Revenue Integrity Analyst

Duke Careers

Revenue Integrity Analyst conducting medical audits for compliance with regulations. Providing support in third-party payer reimbursement contracts and leading quality control audits.

Posted 6/22/2026full-timeRemote • North Carolina • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Perform medical and revenue audits to ensure revenue integrity as related to adherence to federal and state regulations, policies of external payers, and coding rules and guidelines.
Exercise independent decisions using analytical and problem-solving skills.
Provides critical analytical and negotiation support with respect to third-party payer reimbursement contracts.
Responsible for conducting quality control audits to ensure data/documentation integrity and communicating findings and recommendations.
Compiles information and/or prepares reports and analyses setting forth results of data integrity findings with appropriate recommendations.

Requirements

What you’ll need

Bachelor's degree in business administration, accounting, management, healthcare administration, nursing or other related degree.
3 years of experience related to auditing and/or coding is required.
Clinical experience is preferred.
Coding certification (e.g. CCS, RHIA, RHIT) or applicable experience is preferred.

Benefits

Comp & perks

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Hard Skills & Tools

auditingcodingdata integrityanalytical skillsproblem-solvingquality controlnegotiation

Soft Skills

independent decision-makingcommunication

Certifications

CCSRHIARHIT