Revenue Integrity Charge Specialist Fully Remote

Trinity Health; United States; Remote; USD 50,000 - 90,000; Full time

Job summary

An established industry player in healthcare is seeking a Certified Coder to join their fully remote team. This role is pivotal in ensuring accurate patient billing through meticulous coding and documentation review. As part of a mission-driven organization, you will collaborate with clinical staff to enhance documentation quality while adhering to regulatory standards. The position offers a dynamic work environment where your expertise in coding and compliance will make a significant impact on community health improvement. If you are passionate about coding and looking for a role that values diversity and inclusion, this opportunity is perfect for you.

Qualifications

• 3+ years of coding experience in hospital or physician practice settings.
• Strong knowledge of CPT, ICD-10, and HCPCS coding.

Responsibilities

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

Skills

CPT Coding

ICD-10 Coding

Medical Terminology

Documentation Review

Charge Capture

Regulatory Compliance

Denial Management

Communication Skills

MS Office Proficiency

Education

High School Diploma

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

Tools

Epic

MS Office

Job description

Employment Details

Type: Full time

Shift: Description: Certified Coder Fully remote. May include every 5th weekend rotation

Position Purpose

Responsible for ensuring accurate CPT and ICD-10 documentation for patient billing, educating colleagues and providers on documentation and coding, maintaining charge capture documentation, reviewing process adherence, and coordinating system change impacts to ensure charge accuracy. Oversees charge reconciliation, performs charge entry, approvals, and quality reviews, and provides feedback for revenue integrity improvements. Works closely with providers to enhance documentation quality.

Organizational Mission

As a mission-driven organization, we aim to lead nationally in community health improvement, demonstrating reverence, justice, stewardship, and integrity to provide better health and care at lower costs.

Essential Functions

• Upholds Trinity Health’s Mission, Vision, and Values.
• Codes and validates charges for complex service lines, including surgical and specialty coding.
• Reviews medical charts and documentation thoroughly to ensure complete and accurate charge capture, including proper modifiers and alignment with coding guidelines.
• Ensures compliance with federal, state, and payer regulations.
• Performs coding functions, including CPT, ICD-10, and documentation review, and manages claim denials and appeals.
• Proofs daily charges for accuracy and submits clean claims.
• Balances charges and adjustments, maintains productivity and regulatory compliance.
• Coordinates denial management and educates clinical staff on documentation improvement.
• Performs outpatient clinical documentation reviews and research on charges, communicating findings effectively.
• Maintains minimum productivity standards, documents lessons learned, and supports project initiatives.
• Reviews quality reports related to charges and manages reconciliation processes, including supply charges and error identification.
• Maintains patient confidentiality and performs other duties as assigned.

Qualifications

• High school diploma or equivalent; 3+ years relevant coding and revenue cycle experience in hospital or physician practice settings.
• Strong knowledge of medical terminology, coding (CPT, ICD-10, HCPCS), and clinical processes.
• Certifications such as RHIA, RHIT, CCS, CPC/COC required; CHC preferred. AAPC, AHIMA memberships advantageous.
• Experience with outpatient coding, APC, OPPS, and familiarity with Epic is preferred.
• Ability to organize, prioritize, and communicate effectively in a fast-paced environment.
• Proficiency with MS Office tools.
• Adherence to ethical standards and knowledge of applicable laws and regulations.

Physical and Mental Requirements

Office environment, well-lit, temperature-controlled. Requires manual dexterity, communication skills, concentration, and the ability to handle multiple tasks and stressful situations. May involve extended hours.

Diversity and Inclusion

Trinity Health values diversity, equity, and inclusion, and is committed to providing accessible, equitable care. We are an Equal Opportunity Employer, welcoming applicants regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.