Revenue Integrity Charge Specialist

Blanchard Valley Health System; Findlay (OH); On-site; USD 65,000 - 90,000; Full time

Job summary

Blanchard Valley Health System is seeking a Professional Coding Integrity Specialist to review and adjust charges for accuracy and compliance. You will assign ICD-10 codes, modifiers, and E/M levels, while working with CDI and billing teams to resolve discrepancies.

The role requires an associate degree or related experience, coding certification, and strong knowledge of CPT/HCPCS and billing rules. Excellent organization and communication are essential.

Qualifications

• Associate degree in health information, business, or related field or 1–2 years’ relevant experience.
• Coding certification (CCA or CPC) required or within 9 months of hire.
• Knowledge of medical terminology, anatomy and physiology.
• Familiarity with CPT/HCPCS/APC coding and modifiers.
• Ability to research and interpret federal/state/local billing rules.
• Proficiency with computers and MS Office; EHR experience helpful.
• Strong organization, time management and communication skills.

Responsibilities

• Review, enter or modify charges for accuracy and compliance in designated service lines.
• Assign ICD-10 codes and determine correct modifiers and E/M levels.
• Resolve exception accounts through documentation review and collaboration.
• Support claim-scrubber edits and trend opportunities to reduce future edits.
• Quantify revenue impact from charge corrections and process changes.
• Identify documentation and system improvement opportunities; collaborate with teams.
• Stay current with coding and billing regulations and participate in training.

Skills

Medical terminology

CPT/HCPCS coding

Data tracking

Regulatory research

Communication skills

Problem-solving

Microsoft Office

Education

Associate degree or related field

Tools

Encoder experience

Job description

Blanchard Valley Health System is seeking a Professional Coding Integrity Specialist to review and adjust charges for accuracy and compliance. You will assign ICD-10 codes, modifiers, and E/M levels, while working with CDI and billing teams to resolve discrepancies.

The role requires an associate degree or related experience, coding certification, and strong knowledge of CPT/HCPCS and billing rules. Excellent organization and communication are essential.