Revenue Integrity Nurse Auditor

Trinity Health

Revenue Integrity Nurse Auditor ensuring compliant clinical documentation and charge-related processes. Collaborating with stakeholders to optimize revenue integrity and prevent denials in healthcare system.

Posted 6/4/2026full-timeRemote • Missouri • 🇺🇸 United StatesMid-LevelSenior💰 $32 - $48 per hourWebsite

About the role

Key responsibilities & impact

Responsible for coordinating revenue integrity/ charge-related denials with Patient Business Service (PBS) center
Ensures compliant & complete clinical documentation
Assists with denials & related audits
Identifies opportunities for revenue optimization
Performs thorough and routine chart reviews
Provides education to clinical colleagues & tracking of identified trends
Leverages clinical knowledge & standard procedures to ensure timely attention to charge-related trends
Responsible for retrospective charge reviews & assistance with third party charge audits
Ensures tracking of all Revenue Integrity- related audits, identifying trends & collaborating with other Revenue Integrity, PBS & /or departmental colleagues on education & reporting to key stakeholders
Collaborates with Revenue Integrity team on opportunities to improve & implement front-end process to support denial prevention

Requirements

What you’ll need

High school diploma or GED
License in the applicable state(s) of engagement
Valid driver’s license where required by assignment
Four plus (4+) years of nursing experience
Demonstrated knowledge of revenue cycle & denial management functions
Knowledge of and experience in case management and utilization management
Customer service background is required
Preferred: Registered Nurse Bachelor's degree
Two plus (2+) years of charge audit, managed care or comparable patient payment processing experience preferred
AAPC, AHIMA, CHRI certification/membership
Outpatient CDI experience
Working knowledge of Electronic Health Records (EHR)

Benefits

Comp & perks

Health insurance
401(k) matching
Paid time off
Flexible work arrangements
Professional development

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

revenue cycle managementdenial managementcase managementutilization managementcharge auditspatient payment processingclinical documentationchart reviewstrend analysischarge-related audits

Soft Skills

collaborationeducationcustomer servicecommunicationorganizational skillsattention to detailproblem-solvingtrend identificationstakeholder reportingprocess improvement

Certifications

Registered NurseAAPC certificationAHIMA certificationCHRI certificationBachelor's degree in Nursing