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Revenue Integrity Jobs in Virginia (NOW HIRING)

Augusta Health

REVENUE CYCLE ANALYST

Fishersville, VA · On-site

Our team members thrive in a supportive culture that values collaboration, integrity, and ... As a Revenue Cycle Analyst, this position performs functions which could include any combination of ...

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Revenue Integrity information

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$34.7K

$95.7K

$165.6K

How much do revenue integrity jobs pay per year?

As of Jul 31, 2026, the average yearly pay for revenue integrity in Virginia is $95,704.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,400.00 and $106,600.00 per year, depending on experience, location, and employer.

What is a Revenue Integrity job?

A Revenue Integrity job focuses on ensuring accurate billing, coding, and compliance within healthcare organizations to maximize revenue while adhering to regulations. Professionals in this role analyze financial and clinical data, identify discrepancies, and implement corrective measures to prevent revenue loss. They collaborate with coding, finance, and compliance teams to optimize reimbursement processes and maintain regulatory compliance.

What are the typical challenges faced by professionals in Revenue Integrity roles?

Professionals working in Revenue Integrity often encounter challenges such as keeping up with rapidly changing healthcare regulations, identifying and correcting billing errors, and ensuring proper documentation for compliance. They must regularly collaborate with clinical, coding, and billing teams to resolve discrepancies and maintain accurate patient records. Balancing efficiency with accuracy is vital in this role, as even small mistakes can lead to denied claims or revenue loss. The fast-paced nature of the healthcare industry makes adaptability and continuous learning important for success.

What are the key skills and qualifications needed to thrive in the Revenue Integrity position, and why are they important?

To thrive in Revenue Integrity, you need a solid understanding of healthcare billing, coding compliance, revenue cycle processes, and regulatory guidelines, often supported by a degree in healthcare administration or a related field. Familiarity with electronic health record (EHR) systems, billing software, and certifications such as Certified Professional Coder (CPC) or Certified Revenue Cycle Specialist (CRCS) are highly valuable. Strong analytical thinking, attention to detail, effective communication, and problem-solving abilities set top performers apart. These skills are crucial to ensuring accurate billing, preventing revenue loss, and maintaining compliance in a complex healthcare environment.

What is a revenue integrity job?

A revenue integrity job involves ensuring the accuracy and completeness of an organization's revenue cycle, often in healthcare or financial sectors. Professionals in this role analyze billing, coding, and reimbursement processes, using tools like healthcare management systems to prevent revenue loss and ensure compliance.

How much does a RCM specialist make in the US?

A Revenue Cycle Management (RCM) specialist in the US typically earns between $45,000 and $70,000 annually, depending on experience, location, and certifications. Entry-level positions may start lower, while experienced professionals with specialized skills can earn higher salaries, especially in healthcare settings with complex billing systems.

What skills do you need to be a revenue integrity analyst?

A revenue integrity analyst needs strong analytical skills, attention to detail, and knowledge of healthcare billing, coding, and reimbursement processes. Proficiency in data analysis tools like Excel or SQL and understanding of healthcare regulations are also important. Effective communication and problem-solving abilities are essential for identifying revenue leaks and ensuring compliance.

What is revenue integrity?

Revenue integrity is a role focused on ensuring the accuracy and completeness of revenue collection within healthcare or other industries. It involves analyzing billing processes, identifying discrepancies, and implementing controls to prevent revenue loss, often requiring knowledge of billing systems and compliance standards.
What are the most commonly searched types of Revenue Integrity jobs in Virginia? The most popular types of Revenue Integrity jobs in Virginia are:
What are popular job titles related to Revenue Integrity jobs in Virginia? For Revenue Integrity jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Revenue Integrity jobs in Virginia look for? The top searched job categories for Revenue Integrity jobs in Virginia are:
What cities in Virginia are hiring for Revenue Integrity jobs? Cities in Virginia with the most Revenue Integrity job openings:
Revenue Integrity jobs near you
Infographic showing various Revenue Integrity job openings in Virginia as of July 2026, with employment types broken down into 81% Full Time, 16% Part Time, and 3% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $95,704 per year, or $46 per hour.

Nurse Auditor/Revenue Integrity (FLEXI)

