Revenue Integrity Auditor

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We asked Dawn, CEO
- Eskenazi Health Center:

Q

What do you enjoy most about your role with Eskenazi Health Primary Care and working with the community?

We asked Dawn, CEO
- Eskenazi Health Center: Q What do you enjoy most about your role with Eskenazi Health Primary Care and working with the community? Employee Q&A

Q

Why Eskenazi Health?

We asked Christia , Chief Human Resources Officer: Q Why Eskenazi Health? Employee Q&A

Date: Sep 3, 2026

Location: Indianapolis, IN, US, 46208

Organization: HHC

Sub-Division:Hospital

Schedule
:

Full Time

Shift
:

Days

Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 333-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus including at a network of Eskenazi Health Center sites located throughout Indianapolis.

Exempt

The Revenue Integrity Auditor is responsible for pre- and post-payment auditing of medical records and associated clinical documentation to ensure proper charge capture, billing in accordance with standard billing policies and reimbursement principles. This position is responsible for assisting Revenue Cycle Services, Health Information Management (HIM), Coding, Clinical Documentation Improvement (CDI), and other departments with resolution of billing issues and/or denials requiring clinical expertise, participating in external audit requests, and special projects as needed.

This position also serves as an audit outcome educator with clinical staff in clinic and department settings.

• Coordinates, conducts and documents full or partial chart-to-bill audits for:
  • Existing services to ensure revenue capture and documentation accuracy
  • Newly implemented hospital services
  • Defense audits requested by payers or outside agencies
  • Cost outlier and high balance accounts prior to billing or post third party vendor review
  • Other audits as assigned by management
  • Prepares written reports or trending data related to findings and facilitates sign off with leadership
  • Facilitates timely turnaround of audit results
  • Prepares written summaries of departmental audit results, which allow clinical leadership the ability to monitor and manage their revenue capture and documentation processes
  • Keeps Revenue Integrity Supervisor informed on various findings and communications with areas assigned for audit and/or process review
  • Notifies Charge Reconciliation, Charge Description Master (CDM), and Revenue Cycle Education Staff of pertinent audit issues requiring their intervention to remedy or correct
• Works cooperatively within Revenue Cycle Support, and clinic/department leadership to ensure all charges are available within the Electronic Health Record (EHR) on an as-needed basis and according to department standards
• Requests appropriate CDM additions, modifications, deletions and reactivations through the NThrive Workflow Tool
• Develops and maintains a highly effective working relationship with Corporate Compliance, Finance, HIM, Revenue Cycle Services, Transition Support, and various clinic/department staff and their leadership
• Provides education to clinical staff and clinic/department leadership on the appropriate utilization of charges in the Electronic Health Record (EHR) and suggests documentation improvements where appropriate
• Identifies inappropriate billing patterns in accordance with hospital charging protocols and industry standards; makes recommendations for improvement of procedures, documentation, and revenue optimization opportunities
• Works diligently to attain appropriate Revenue Integrity goals
• Researches and resolves EHR billing, payer, and customer service related issues in a timely and compliant manner:
  • Retrieves and validates patient account information and charge-related documentation from multiple information systems and/or from hospital department personnel
  • Researches and resolves charge concerns identified through Charge Capture Audit (CCA) tool
  • Researches and resolves Revenue Guarding Edits that are built to identify accounts with missing charges
  • Validates that charges are on the correct account via EHR Charge Review work queues
  • Resolves National Correct Coding Initiative (NCCI) Edits, Correct Coding Initiative (CCI) Edits, and Medically Unlikely Edits (MUE)
  • Recommends and/or applies appropriate modifiers in support of medical…