio. The health system operates Blanchard Valley Hospital and Bluffton Hospital alongside a wide array of outpatient specialty clinics and centers such as the region's leading alcohol and drug addiction treatment center, Birchaven Village, a retirement community, and the Blanchard Valley Medical Practices. Founded in 1891, the health system's roots are ingrained in local philanthropy and community service.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Findlay, OH, US

Year founded

1891

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