Nurse Auditor, Revenue Integrity

Trinity Health

. Coordinate revenue integrity and charge-related denials with the Patient Business Service center .

Posted 9/22/2026full-timeRemote • Michigan • United StatesMid-LevelSenior💰 $33 - $49 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in revenue integrity, charge-related denials, and clinical documentation compliance, while effectively collaborating with clinical colleagues and stakeholders to optimize revenue processes. Proficient in conducting audits, providing education, and utilizing clinical knowledge to address charge-related trends.

Highest-signal resume keywords

Revenue Cycle ManagementDenial ManagementCharge Audit ExperienceClinical Documentation ImprovementRegistered Nurse License

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical DocumentationCharge ReviewDenial Prevention ProcessesUtilization ManagementCase ManagementRevenue OptimizationChart ReviewTrend AnalysisPatient Payment ProcessingEHR Knowledge

Soft Skills

Customer ServiceCollaborationEducation and Training

Certifications & Qualifications

AAPC CertificationAHIMA CertificationCHRI Certification

Industry Keywords

Revenue IntegrityPatient Business ServiceOutpatient CDIComplianceHealthcare Regulations

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

Remote work position
Equal Opportunity Employer