Specialist Charge, Coder, Revenue Integrity

🔥 20 hours ago

🚗 Michigan – Remote

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💵 $25 - $37 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Logo of Trinity Health

Trinity Health

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, analyze, and report data to support operational efficiency and leadership decision-making. • Audit department information, produce analytical reports, and suggest process improvements. • Research and compile information for ad-hoc operational projects and initiatives. • Synthesize data and provide detailed summaries, graphical trend presentations, ROI analysis, and practical recommendations. • Research, collect, and analyze information; identify opportunities, develop solutions, and lead through resolution. • Collaborate on performance improvement activities related to program efficiency and patient experience. • Utilize multiple system applications to perform analysis, create reports, and develop educational materials. • Ensure accurate CPT and/or ICD-10 documentation for patient billing and educate colleagues and providers on accurate documentation and coding. • Maintain charge capture process documentation and review process adherence to identify missing charges. • Coordinate with stakeholders on system change requests and process upgrades. • Provide oversight of charge reconciliation for assigned departments, including daily and monthly reconciliations. • Perform charge entry/capture, charge approvals, quality charge reviews, modifier appending, and clinical documentation checks. • Assist with denial-related charge reviews, clinical documentation analysis, root cause analysis, and education for responsible ancillary departments. • Perform daily reconciliation and provide at-elbow support to ancillary departments, including supply-charge validation, duplicate-charge identification, and communication of documentation or charge deficiencies.

🎯 Requirements

• High school diploma or GED • Minimum three (3) years of relevant coding and charge control work experience in a hospital and/or Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial services. • Experience working with current clinical processes, charge master maintenance, clinical coding guidelines, charging processes and audits, and clinical billing as normally obtained through a bachelor's or associate degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or a related field. • Strong working knowledge of medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations. • Experience working with Ambulatory Payment Classification (APC), Outpatient Prospective Payment System (OPPS), Outpatient Coding Edits (OCE), Correct Coding Initiative (CCI) edits, and Discharged Note Final Billed (DNFB). • Ability to perform charge capture processes and understand technical integration of electronic medical records and automated charge triggers. • Epic experience desired. • Experience with hospital and/or Physician group practice revenue cycle front-end and back-end functions. • RHIA, RHIT, CCS, CPC/COC or other coding credentials and/or Licensed Vocational Nurse/Licensed Practical Nurse licensure is required. • CHC preferred. • CHRI certification/membership strongly preferred. • Knowledge of clinical documentation improvement processes strongly preferred.

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