Rev Integrity Specialist - Charge Description Master

Kettering Health; Miamisburg (OH); On-site; USD 60,000 - 80,000; Full time

Job summary

A health care system in Ohio is seeking a Rev Integrity Specialist – Charge Description Master. The role involves supporting revenue cycle management, auditing denied claims, and utilizing coding certifications. Candidates should have 2–5+ years of relevant experience, strong analytical skills, and a coding certification. This full-time position offers an opportunity to engage in critical healthcare processes while maintaining high standards of care and operational excellence.

Qualifications

• 2–5+ years in revenue cycle management, coding, or charge capture experience required.
• Preferred coding experience in an acute outpatient hospital setting.
• Consideration for other recognized medical coding certifications may be considered.

Responsibilities

• Knowledge of healthcare revenue cycle processes in assigned area.
• Ability to resolve claim edits using Epic or billing scrubber systems.
• Support revenue integrity by auditing denied claims and optimizing charge capture.

Skills

Coding certification CPC

Proficient in data entry using Microsoft Office Suite

Strong analytical skills

Ability to navigate Epic EMR

Education

CPC or CCS coding certification

RHIT and RHIA preferred

Tools

Epic

Job description

Rev Integrity Specialist – Charge Description Master

Join to apply for the Rev Integrity Specialist – Charge Description Master role at Kettering Health.

Job Details: Support Services | Miamisburg | Full-Time | Days

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 corrections.
• Track trends in edits and provide feedback or training to prevent recurring issues.
• Support revenue integrity by auditing denied or held claims and optimizing charge capture.
• Assist with charge master/CDM maintenance and updates based on trend analysis.
• Perform other duties as assigned.

Overview

Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.