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Revenue Recovery Auditor Jobs (NOW HIRING)

State of Indiana

Revenue Tax Auditor

Merrillville, IN · On-site

$53K/yr

Role Overview: The Revenue Tax Auditor conducts audits on behalf of the State of Indiana on a ... Childbirth Recovery Leave for eligible mothers * Up to 15 hours of paid community service leave

Planned Parenthood of Orange and San Bernardino Counties

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Medical Collector

Anaheim, CA · On-site

$52K - $65K/yr

The Revenue Recovery Analyst identifies, collects, and determines root causes of underpaid claims by auditing payor performance and analyzing actual payments of payors to ensure contract compliance ...

Apex Informatics

Internal Auditor - Sr

Atlanta, GA · On-site

$81K - $101K/yr

... revenue recoveries. Interprets and analyzes situations and information based on established ... Professional auditing or comparable experience required. Demonstrated knowledge, skills ...

Veracity

Coding Auditor, Facility

Clackamas, OR · On-site

$28.75 - $32.50/hr

... revenue recovery. · May assist with special projects. Maintain confidentiality and effective working relationships with staff. Communicate in a clear and understandable manner, exercises independent ...

Scout Exchange

Coding Auditor, Facility

Clackamas, OR · On-site

$28.75 - $32.50/hr

... revenue recovery. * May assist with special projects. Maintain confidentiality and effective working relationships with staff. Communicate in a clear and understandable manner, exercises independent ...

Kennedy ABA

ABA Billing Supervisor

Lakewood, NJ

Conduct regular audits of previous billings to ensure compliance and identify revenue recovery ... Demonstrated experience auditing prior billing and correcting systemic errors * Deep understanding ...

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How much do revenue recovery auditor jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for revenue recovery 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 recovery auditor?

Revenue Recovery Auditors are professionals responsible for identifying and recovering lost or unclaimed revenue within an organization. They analyze financial records, billing systems, and contracts to detect discrepancies, errors, or missed billing opportunities. Their work helps ensure that companies maximize their revenue by correcting mistakes and implementing stronger financial controls. Typically, they collaborate with various departments to streamline processes and prevent future revenue leakage.

What are the key skills and qualifications needed to thrive as a revenue recovery auditor?

To thrive as a Revenue Recovery Auditor, you need strong analytical skills, attention to detail, and a background in accounting or finance, often supported by a relevant degree or auditing certification. Proficiency with auditing software, ERP systems, and data analysis tools like Excel or SQL is commonly required. Excellent communication, problem-solving abilities, and integrity help auditors effectively resolve discrepancies and collaborate with internal teams. These skills ensure accurate identification and recovery of lost revenue, safeguarding the organization's financial health.

What are some common challenges revenue recovery auditors face when identifying lost revenue, and how can they overcome them?

Revenue Recovery Auditors often encounter challenges such as incomplete or inconsistent financial data, complex billing systems, and resistance from departments when requesting documentation. Overcoming these obstacles requires strong analytical skills, attention to detail, and persistent communication with various teams. Building strong relationships with stakeholders and leveraging advanced auditing software can help streamline the process and improve the accuracy of revenue recovery efforts.

What is the difference between Revenue Recovery Auditor vs Accounts Receivable Specialist?

AspectRevenue Recovery Auditor
CredentialsTypically requires accounting, finance, or auditing certifications; CPA preferred
Work EnvironmentAuditing, reviewing financial transactions, often in healthcare, insurance, or government sectors
Employer & IndustryHospitals, insurance companies, government agencies
Primary FocusIdentifying and recovering revenue losses through audits

While both roles involve financial analysis, a Revenue Recovery Auditor specializes in auditing and recovering lost revenue, whereas an Accounts Receivable Specialist manages incoming payments and billing processes. The auditor's role is more focused on compliance and error detection, often requiring certifications, while the specialist handles daily receivables operations.

More about Revenue Recovery Auditor jobs
What job categories do people searching Revenue Recovery Auditor jobs look for? The top searched job categories for Revenue Recovery Auditor jobs are:
Revenue Recovery Auditor jobs near you
Infographic showing various Revenue Recovery Auditor job openings in the United States as of July 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 80% In-person, and 20% Remote job distribution, with an average salary of $46,364 per year, or $22.3 per hour.

Nurse Auditor/Revenue Integrity (FLEXI)

Chesapeake Regional Medical Center

Chesapeake, VA • On-site

Other

Re-posted 14 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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