Specialist, Charge Revenue Integrity – Cardiology

🔥 3 hours ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $21 - $32 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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👻 Ghost score 20%

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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, analyze, and synthesize information for operational projects and initiatives • Identify opportunities, develop solutions, and lead issues 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 • Ensure quality, confidentiality, and safety through knowledge of Trinity Health policies, practices, and processes • Prepare detailed summaries with graphical data 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 accurate 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 assigned to the correct patient, encounter, date of service, and required modifiers • Review documentation and ensure charges/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 deficiency/error communications • Perform charge entry, charge approvals, and quality charge reviews, including modifiers and clinical documentation checks • Provide feedback to Revenue Integrity colleagues on improvement opportunities • Code and/or validate charges for complex service lines and advanced surgical or specialty coding • Educate clinical staff on accurate and complete documentation for revenue optimization and 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 and 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 & modifiers), charging processes & audits, & clinical billing • Working knowledge of third-party payer rules & requirements, computer operations & electronic interfaces related to charge documentation, capture & billing • Knowledge of charge capture, reconciliation, error management operations & overall revenue cycle operations • CDC (Healthcare Compliance Certification) preferred • CHRI certification/membership strongly preferred • Knowledge of Ambulatory Payment Classification (APC), Outpatient Prospective Payment System (OPPS), OCE/CCI edits & DNFB • Knowledge of clinical documentation improvement processes strongly preferred • Must comply with Trinity Health’s Code of Conduct, policies, procedures & guidelines • Ability to use computers and other technology; maintain a safe working environment and use PPE • Ability to lift a maximum of 30 pounds unassisted occasionally

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