Coordinator, Charge Revenue Integrity

🔥 0 minutes ago

🚗 Michigan – Remote

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💵 $25 - $37 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

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Logo of Trinity Health

Trinity Health

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

• Coordinate operational, technical, and/or clerical support services for department processes • Plan and organize workflows and prioritize customer needs • May lead a small team and serve as a mentor • Create and maintain procedural standards and records • Develop and maintain educational programs, including new employee orientation • Utilize system applications for data collection and management • Collaborate on performance improvement activities and lead teams through resolution • Ensure accurate CPT/HCPCS documentation for patient billing • Manage charge capture and review charts to interpret, validate, and extract charges • Verify patient, encounter, date-of-service, and modifier accuracy • Review documentation and align coding with AMA and Medicare 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 for supply charges, duplicate charges, and documentation deficiencies • Perform charge entry, charge approvals, and quality charge reviews • Provide feedback to Revenue Integrity colleagues • Code and/or validate charges for complex service lines and 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 in lieu of degree • Minimum three years of relevant coding and charge control 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, charging processes, and audits • Knowledge of CPT, ICD-10, revenue codes, and modifiers • Working knowledge of third-party payer rules and requirements • Working knowledge of computer operations and electronic interfaces related to charge documentation, capture, and billing • Knowledge of charge capture, reconciliation, error management, and revenue cycle operations • Knowledge of APC and OPPS reimbursement structures and OCE/CCI pre-bill edits strongly preferred • Knowledge of clinical documentation improvement processes strongly preferred • Registered Nurse strongly preferred • Ability to comply with regulatory standards, policies, procedures, guidelines, and Trinity Health’s Code of Conduct • Ability to use computer and other technology • Ability to lift a maximum of 30 pounds unassisted occasionally

🏖️ Benefits

• Remote work position • Day shift • Professional development and leadership growth • Support for professional growth of team members • New employee orientation and team educational programs • Equal Opportunity Employer

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