Revenue Integrity Auditor

Job Description

Location: Tampa, FL (Greater Metro Area)

We are seeking a Revenue Integrity Auditor to support charge capture accuracy, billing integrity, and reimbursement protection across a healthcare organization. This role is responsible for reviewing clinical documentation, identifying billing discrepancies, analyzing charge capture workflows, and helping ensure services rendered are accurately reflected in charges submitted.

This position is ideal for someone who can read a medical record, understand the clinical context, evaluate whether the charges align with the documentation, and clearly explain the gap when they do not. The ideal candidate understands how revenue integrity connects clinical operations, compliance, and finance, and can help reduce revenue leakage while supporting accurate billing practices.

Responsibilities:

• Conduct charge capture audits across departments to confirm documented services are accurately reflected in billing
• Review charge description master (CDM) entries for alignment with CPT, HCPCS, and revenue code requirements
• Analyze charge leakage patterns and recommend corrective workflow improvements to department leadership
• Partner with department leaders, clinical managers, coding teams, and revenue cycle stakeholders to resolve charge capture gaps
• Review late charges, missed charges, and charge corrections to identify root causes and quantify revenue impact
• Support CDM maintenance activities including new charge code implementation, pricing updates, and regulatory alignment
• Prepare audit findings reports with root cause analysis and actionable recommendations for operational improvement
• Assist with compliance reviews related to CMS billing rules, payer audit responses, and OIG Work Plan focus areas
• Conduct focused reviews of high-risk charge areas including surgical services, infusion, observation, and ancillary departments
• Monitor charge lag metrics and work with teams to reduce delays from service delivery to charge posting
• Validate modifier usage, bundling compliance, and global period adherence across procedural charges
• Support EHR charge capture workflow optimization and related revenue integrity initiatives

Qualifications:

• Bachelor’s degree in Health Information Management, Healthcare Administration, or related field required
• Minimum of 3 years of experience in revenue integrity, charge capture, healthcare auditing, or related revenue cycle role required
• Strong knowledge of CPT, HCPCS, ICD-10-CM, and APC/DRG reimbursement methodologies
• Experience with CDM management tools and EHR revenue cycle modules preferred
• CCS, CPC, or RHIA certification preferred
• Proficiency with Excel, SQL, BI platforms, or other data analysis tools preferred
• Strong analytical, problem-solving, reporting, and presentation skills
• Strong communication skills for presenting audit findings to clinical, financial, and compliance stakeholders

Schedule:

• Full-time position
• Monday through Friday, standard business hours
• Standard full-time schedule of 40 hours per week

Salary Range:

The salary range for this position is approximately $68,000 – $82,000 annually ($32.69 – $39.42 per hour), based on experience and qualifications. Relocation assistance may be available for qualified candidates.

Interview Process:

Selected candidates will participate in a multi-step interview process, including an initial screening with TalentLNX followed by interviews with department leadership.

Equal Opportunity Employer: TalentLNX is committed to equal employment opportunity and a diverse, inclusive workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.