Coordinator, Charge Revenue Integrity

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🕒 2 dias atrás

🚗 Michigan – Remoto

🚗 Michigan – Remote

💵 $25 - $37 / hora

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Trinity Health

SiteLinkedInTodas as Vagas

10.000+ funcionários

🏥 Saúde

📚 Educação

🤝 Sem Fins Lucrativos

Healthcare • Education • Non-profit

A Trinity Health é um dos maiores sistemas de saúde sem fins lucrativos e católicos do país. É uma família de 123.000 colegas e quase 27.000 médicos e clínicos cuidando de comunidades diversas em 26 estados. Reconhecida nacionalmente pelo cuidado e experiência, o sistema Trinity Health inclui 88 hospitais, 135 locais de atendimento contínuo, o segundo maior programa PACE do país, 136 locais de atendimento de urgência e muitos outros serviços de saúde e bem-estar. Com sede em Livonia, Michigan, sua receita operacional anual é de US$ 21,5 bilhões, com US$ 1,4 bilhões retornados para suas comunidades na forma de assistência filantrópica e outros programas de benefícios comunitários.

Descrição

• Coordinate operational, technical, and/or clerical support services for department processes • Plan and organize workflows and prioritize customer needs • May lead a small team and serve as a mentor • Create and maintain procedural standards and records • Develop and maintain educational programs, including new employee orientation • Utilize system applications for data collection and management • Collaborate on performance improvement activities and lead teams through resolution • Ensure accurate CPT/HCPCS documentation for patient billing • Manage charge capture and review charts to interpret, validate, and extract charges • Verify patient, encounter, date-of-service, and modifier accuracy • Review documentation and align coding with AMA and Medicare guidelines • Perform CPT and ICD-10 coding, documentation review, and claim denial review • Work pre-bill edits including OCE/CCI and DNFB within key metrics • Provide at-elbow support to ancillary departments for supply charges, duplicate charges, and documentation deficiencies • Perform charge entry, charge approvals, and quality charge reviews • Provide feedback to Revenue Integrity colleagues • Code and/or validate charges for complex service lines and surgical or specialty coding • Educate clinical staff on accurate and complete documentation for revenue optimization and integrity

🎯 Requisitos

• Associate’s degree in healthcare, business administration, finance, accounting, or related field, or equivalent experience in lieu of degree • Minimum three years of relevant coding and charge control experience in a hospital and/or physician practice environment • Experience in revenue cycle, billing, coding, and/or patient financial services • Demonstrated knowledge of clinical processes, charge master maintenance, clinical coding, charging processes, and audits • Knowledge of CPT, ICD-10, revenue codes, and modifiers • Working knowledge of third-party payer rules and requirements • Working knowledge of computer operations and electronic interfaces related to charge documentation, capture, and billing • Knowledge of charge capture, reconciliation, error management, and revenue cycle operations • Knowledge of APC and OPPS reimbursement structures and OCE/CCI pre-bill edits strongly preferred • Knowledge of clinical documentation improvement processes strongly preferred • Registered Nurse strongly preferred • Ability to comply with regulatory standards, policies, procedures, guidelines, and Trinity Health’s Code of Conduct • Ability to use computer and other technology • Ability to lift a maximum of 30 pounds unassisted occasionally

🏖️ Benefícios

• Remote work position • Day shift • Professional development and leadership growth • Support for professional growth of team members • New employee orientation and team educational programs • Equal Opportunity Employer