Professional Coding, Revenue Recovery Coordinator

🔥 0 minutes ago

🌾 North Dakota – Remote

🌾 North Dakota – Remote

💵 $29 - $43 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🤝 Non-profit

🔥 Funding within the last year

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

Healthcare • Non-profit

Trinity Health is a national, mission-driven healthcare system that operates hospitals, ambulatory centers, and a broad range of care services across the United States. The organization employs thousands of physicians and emphasizes digital integration and patient access (patient portals), community health and philanthropy, diversity/equity initiatives, and advocacy. Trinity Health also provides senior living and long-term care services including home care, hospice, and PACE, and positions itself as a trusted health partner focused on community well-being.

📋 Description

• Provide professional coding education and quality guidance to coding staff and providers regarding CPT, HCPCS, ICD-10-CM, evaluation and management coding, NCCI edits, documentation standards, payer requirements, and applicable regulatory updates • Perform coding and documentation quality reviews to identify accuracy, compliance, reimbursement, and workflow risks • Develop targeted education and corrective actions based on identified findings • Analyze denial, write-off, audit, and reimbursement trends to identify root causes and recommend improvements to documentation, coding, billing, and revenue cycle processes • Investigate complex coding and reimbursement denials • Prepare well-supported appeals and coordinate escalation through payer reconsideration and applicable external review processes • Collaborate with physicians, advanced practice providers, coding teams, billing teams, patient representatives, and payers to resolve documentation and reimbursement discrepancies • Develop specialty-specific coding resources • Communicate emerging coding trends, payer policy changes, denial patterns, and reimbursement risks to support consistent practices and prevent recurring issues

🎯 Requirements

• Certified Professional Coder (CPC) or Certified Coding Specialist-Physician-based (CCS-P) • Certified Professional Medical Auditor (CPMA) or Certified Evaluation and Management Coder (CEMC) • Bachelor’s degree in health information management, Healthcare Administration, Business Administration, or a related field preferred • Minimum of five years of experience in professional medical coding, coding quality auditing, revenue recovery, insurance appeals, or denial management • Experience using electronic health record (EHR) and professional billing systems such as Cerner, Allscripts, Epic Resolute, or comparable platforms • Demonstrated knowledge of ICD-10-CM, CPT, HCPCS, E/M guidelines, NCCI edits, payer reimbursement policies, and regulatory compliance requirements • Strong analytical, critical thinking, communication, problem-solving, and relationship-building skills • Ability to collaborate effectively across clinical and operational teams • Adequate vision, hearing, manual dexterity, and verbal and written communication abilities • Must follow organizational privacy, information security, safety, and infection-prevention requirements when working with protected health information or present in clinical facilities