Specialist Charge Revenue Integrity – Surgery Coding

🔥 14 hours ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $25 - $37 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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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 to identify opportunities and develop solutions • 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, illustrate trends, and recommend practical solutions • Leverage program and operational data to define and demonstrate progress, ROI, and impacts • Ensure accurate CPT/HCPCS documentation for patient billing • Educate colleagues, clinical staff, and ancillary departments on accurate documentation and appropriate coding • Perform charge capture and review charts, nursing notes, physician orders, progress notes, and surgical or specialty notes to validate or extract charges • Verify charges are assigned to the correct patient, encounter, date of service, and required modifiers • Review documentation and ensure charges and coding align 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 errors • Perform charge entry, charge approvals, and quality charge reviews, including modifier appending and clinical documentation checks • Validate charges for complex service lines and surgical or specialty coding practices • Provide feedback to Revenue Integrity colleagues on areas of opportunity

🎯 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 • Knowledge of 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 Ambulatory Payment Classification (APC) and Outpatient Prospective Payment System (OPPS) reimbursement structures and prebill edits including OCE/CCI and DNFB • CDC certification preferred • CHRI certification/membership strongly preferred • Ability to research, collect, analyze, synthesize, and summarize data • Ability to create reports and graphical data presentations • Ability to use multiple system applications and technology • Ability to maintain confidentiality, safety, and compliance with applicable laws, regulations, policies, and guidelines • Ability to perform required physical and mental activities, including computer use, reading small print, verbal communication, manual dexterity, and occasional lifting up to 30 pounds

🏖️ Benefits

• Remote work position • Equal Opportunity Employer commitment • Person-centered, compassionate workplace culture