Revenue Integrity Auditor

Revenue Integrity Auditor – The Ohio State University Wexner Medical Center

The Revenue Integrity Auditor will work with the Charge Description Master (CDM) unit to ensure overall integrity of the CDM, focusing on accuracy, revenue cycle integrity, and compliance with third‑party requirements. The role processes accounts and charges via Work Queues within Epic to ensure timely movement through the system, aiding cash flow. The auditor supports Revenue Cycle, Financial Services, IT Systems, Medical Information Management, and all clinical departments.

The auditor audits charge processes and procedures across the organization to maintain charge integrity in compliance with CMS and other regulatory agencies.

Responsibilities include:

• Maintaining current knowledge of regulatory agency guidelines and ensuring compliance.
• Auditing current charge processes and identifying correct procedures as needed.
• Developing staff training materials to support accurate charge processes.
• Monitoring, analyzing, and facilitating the entry of service and supply fees into various information systems.
• Ensuring charge capture applications are accurate and compliant with standards.
• Collaborating with all cost centers and OSUP representatives to ensure timeliness and accuracy of charge capture.
• Researching, implementing, and auditing tools such as Epic’s charge router, facility charge calculator, and charge‑by‑documentation.

• Bachelor’s degree in Business, HIM, or related field, or equivalent combination of experience and education.
• Required license/registration/certification: RHIA, RHIT, CCS and/or COC credentials.
• Must obtain EPIC Resolute Hospital Billing Charging certification within the first 6 months of employment.
• Minimum of two years of hospital clinical coding experience; ability to interpret medical records, hospital bills, and the charge master.
• Proficiency in hospital and clinical record information systems and inpatient/outpatient coding methodologies.
• Knowledge of insurance terms (EOB, Stop Loss, etc.) and reimbursement methodologies.
• Understanding of revenue cycle functions, management, and reporting in health care.
• Ability to foster a collaborative and team‑focused working environment.

Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post‑offer process.

The university is an equal‑opportunity employer, including veterans and disability.