Remote Revenue Integrity & Denial Prevention Lead

Trinity Health Corp.; Livonia (MI); Remote; USD 34,000 - 52,000; Full time

Job summary

Trinity Health, based in Livonia, Michigan, is seeking a Remote Denials Prevention and Revenue Integrity Analyst to perform in‑depth analysis of patient clinical and billing data, identify documentation, coding, and denial prevention opportunities, and develop action plans.

You will collaborate with intra- and inter-departmental teams, conduct audits, and support regulatory compliance to improve charge capture and overall revenue cycle performance. Remote role with regional travel as needed.

Qualifications

• Bachelor's degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or related field.
• Five (5) or more years of experience in billing, charge documentation, charge audit or charge capture activities.
• Proficiency with MS Excel, Access, Business Objects; strong Word and PowerPoint.
• Licensure / Certification: RHIA, RHIT, CCS, CPC/COC or other coding credentials preferred.
• Knowledge of CPT, ICD-10, HCPCS, APC, and prebill edits (OCE/CCI).
• Ability to work in a high-stress environment with diverse personalities and strong organizational skills.

Responsibilities

• Collaborates on denial investigations and root cause analysis to identify denial-prevention opportunities.
• Performs data analysis and reports trends, performance metrics, and process improvements affecting revenue.
• Conducts departmental audits to ensure proper documentation and compliance with guidelines.
• Prepares audit findings and works with leadership to implement solutions.
• Coordinates denials, audits and reconsideration requests with PBS center; may travel within region.

Skills

Analytical thinking

Communication

Collaboration

Regulatory knowledge

Audit skills

Education

Bachelor's degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or related field

RHIA, RHIT, CCS, CPC/COC or other coding credentials (preferred)

Tools

MS Excel

Access

Business Objects

Word

PowerPoint

Job description

Trinity Health, based in Livonia, Michigan, is seeking a Remote Denials Prevention and Revenue Integrity Analyst to perform in‑depth analysis of patient clinical and billing data, identify documentation, coding, and denial prevention opportunities, and develop action plans.

You will collaborate with intra- and inter-departmental teams, conduct audits, and support regulatory compliance to improve charge capture and overall revenue cycle performance. Remote role with regional travel as needed.