Dear Michael,
Thank you for your query.
The most comfortable way to grab 3D geometry from Revit is to tap into the graphics rendering pipeline using a custom exporter:
http://thebuildingcoder.typepad.com/blog/about-the-author.html#5.1
The probably produces various flavours of the tessellations that you describe.
If you use any other method to access the geometry, you might be able to get 'clean' pure non-tessellated surfaces.
In that case, however, you will need to deal with transformation and placement issues.
This article might be of special interest:
I hope this helps.
I would be very interested to hear how you end up solving this.
Thank you!
Best regards,
Jeremy