Specialist, Charge Revenue Integrity

🕒 August 21

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $25 - $37 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 18%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

🤝 Non-profit

Healthcare • Education • Non-profit

Trinity Health is a Christian K-12 educational institution located in Wichita, Kansas, dedicated to providing a Christ-centered education that nurtures spiritual growth and academic excellence. The academy emphasizes the importance of faith in students' lives, integrating spiritual development with rigorous academic programs and a broad array of extracurricular activities, including athletics and fine arts. Trinity Health fosters a supportive community where teachers and families collaborate to help students develop a personal relationship with Jesus Christ and excel in their studies.

📋 Description

• Research, collect, and analyze information • Identify opportunities, develop solutions, and lead through resolution • Collaborate on performance improvement activities based on program efficiency and patient experience outcomes • Distribute analytical reports • Utilize multiple system applications to perform analysis, create reports, and develop educational materials • Research and compile information to support ad-hoc operational projects and initiatives • Synthesize and analyze data, provide detailed summaries and graphical presentations illustrating trends, and recommend practical options or solutions • Leverage program and operational data and measurements to define and demonstrate progress, ROI, and impacts • Ensure accurate CPT/HCPCS documentation for patient billing and educate colleagues and ancillary departments on accurate documentation and appropriate coding • Perform charge capture in assigned Revenue Integrity areas • Thoroughly review charts, including nursing notes, physician orders, progress notes, and surgical or specialty notes, to interpret, validate, and/or extract charges • Verify charges are assigned to the correct patient, encounter, date of service, and required modifiers • Review documentation, abstract data, and ensure charges/coding align with AMA and Medicare coding guidelines • Perform coding functions including CPT and ICD-10 assignment, 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, ensuring appropriate supply and implant charges, identifying duplicate charges, and addressing documentation or charge deficiencies/errors • Perform charge entry, charge approvals, and quality charge reviews, including appending modifiers and checking clinical documentation • Provide feedback to Revenue Integrity colleagues on improvement opportunities • Code and/or validate charges for complex service lines, including advanced surgical or specialty coding • Educate clinical staff on accurate and complete documentation to optimize revenue integrity

🎯 Requirements

• Associate’s degree in healthcare, business administration, finance, accounting, or related field, or equivalent experience considered in lieu of degree • RHIA, RHIT, CCS, CPC/COC, AAPC, or other coding credentials required • Minimum three (3) years of relevant coding and charge control work 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 (CPT, ICD-10, revenue codes, and modifiers), charging processes and audits, and clinical billing • Working knowledge of third-party payer rules and requirements, computer operations, and electronic interfaces related to charge documentation, capture, and billing • Knowledge of charge capture, reconciliation, error management operations, and overall revenue cycle operations • Knowledge of APC, OPPS reimbursement structures, and prebill edits including OCE/CCI edits and DNFB • Knowledge of clinical documentation improvement processes strongly preferred • CDC healthcare compliance certification preferred • CHRI certification/membership strongly preferred • Ability to use computers and other technology • Ability to lift a maximum of 30 pounds unassisted occasionally • Ability to maintain a safe working environment and use available PPE • Ability to provide assistance in an emergency occasionally

🏖️ Benefits

• Remote work position • Equal Opportunity Employer commitment