A few things to check.
Make sure when your placing lighting, your underlay orientation of your view is set to RCP or, it will view it upside down. These are "Reflected" plans, so REVIT looks from the ground up.
When hosting to slab, you have (2) options.
(1) You could use reference planes. Keep in mind though, that if you do, things will come in upside down again. I have set mine in the past to 1/4" below the deck. You will need a reference plane for every change in ceiling height change.
(2) and most practical, have the architects put ceilings in ALL rooms and spaces. Even if it's an 1/8" ceiling with no pattern. Lighting needs a hosting element, so someone must provide it. (This will also apply to exterior canopy's).
HTH,
~BMC