Clinical Revenue Integrity Liaison

Job Description

Job Description

THIS IS NOT A REMOTE POSITION

Position Overview

The Revenue Integrity Clinical Liaison serves as the critical link between clinical operations, finance, and coding/billing functions. They will ensure that every patient encounter is accurate; services charged and billed in accordance with clinical activity, compliance guidelines, and hospital policy.

This role focuses on bridging operational and financial workflows by validating and auditing OR supply utilization and charging practices confirming approved charge capture workflows are consistently followed across service lines.

The ideal candidate has a deep understanding of clinical documentation, charge capture processes, revenue integrity methodologies, and communication skills needed to drive collaboration between clinical and financial stakeholders.

Responsibilities

• Conduct daily focused reconciliation audits on OR procedures, supply usage, and implant charges, validating against clinical documentation and charge master mappings.
• Partner with finance, OR, billing and coding to analyze service charge capture trends, missed revenue, and denial patterns, to correct findings.
• Participate in trouble shooting recurring charge errors or missing charges, escalating issues requiring system or process intervention.
• Serve as liaison to supply chain and OR management to validate that approved charge workflows are being followed.
• Support daily/weekly reconciliation processes, ensuring completeness and accuracy of OR/clinical revenue data.

REQUIRED QUALIFICATIONS

• Bachelor’s degree in healthcare, finance, or related field.
• Advanced Microsoft Excel a MUST.
• Experience in operating room or procedural area charge reconciliation.
• Working knowledge of hospital charge master and revenue cycle operations.
• Prior involvement in Oracle Health charge mapping or validation projects.

Additional Qualifications

• Minimum 2-3 years of experience in revenue integrity, charge audit, or coding operations.
• Familiarity with charge reconciliation and supply chain charge workflows.
• Understanding of ICD-10, CPT/HCPCS, and billing compliance regulations preferred.
• Proven ability to communicate effectively with both clinical and financial audiences.
• Strong analytical, auditing, and problem-solving skills.
• Ability to work independently, manage competing priorities, and meet deadlines in a complex healthcare environment.
• Working knowledge of Oracle Health (Cerner Millennium+) or equivalent EHR systems.