Charge Specialist, Revenue Integrity

🔥 16 hours ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $21 - $32 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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.

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Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🤝 Non-profit

🏨 Hospitality

🔥 Funding within the last year

💰 $20k Grant - Trinity Health on 2025-10

Healthcare • Non-profit • Hospitality

Trinity Health is one of the largest not-for-profit, faith-based healthcare systems in the United States. With approximately 127,000 colleagues and over 38,300 physicians and clinicians, it provides a wide range of medical services and care to diverse communities across 26 states. The organization emphasizes its mission-driven, faith-based values, community impact, employee benefits, and career opportunities including travel nursing through its FirstChoice program. Headquarters are listed in Livonia, Michigan. Trinity Health focuses on patient care, community health, and supporting a large workforce of clinical and non-clinical staff.

📋 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 • Use multiple system applications to perform analysis, create reports, and develop educational materials • Research and compile information for ad-hoc operational projects and initiatives • Synthesize and analyze data; provide detailed summaries and graphical presentations illustrating trends and recommending practical solutions • Leverage program and operational data to define and demonstrate progress, ROI, and impacts • Ensure accurate CPT/HCPCS documentation for patient billing and educate colleagues and ancillary departments on documentation and coding • Perform charge capture in assigned Revenue Integrity areas • Review charts, nursing notes, physician orders, progress notes, and surgical or specialty notes to interpret, validate, and/or extract charges • Verify charges are associated with the correct patient, encounter, date of service, and required modifiers • Review documentation, abstract data, and align charges/coding with AMA and Medicare coding 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, including supply and implant charge capture, duplicate-charge identification, and resolution of documentation or charge deficiencies • Perform charge entry, charge approvals, and quality charge reviews, including modifier appending and clinical documentation checks • Provide feedback to Revenue Integrity colleagues on improvement opportunities • Code and/or validate charges for complex service lines, including surgical or specialty coding • Educate clinical staff on accurate and complete documentation for revenue optimization and integrity • Comply with Trinity Health’s Mission, Values, Vision, Actions, Promise, Code of Conduct, policies, procedures, and safety practices

🎯 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 departmental processes and procedures and ability to acquire new knowledge • Working knowledge of applicable federal, state, and local laws/regulations, Trinity Health Integrity & Compliance Program, Code of Conduct, policies, procedures, and guidelines • CDC (Healthcare Compliance Certification) preferred • CHRI certification/membership strongly preferred • Knowledge of APC, OPPS reimbursement structures, OCE/CCI edits, DNFB, and clinical documentation improvement processes strongly preferred • Ability to use computers and other technology, follow tasks through completion, understand complex concepts, manage concurrent tasks/projects, and maintain a safe working environment

🏖️ Benefits

• Remote work position • Equal Opportunity Employer • Consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law