Specialist Charge Revenue Integrity

🔥 0 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $25 - $37 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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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, and analyze information to support organizational objectives • Identify opportunities, develop solutions, and lead issues through resolution • Collaborate on performance improvement activities • Distribute analytical reports • Use multiple system applications to perform analysis, create reports, and develop educational materials • Compile and synthesize data, provide graphical trend presentations, and recommend practical solutions • Define and demonstrate progress, ROI, and operational impacts • Ensure accurate CPT/HCPCS documentation for patient billing • Educate colleagues, ancillary departments, and clinical staff on accurate documentation and coding • Perform charge capture, charge entry, charge approvals, and quality charge reviews • Review charts and documentation to validate or extract charges • Verify patient, encounter, date-of-service, and modifier accuracy • Abstract data and align charges/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 • Provide at-elbow support to ancillary departments, including supply-charge review and duplicate-charge identification • Provide feedback to Revenue Integrity colleagues • Code and validate charges for complex service lines and surgical or specialty coding • Maintain compliance with applicable laws, regulations, policies, and the Trinity Health Code of Conduct

🎯 Requirements

• Associate’s degree in healthcare, business administration, finance, accounting, or related field, or equivalent experience in lieu of degree • RHIA, RHIT, CCS, CPC/COC, AAPC, or other coding credential required • 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 and charge master maintenance • Knowledge of CPT, ICD-10, revenue codes, and modifiers • Knowledge of charging processes and audits • Knowledge of clinical billing • 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 federal, state, and local laws/regulations and Trinity Health compliance policies • CDC healthcare compliance certification preferred • CHRI certification/membership strongly preferred • Knowledge of APC and OPPS reimbursement structures and OCE/CCI pre-bill edits preferred • Knowledge of clinical documentation improvement processes strongly preferred

🏖️ Benefits

• Remote work position • Equal opportunity employment • Mission-driven, not-for-profit, faith-based healthcare organization