Coordinator, Charge Revenue Integrity

This is a fully remote position, open to applicants in Michigan.

📋 Description

• Oversee operational, technical, and/or clerical support services to facilitate departmental processes.

• Organize workflows and prioritize the needs of customers effectively.

• Potentially lead a small team while acting as a mentor.

• Develop and uphold procedural standards and maintain accurate records.

• Create and sustain educational initiatives, including orientation for new employees.

• Employ system applications for data management and collection.

• Collaborate on activities aimed at performance improvement and guide teams towards resolutions.

• Ensure precise CPT/HCPCS documentation for patient billing purposes.

• Oversee charge capture and analyze charts to interpret, validate, and extract relevant charges.

• Confirm the accuracy of patient information, encounters, date-of-service, and modifiers.

• Evaluate documentation and ensure coding aligns with AMA and Medicare standards.

• Conduct CPT and ICD-10 coding, documentation reviews, and claim denial assessments.

• Manage pre-bill edits including OCE/CCI and DNFB to meet key metrics.

• Offer on-the-spot support to ancillary departments concerning supply charges, duplicate charges, and documentation gaps.

• Execute charge entry, charge approvals, and quality reviews of charges.

• Provide constructive feedback to Revenue Integrity team members.

• Code and/or validate charges for complex service lines and specialized surgical coding.

• Educate clinical staff on the importance of accurate and comprehensive documentation to optimize revenue and maintain integrity.

⛳️ Requirements

• An Associate’s degree in healthcare, business administration, finance, accounting, or a related field, or equivalent experience in lieu of a degree.

• At least three years of pertinent coding and charge control experience in a hospital or physician practice setting.

• Background in revenue cycle, billing, coding, and/or patient financial services.

• Proven understanding of clinical processes, charge master maintenance, clinical coding, charging processes, and auditing.

• Familiarity with CPT, ICD-10, revenue codes, and modifiers.

• Proficient knowledge of third-party payer regulations and requirements.

• Competency in computer operations and electronic systems related to charge documentation, capture, and billing.

• Understanding of charge capture, reconciliation, error management, and revenue cycle operations.

• Strong preference for knowledge of APC and OPPS reimbursement structures and OCE/CCI pre-bill edits.

• Preference for familiarity with clinical documentation improvement processes.

• Registered Nurse designation is highly preferred.

• Ability to adhere to regulatory standards, policies, procedures, guidelines, and Trinity Health’s Code of Conduct.

• Proficient in using computers and other related technology.

• Capability to occasionally lift a maximum of 30 pounds unassisted.

🏝️ Benefits

• Opportunity to work remotely.

• Day shift schedule.

• Opportunities for professional development and leadership advancement.

• Support for the professional growth of team members.

• Comprehensive new employee orientation and team-based educational programs.

• Equal Opportunity Employer.