Remote Revenue Integrity Coding Specialist

Trinity Health; United States; Remote; USD 70,000 - 95,000; Full time

Benefits offered by this job

Tuition reimbursement for employees

Benefits day one (Medical, Dental, PTO

Employer retirement match

7 holidays

Job summary

Saint Joseph Health System is seeking a billing and denial prevention analyst to perform in-depth analysis of patient clinical and billing data, identify documentation and coding gaps, and develop action plans for denial prevention. The role requires coordination with intra-team members to improve revenue cycle efficiency and compliance with billing guidelines.

Responsibilities include audits, collaboration with clinical areas to document services, and supporting education for accurate charge

Qualifications

• 5+ years billing experience or related revenue cycle functions.
• Experience with denial prevention and root-cause analysis.
• Knowledge of physician practice coding and charge capture processes.

Responsibilities

• Perform in-depth analysis of patient clinical and billing data to identify documentation, coding and denial prevention.
• Develop and implement action plans for denial prevention based on root cause findings.
• Collaborate with intra- and inter-departmental teams on compliance and accuracy in charge capture.

Skills

5+ years billing experience

Denials management

Root cause analysis

Coding knowledge (CPT/ ICD-10)

Education

Bachelor's degree in Healthcare Administration or Business

Tools

CPT, ICD-10, revenue codes & modifiers

Job description

Saint Joseph Health System is seeking a billing and denial prevention analyst to perform in-depth analysis of patient clinical and billing data, identify documentation and coding gaps, and develop action plans for denial prevention. The role requires coordination with intra-team members to improve revenue cycle efficiency and compliance with billing guidelines.

Responsibilities include audits, collaboration with clinical areas to document services, and supporting education for accurate charge