Coordinator Charge Revenue Integrity (Remote)

Trinity Health Corp.; United States; Remote; USD 34,000 - 52,000; Full time

Job summary

Trinity Health Corp. is hiring a Coordinator, Charge Revenue Integrity Functional Role to support patient billing remotely.

This role ensures accurate CPT/HCPCS documentation and charge capture across patient encounters, reviewing charts and coding to align with AMA and Medicare guidelines. You will work with leadership to improve processes, educate clinical staff on documentation needs, and maintain compliance with regulatory standards while supporting efficient revenue integrity operations.

Responsibilities

• Coordinates operational, technical & clerical support services to enhance workflow and core work flow.
• Plans & organizes workflows and prioritizes customers' needs.
• May lead a small team; serves as a mentor.
• Creates & maintains procedural standards & records for the role.
• Develops & maintains educational programs for the team, including new employee orientation.
• Uses multiple system applications for data collection & management.
• Ensures quality, confidentiality & safety per Trinity Health policies and processes.
• Collaborates on performance improvement activities indicated by outcomes in program efficiency & patient experience.
• Identifies opportunities, develops solutions & leads the team through resolution.
• Maintains effective written, verbal & nonverbal communications.
• Fosters an environment of mutual trust and collaboration.
• communicates program expectations & service performance to stakeholders.

Job description

Employment Type

Full time

Shift

Day Shift

Location

Remote Position

Description

Purpose

Work Remote Position

(Pay Range: $25.0209-$37.5313)

Provides oversight & support of the workflow & functions in accordance with level of experience, education & standards. Assumes an expanded role & increased responsibility including delegating to others. Participates in the development of & the process improvement of policies & procedures. Works closely with leadership to maintain efficient & effective operations to ensure quality in daily operations.

May partner with leadership with the selection, orientation & performance feedback of the team. Works cooperatively to ensure that key customer needs are being met & achievement of operational & performance goals.

Essential Functions

Our Trinity Health Culture : Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.

Work Focus

• Coordinates operational, technical & / or clerical support services that enhance or improve coordination, preparation & flow of the department process & core work.
• Plans & organizes workflows & prioritizes customers' needs.
• May lead a small team; serves as a mentor.
• Creates & maintain procedural standards & records as appropriate for role.
• Develops & maintains educational programs for the team members, including new employee orientation.

Process Focus

• Utilizes multiple system applications for data collection & management.
• Incorporates basic knowledge of Trinity Health policies, practices & processes to ensure quality, confidentiality & safety are prioritized.
• Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge. Collaborate on performance improvement activities as indicated by outcomes in program efficiency & patient experience.
• Helps to identify opportunities, develop solutions & lead the team through resolution.

Communication

• Employs effective & respectful written, verbal & nonverbal communications;
• Develops an environment of mutual confidence & trust through collaborative relationships;
• Effectively communication goals, standards, program expectations, service performance & how the work serves Trinity Health objectives;
• Proactively recognizes, addresses & / or escalates organizational, operational & / or team conflicts.

Environment

• Performs work in a caring, collaborative & safe manner that complies with regulatory standards.
• Maintains a safe, functional & organized workspace environment.
• Stewards productive use of resources (e.g., people, financial, equipment, supplies, materials) to achieve assigned commitments, experiences & quality standards.
• Accountable for continuous role-based self-development & leadership growth.
• Supports the professional growth of team members. Self-monitors & initiates corrections & / or seeks assistance & / or guidance when needed.
• Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.

Coordinator, Charge Revenue Integrity Functional Role

Responsible for ensuring accurate CPT/HCPCS documentation for the patient billing process and educating colleagues and ancillary departments in accurately documenting services performed and using the appropriate codes representing those services. Responsible for charge capture in Revenue Integrity assigned areas. Review's chart, including nursing notes, physician orders, progress notes, and surgical or specialty notes thoroughly to interpret and validate and/or extract all charges. Verifies charges captured on the correct patient, correct encounter, correct date of service, with any required modifiers. Review's documentation, abstracts data and ensure charges/coding are in alignment within AMA and Medicare coding guidelines. Performs coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review Responsible for working the pre-bill edits within key metrics, including but not limited to OCE/CCI, & DNFB. Provides "at-elbow support" to ancillary departments including but not limited to; ensuring supply charges are appropriate captured (may include implants), identify duplicate charges and initiate appropriate communications when there are documentation and/or charge deficiencies or charge errors. Performs charge entry, charge approvals, and/or quality charge reviews; including but not limited to, appending modifiers, and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues including areas of opportunity. Responsible for coding and/or validation of charges for more complex service lines, advanced proficiencies in surgical or specialty coding practice. Educates clinical staff on need for accurate and complete documentation to