Revenue Integrity Specialist

Revenue Integrity Specialist

The Revenue Integrity Specialist serves as the primary liaison and subject matter expert for assigned clinical service lines regarding charge capture processes, revenue cycle operations, and revenue integrity initiatives. This role is responsible for identifying revenue improvement opportunities, managing charge capture activities, conducting audits, and supporting reimbursement accuracy.

Revenue Integrity Specialist Job Details:

Schedule: Monday - Friday, 8:00 AM - 4:30 PM Pay Rate: $60/hour Assignment Duration: 08/24/2026 - 11/21/2026 Location: Fully Remote

Selling Points about the Revenue Integrity Specialist:

• Fully remote opportunity with a respected healthcare organization
• Competitive pay rate of $60/hour
• Monday through Friday schedule with no weekends required
• Opportunity to lead revenue cycle improvement initiatives and high-impact projects
• Collaborate with clinical, finance, coding, compliance, and billing teams
• Utilize your clinical expertise to improve charge capture and reimbursement outcomes
• Gain exposure to revenue integrity, auditing, compliance, and process improvement strategies
• Ideal for RNs, APNs, Clinical Specialists, CDI professionals, and Revenue Integrity experts

Revenue Integrity Specialist Job Description:

Key responsibilities include:

• Leading charge capture improvement and charge reconciliation initiatives
• Managing Charge Description Master (CDM) activities
• Coordinating new service implementation efforts related to revenue integrity
• Conducting comprehensive revenue cycle assessments, including registration, charge capture, coding, documentation, billing, reimbursement, reconciliation, and compliance reviews
• Serving as Project Manager for revenue cycle process assessments and improvement initiatives
• Performing chart and bill audits for third-party payers and internal stakeholders
• Analyzing workflows and identifying process improvement opportunities
• Preparing and presenting detailed reports and recommendations to leadership and clinical teams
• Supporting Revenue Analytics, Internal Audit, Compliance, and Patient Financial Services departments
• Assisting with month-end close activities and reimbursement-related initiatives
• Monitoring revenue cycle metrics and implementing corrective action plans as needed
• Maintaining knowledge of clinical billing, coding, compliance regulations, and revenue cycle best practices

Revenue Integrity Specialist Job Requirements:

• Bachelor's degree in a clinical discipline required
• Master's degree preferred
• Minimum of five (5) years of clinical experience as an RN, APN, Clinical Specialist, or related healthcare professional
• Previous professional experience in a clinical setting
• Experience using healthcare billing and documentation systems
• Strong understanding of revenue cycle processes
• Experience with charge capture, auditing, coding, reimbursement, or revenue integrity functions preferred
• Coding certification preferred
• RN or other licensed healthcare practitioner preferred
• PA or NJ licensure preferred
• Pediatric clinical experience preferred
• Strong project management, analytical, organizational, and problem-solving skills
• Excellent verbal and written communication abilities
• Ability to work independently and manage multiple complex projects simultaneously
• Proficiency with Microsoft Word, Excel, PowerPoint, and Visio
• Experience with EPIC or similar healthcare systems preferred