REV CYCL OR CHARGE INTEGRITY AUDITOR

Union Health•TERRE HAUTE, IN

About The Position

The Revenue Cycle OR Charge Integrity Auditor is part of Union Health’s Revenue Integrity team and serves as a checkpoint between surgical documentation and billing. The role reviews surgical charts before billing submission to ensure required documentation is complete and accurate, procedures are properly documented, and charges are supported by the clinical record. The auditor reconciles case details, resolves missing documentation and charge issues, and works with surgeons, anesthesia providers, nursing staff, and coding and billing teams to prepare complete cases for billing. This position manages work queues across multiple operating room locations, prioritizes high-volume and high-revenue cases, and follows up on outstanding documentation to minimize billing delays. The role also supports compliance and audit readiness by maintaining complete records, applying organizational, regulatory, payer, privacy, and revenue integrity standards, and escalating recurring documentation issues. Union Health describes its workplace as inclusive and highlights career growth and work-life balance.

Requirements

High school graduate.
Registered Nurse or LPN/ORT with operating room experience and demonstrated keyboarding proficiency, or five years of relevant operating room experience.
Three to five or more years of experience in operating room or perioperative services, medical records, chart review, or revenue cycle.
Strong attention to detail and accuracy.
Knowledge of surgical workflows, basic CPT and charge capture concepts, and clinical documentation requirements.
Ability to manage high-volume workloads and identify missing, incomplete, or unsupported documentation.
Strong written and verbal communication skills.
Ability to collaborate effectively with clinical, coding, billing, and revenue integrity teams.
Ability to prioritize work and meet established deadlines.
Ability to maintain confidentiality when handling sensitive clinical information.

Nice To Haves

Surgical services experience is strongly preferred.
Experience with EMR systems; Epic is preferred.

Responsibilities

Perform comprehensive pre-billing chart audits for surgical cases.
Verify that operative reports, anesthesia records, nursing documentation, and implant and supply documentation are complete and available.
Ensure procedures performed are properly documented and ready for coding and billing.
Confirm applicable charges are present and supported by clinical documentation.
Identify and resolve missing documentation, incomplete records, and unlinked or unsupported charges.
Work charts until they are fully complete before releasing cases to billing.
Maintain timely chart reconciliation and release to billing to minimize charge delays.
Track and manage work queues across multiple operating room locations.
Prioritize high-volume and high-revenue cases for timely processing.
Communicate with surgeons, anesthesia providers, and nursing staff about missing or incomplete documentation.
Follow up on outstanding documentation and partner with coding and billing teams to ensure a smooth handoff.
Ensure charts meet organizational, regulatory, and payer documentation requirements.
Maintain accurate and complete records to support audit readiness.
Identify and escalate recurring documentation issues or trends.
Maintain compliance with documentation, privacy, and revenue integrity standards.
Collaborate with clinical and revenue integrity teams to support accurate and timely billing.
Maintain confidentiality and follow hospital policies and procedures.