Revenue Integrity Compliance Specialist

Job Summary

A company is looking for a Revenue Integrity Audit & Compliance Specialist to support enterprise Revenue Integrity initiatives.

Key Responsibilities:

• Provide expert guidance on audit, compliance, and control considerations across revenue cycle workflows
• Lead the design and execution of risk-based monitoring and review strategies for various revenue cycle components
• Conduct complex reviews of high-risk services, translating findings into actionable recommendations for governance and performance improvement

Required Qualifications:

• Bachelor's degree in Healthcare Administration, Business, Finance, Compliance, Nursing, or a related field; Master's degree preferred
• 7+ years of experience in revenue integrity, healthcare compliance, or audit roles in multi-facility environments
• Expert knowledge of federal healthcare billing and coding regulations, including TRICARE and CMS policies
• Experience in designing or leading risk-based monitoring or compliance activities across revenue cycle workflows
• Ability to obtain and maintain a Public Trust clearance