The charge states of ions in dense plasmas fluctuate due to collisional ionization and recombination. Here, we show how, by modifying the ion interaction potential, these fluctuations can mediate energy exchange between the plasma electrons and ions. Moreover, we develop a theory for this novel electron-ion energy transfer mechanism. Calculations using a random walk approach for the fluctuations suggest that the energy exchange rate from charge state fluctuations could be comparable to direct electron-ion collisions. This mechanism is, however, predicted to exhibit a complex dependence on the temperature and ionization state of the plasma, which could contribute to our understanding of significant variation in experimental measurements of equilibration times.