Revenue Integrity Charge Specialist Fully Remote

Trinity Health; City of Syracuse (NY); Remote; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a Revenue Integrity Charge Specialist to join their fully remote team. This role is crucial for ensuring accurate patient billing through meticulous documentation and coding practices. You will be responsible for educating clinical staff, performing charge entry, and coordinating with various stakeholders to enhance charge accuracy. If you have a strong background in coding and a passion for improving revenue integrity processes, this opportunity offers a chance to make a significant impact while working in a supportive and inclusive environment.

Qualifications

• 3+ years of coding and charge control experience required.
• Certification in coding is mandatory.

Responsibilities

• Ensure accurate CPT and ICD-10 documentation for billing.
• Educate staff on documentation and coding best practices.

Skills

CPT Coding

ICD-10 Coding

Charge Control

Medical Terminology

Problem-Solving

Communication Skills

Education

High School Diploma

Certification (RHIA, RHIT, CCS, CPC/COC)

Tools

MS Office

Epic

Job description

Revenue Integrity Charge Specialist Fully Remote

Join to apply for the Revenue Integrity Charge Specialist Fully Remote role at Trinity Health

Position Purpose

Responsible for ensuring accurate CPT and ICD-10 documentation for the patient billing process, educating colleagues and providers on proper documentation and coding, maintaining charge capture documentation, reviewing process adherence, and coordinating with stakeholders on system changes to ensure charge accuracy. Provides oversight of charge reconciliation processes for assigned departments, ensuring daily and monthly reconciliations.

Key Responsibilities

• Perform charge entry, approvals, and quality reviews, including appending modifiers and verifying clinical documentation.
• Provide feedback to revenue integrity colleagues and work closely with providers to improve documentation for coding accuracy.
• Review and validate medical charts and documentation, ensuring charges are complete, accurate, and compliant with guidelines.
• Perform coding functions, including CPT, ICD-10 assignment, and claim review.
• Balance charges and adjustments, maintain productivity standards, and ensure regulatory compliance.
• Coordinate denials management, assist with appeals, and conduct root cause analysis.
• Educate clinical staff on documentation and coding best practices.
• Conduct outpatient documentation improvement reviews and research charge discrepancies.
• Perform daily reconciliation, identify charge errors, and maintain confidentiality.

Minimum Qualifications

• High school diploma or equivalent; relevant experience.
• At least three years of coding and charge control experience in a hospital or physician practice setting.
• Certification such as RHIA, RHIT, CCS, CPC/COC, or equivalent required.
• Strong knowledge of medical terminology, clinical coding, billing, and revenue cycle processes.
• Experience with clinical documentation improvement, APC, OPPS, and related reimbursement systems preferred.
• Proficiency in MS Office; Epic experience desired.

Additional Requirements

• Ability to prioritize and manage multiple projects in a fast-paced environment.
• Strong problem-solving, communication, and interpersonal skills.
• Understanding of billing guidelines and ability to support clinical departments.
• Physical ability to operate in an office environment, including keyboard and communication tools.

Work Environment

Office setting, well-lit, temperature-controlled, requiring frequent communication and concentration. May involve extended hours based on workload.

Our Commitment

Trinity Health values diversity and inclusion. We are an equal opportunity employer, committed to providing an accessible and equitable work environment for all applicants and employees.