Revenue Integrity Nurse Auditor

TL;DR

Revenue Integrity Nurse Auditor (Medical): Coordinating revenue integrity and charge-related denials with the Patient Business Service center to ensure compliant clinical documentation and revenue optimization. Focus on performing thorough chart reviews, identifying charge-related trends, and providing clinical education to colleagues to prevent future denials.

Location: Must be based in the United States (Role is based in Livonia, Michigan, with potential for regional travel).

Salary: $31.8795 - $47.8193 per hour (approx. $5,099 - $7,651 per month).

Company

hirify.global is a large, mission-driven healthcare organization committed to providing compassionate, person-centered care.

What you will do

• Coordinate revenue integrity and charge-related denials with the Patient Business Service center.
• Perform routine chart reviews to ensure compliant and complete clinical documentation.
• Identify revenue optimization opportunities and track charge-related trends.
• Provide education to clinical colleagues based on audit findings.
• Assist with retrospective charge reviews and third-party charge audits.
• Collaborate with interdisciplinary teams to implement front-end processes for denial prevention.

Requirements

• Must hold a valid nursing license in the applicable state(s) of engagement.
• Minimum of 4+ years of nursing experience.
• Demonstrated knowledge of revenue cycle and denial management functions.
• Experience in case management and utilization management.
• Customer service background.
• Valid driver’s license for regional travel requirements.

Nice to have

• Registered Nurse (RN) status.
• Bachelor's degree.
• 2+ years of charge audit, managed care, or patient payment processing experience.
• AAPC, AHIMA, or CHRI certification.
• Outpatient CDI experience and working knowledge of Electronic Health Records (EHR).

Culture & Benefits

• Commitment to a mission-driven, inclusive, and person-centered work environment.
• Equal Opportunity Employer valuing diversity and unique perspectives.
• Opportunities for professional growth and continuous self-development.
• Supportive team environment focused on clinical excellence and integrity.