Revenue Integrity Specialist

Location: Remote – United States Employment Type: Full-Time Contract

About the Role

We are seeking an experienced Revenue Integrity Specialist to help ensure accurate hospital billing, charge capture, and revenue cycle processes. This role is ideal for a detail-oriented professional with hands-on experience identifying charge discrepancies, validating charges, and preventing revenue leakage within a healthcare environment. The ideal candidate has direct revenue integrity experience, strong analytical skills, and the ability to review a high volume of cases while maintaining excellent accuracy.

Key Responsibilities

Review and validate hospital charges to ensure accuracy, completeness, and appropriate reimbursement. Identify missing, incorrect, or inconsistent charges and investigate potential revenue leakage. Perform charge audits, charge reconciliation, and revenue integrity reviews. Research discrepancies and collaborate with revenue cycle, coding, billing, and clinical teams to resolve issues. Maintain productivity and quality standards while reviewing approximately 150–200 low-complexity cases per day. Meet or exceed a 95% accuracy rate when reviewing assigned cases. Document findings and follow established policies, procedures, and compliance requirements.

Required Qualifications

Direct, hands-on experience in hospital revenue integrity, charge capture, charge validation, or charge auditing . Strong understanding of hospital revenue cycle processes and the impact of charge accuracy on reimbursement. Ability to review high volumes of cases while maintaining accuracy and attention to detail. Strong analytical, problem-solving, and documentation skills. Professional medical coding certification; CPC is preferred . Ability to provide 1–2 professional references. Work Arrangement 100% remote within the United States. Full-time contract opportunity.