Clinical Revenue Auditor

Executive Healthcare Recruiter | Revenue Cycle, Patient Financial Services & Financial Operations Leadership

Are you a clinically minded professional who understands how documentation, coding, and reimbursement come together? This is a unique opportunity to bridge clinical care and revenue integrity in a highly respected academic health system environment.

As a Clinical Revenue Auditor, you’ll play a critical role in ensuring services provided to patients are accurately documented, coded, and reimbursed—while partnering closely with clinical, coding, billing, and revenue cycle leaders to drive compliance and financial performance.

• Conduct detailed charge capture and clinical audits to validate documentation, coding, and billing accuracy
• Identify missing or incorrect charges, coding discrepancies, and documentation gaps
• Perform root cause analysis to address revenue leakage and develop corrective action plans
• Ensure compliance with CMS regulations and other federal and state billing guidelines
• Collaborate with clinical, billing, coding, and IT teams to improve workflows and documentation practices
• Leverage charge capture software and analytics tools to identify trends and opportunities for improvement
• Coordinate with payers on audit requests, technical denials, and appeal determination and tracking
• Educate clinical teams on documentation and charge capture best practices
• Build strong, collaborative relationships with revenue cycle and clinical stakeholders
• Support continuous process improvement initiatives and compliance standards

• Bachelor’s degree in a healthcare‑related field (Master’s preferred)
• 3–5 years of clinical experience with strong knowledge of medical terminology and patient care
• Demonstrated success in a large academic, not‑for‑profit, or multi‑entity health system environment
• Strong understanding of medical coding systems, billing regulations, and reimbursement workflows
• Hands‑on experience with Epic and other medical billing or audit software
• Knowledge of Medicare, Medicaid, managed care, and coordination of benefits
• Excellent communication skills with the ability to work effectively with physicians and senior leaders
• Strong analytical, organizational, and problem‑solving skills
• Ability to manage multiple priorities in a fast‑paced environment

• Active NYS clinical licensure (RN, OT, PT, SLP, PA, Social Worker, Lab or Radiology Technologist, or related)
• Certifications such as CPMA, CIC, CCS, or CHA are a plus
• Corporate office setting within an academic health system
• Hybrid or remote work options available
• Collaborative, mission‑driven culture focused on quality and compliance

• Make a direct impact on revenue integrity and patient care quality
• Work cross‑functionally with clinical and executive leadership
• Opportunity to influence education, compliance, and process improvement
• Stability and growth within a large, complex healthcare system