Rev Integrity Specialist - Charge Description Master

Kettering Health Network; Miamisburg (OH); On-site; USD 50,000 - 70,000; Full time

Job summary

Kettering Health Network is seeking a full-time Coder to join their team in Miamisburg, Ohio. This role requires CPC or CCS certification and 2-5+ years of experience in the revenue cycle. The ideal candidate will possess strong analytical skills, familiarity with Epic EMR, and the ability to navigate healthcare billing regulations. They will be responsible for ensuring coding accuracy and processing claims efficiently. Join a mission-driven organization dedicated to providing exceptional healthcare in southwest Ohio.

Qualifications

• Coding certification CPC-Certified Professional Coder or Certified Coding Specialist required.
• 2–5+ years in revenue cycle, coding/edit resolution needed.
• Strong analytical skills, attention to detail, and familiarity with payer billing regulations.

Responsibilities

• Knowledge of healthcare revenue cycle processes.
• Ability to navigate Epic EMR & chart auditing.
• Proficient in data entry using Microsoft Office.

Skills

CPC-Certified Professional Coder

Health Information Management

Revenue Cycle Knowledge

Proficient in Epic EMR

Analytical Skills

Education

RHIT or RHIA preferred

CPC or CCS coding certification required

Tools

Microsoft Office Suite

Epic EMR

Job description

Job Details

Support Services | Miamisburg | Full-Time | Days

Responsibilities & Requirements

Job Requirements:

• Coding certification CPC-Certified Professional Coder or - Certified Coding Specialist required (external candidates holding, internal candidates with relevant experience certification required 18 months)
• RHIT and RHIA preferred.
• 2–5+ years in revenue cycle (e.g. HIM, PFS/Billing, CDM), charge capture, or coding/edit resolution.
• Preferred experience coding in acute outpatient hospital setting.
• Coder, Health Information
• CCS or CPC coding certification required.
• Preferred member of AHIMA and/or AAPC Professional Associations.
• Consideration for other recognized medical coding certifications may be considered with Director approval.

Job Responsibilities:

• Knowledge of healthcare revenue cycle processes in assigned area/department
• Knowledge of regulatory and governing body coding and billing guidelines.
• Ability to navigate Epic EMR & chart auditing for supporting charge related documentation.
• Proficient in data entry using Microsoft Office Suite products.
• Possess strong interpersonal, team building, and analytical skills
• Ability to work with minimal direction
• Ability to prioritize
• Experience resolving CCI, MUE, OCE, EAPG edits.
• Proficiency in Epic or other major EHR/billing scrubbers.
• Strong analytical skills, attention to detail, and familiarity with payer billing regulations
• Review and resolve claim edits in work queues using Epic or billing scrubber systems.
• Apply coding corrections or modifiers in response to CCI, MUE, OCE, and EAPG rejections.
• Consult documentation and coding guidelines (ICD 10, CPT, HCPCS), adjust charges as required.
• Reach out to clinical teams or coders to confirm documentation and correct cosmos

Overview

Kettering Health is a not-for-profit system of 14 medical centers and more than 120 outpatient facilities serving southwest Ohio. Our mission is to live God’s love by promoting and restoring health. Our commitment to our patients is to help individuals be their best. With that context, safety is our top priority. We provide an integrated system of healthcare experts committed to providing exceptional care.