Chesapeake Regional Healthcare

Chesapeake, VA • On-site

Part-time

Re-posted 11 days ago

Chesapeake Regional Healthcare rating

6.9

Company rating: 6.9 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

Summary
With direction from the Director, the Nurse Auditor/ Senior Revenue Integrity Specialist is responsible for auditing itemized charges versus the patient medical record and other applicable hospital documentation, assigning modifiers to appropriate claims, researching edited claims for medical necessity, and advising the billing staff of appropriate HCPCS codes and modifiers. The Nurse Auditor/ Revenue Integrity Specialist works directly with revenue producing departments regarding lost charges, billing questions, and proper coding and charging. The nurse auditor reviews documentation on all Observation accounts for carve-out observation hours, the charge coding of ED Visits and Injection and Infusion charges.
Essential Duties and Responsibilities
These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.
  • Coordinate, supervise, and respond to third party patient bill audits. Perform patient requested audits in a timely manner. Perform random quality audits as schedule permits.
  • Work and review a high volume of accounts assigned to Revenue Integrity Nurse Auditor work queues for charge review of all observation account documentation to charges, carve-out observation time from procedures, review documentation to charge code injection and infusion charges and the review of ED documentation to assign and charge code appropriate visit levels to ED visits.
  • Assist Patient Account personnel with patient questions about itemized charges.
  • Maintain reporting system of audit activities and identifies pattern and trending of results.
  • Act as resource for all hospital departments with charging questions and issues.
  • Routinely review and analysis of inpatient and outpatient records for appropriate coding and charging.
  • Provide educational sessions for revenue producing departments regarding appropriate charging process and procedures.
  • Work cooperatively with the Patient Accounting staff and other health care professionals in obtaining correct HCPCS codes and modifiers.
  • Assist the Health Information Department with RAC requests, coding reviews, and denials.
  • Ensure accuracy and integrity of charge data prior to billing interface and claims submission.
  • Utilize a computerized encoding system to facilitate accurate coding; and sequence diagnoses and procedures by following the ICD-10-CM, Uniform Hospital Data Set, Medicare, Medicaid, and other fiscal intermediary guidelines.
  • Report trends and improvements to the Director of Patient Accounts regarding assigned HCPC codes and modifiers.
  • Receive, review, verify, and process requests for chart audits of inpatient hospitalizations, diagnostic testing, outpatient procedures and services, home health care services, durable medical equipment, rehabilitative therapies, and pharmacy reviews from finance and/or claims department.
  • Prepare written reports for finance and claims departments including explanations for recovery of money and appropriate regulatory agencies.
  • Educates provider services, claims, recovery, finance and other department staff on the outcomes of the audit results and assists provider services with educational efforts.
  • Provide feedback and process improvement recommendations to appropriate hospital departments and committees based on analysis and trending of hospital or provider audits.
  • Provide written explanations to patients who are questioning their bills. Must be able to communicate effectively verbally and in written format to clinical and non-clinical staff and individuals.
  • Familiar with coding diagnostic and procedural information from the record using ICD-10-CM and CPT-4/HCPCS classification systems. Utilize a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM, Uniform Hospital Data Set, Medicare, Medicaid, and other fiscal intermediary guidelines.
  • Consistently maintain established productivity requirements and maintain a 96% or greater accuracy rate.
  • Attend hospital-wide orientation, in-services, educational meetings, and other meetings as required.
  • Attend other continuing education functions as necessary to maintain credentials, regardless of whether the educational programs are supported by the Department budget.
  • Exhibit excellent customer relations to patients, visitors, physicians, and co-workers.
  • Show courtesy, compassion, honesty, and respect to others in the adherence to the Hospital's mission, philosophy, and policy for promoting a positive work and customer environment.
  • Adhere to CRH's confidentiality policy for all information related to patients, family and friends, hospital employees, physicians and clients.
  • Maintains effective interdepartmental communication.
  • Adhere to CRHs confidentiality policy for all information related to patients, family and friends, hospital employees, physicians and clients.
  • Maintain effective interdepartmental communication.
  • Attend required hospital-wide orientations, meetings, and in-services.
  • Demonstrate a commitment to flexible work scheduling when necessary.

Supervisory Responsibilities
Reports to: Director, Patient Accounts
Supervises: None
Responsibilities: Not applicable
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and Experience
Minimum Required Education:
Graduate of an approved school of professional
Preferred Education:
Bachelor of Science in Nursing preferred
Experience:
Senior Level Coding experience of at least 20 years or 10 years in a coding management level recent experience coding in an acute hospital setting required, with coding ability demonstrated via a skills assessment or a RN with 20 years of experience as an intensive care unit, emergency department or documentation specialist nurse auditor or an LPN with a combined coding and auditing background. Experience with health information systems and computer technology required. Ability to communicate effectively, both verbally and written format. Must be able to work independently with attention to detail and accuracy.
Certificates, Licenses, Registrations
Current Virginia Nursing License.
Competencies
To perform the job successfully, an individual should demonstrate the following competencies:
  • Continuous Learning
  • Job Knowledge
  • Use of Technology
  • Problem Solving
  • Customer Service
  • Communications
  • Cooperation
  • Oral Communication
  • Teamwork
  • Quality Management
  • Conflict Resolution
  • Cost Consciousness
  • Diversity
  • Ethics
  • Organizational Support
  • Adaptability
  • Achievement Focus
  • Personal Appearance
  • Attendance/Punctuality
  • Dependability
  • Initiative
  • Innovation
  • Judgment
  • Planning/Organizing
  • Quality
  • Quantity
  • Safety and Security

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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