Nurse Auditor, Revenue Integrity

🔥 13 hours ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $32 - $48 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 0%

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Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🤝 Non-profit

🏨 Hospitality

🔥 Funding within the last year

💰 $20k Grant - Trinity Health on 2025-10

Healthcare • Non-profit • Hospitality

Trinity Health is one of the largest not-for-profit, faith-based healthcare systems in the United States. With approximately 127,000 colleagues and over 38,300 physicians and clinicians, it provides a wide range of medical services and care to diverse communities across 26 states. The organization emphasizes its mission-driven, faith-based values, community impact, employee benefits, and career opportunities including travel nursing through its FirstChoice program. Headquarters are listed in Livonia, Michigan. Trinity Health focuses on patient care, community health, and supporting a large workforce of clinical and non-clinical staff.

📋 Description

• Coordinate revenue integrity and charge-related denials with the Patient Business Service center • Ensure compliant and complete clinical documentation • Assist with denials and related audits • Identify opportunities for revenue optimization • Perform thorough and routine chart reviews • Provide education to clinical colleagues • Track identified trends • Apply clinical knowledge and standard procedures to address charge-related trends promptly • Provide necessary education to responsible parties • Perform retrospective charge reviews and assist with third-party charge audits • Track Revenue Integrity-related audits and identify trends • Collaborate with Revenue Integrity, PBS, and departmental colleagues on education and reporting to key stakeholders • Serve as a resource contact, providing clinical information to colleagues and payers • Collaborate with the Revenue Integrity team to improve and implement front-end denial-prevention processes • May travel between regional locations

🎯 Requirements

• High school diploma or GED • Completion of an accredited program associated with the license • License in the applicable state(s) of engagement • Valid driver’s license where required by assignment • Four (4) + years of nursing experience • Demonstrated knowledge of revenue cycle and denial management functions • Knowledge of and experience in case management and utilization management • Customer service background required • Registered Nurse preferred • Bachelor’s degree preferred • Two (2) + years of charge audit, managed care, or comparable patient payment processing experience preferred • AAPC, AHIMA, CHRI certification/membership strongly preferred • Outpatient CDI experience preferred • Working knowledge of Electronic Health Records (EHR) preferred • Ability to comply with applicable laws, regulations, policies, procedures, and guidelines • Ability to use computers and other technology • Ability to lift up to 30 pounds unassisted where required • Ability to travel between locations within the region where required

🏖️ Benefits

• Remote work position • Equal Opportunity Employer