Revenue Integrity Coding Specialist

Blanchard Valley Regional Health Center; Findlay (OH); On-site; USD 55,000 - 75,000; Full time

Job summary

Blanchard Valley Regional Health Center is seeking a Professional Coding Integrity Specialist to review, enter and modify charges, ensuring documentation supports the assigned charges and modifiers. The role involves collaboration with RI and CDI teams to resolve edits and optimize revenue integrity.

The ideal candidate will have an associate degree in a related field, coding certification (CCA/CPC) or be within 9 months of hire, plus strong knowledge of CPT/HCPCS/IPPS/OPPS and ICD-10.

Qualifications

• An Associate's degree in a related field or 1-2 years' experience.
• Coding certification (CCA or CPC) required or obtained within 9 months of hire.
• Knowledge of CPT/HCPCS/APC coding and ICD-10.
• Ability to research Federal, State and Local billing regulations.
• Proficiency with Microsoft Office and EHRs.

Responsibilities

• Review, enter and/or modify charges to ensure accurate charge capture.
• Support resolution of claim-scrubber edits and collaborate to reduce future edits.
• Track revenue impact from charge corrections.
• Identify opportunities for documentation/system enhancements.
• Demonstrate knowledge of charging guidelines and regs; implement changes.
• Participate in system testing after upgrades/implementations.
• Attend training and meetings to stay current with changes.

Skills

Medical terminology

Anatomy & physiology

CPT/HCPCS/APC coding

Billing regulations research

Microsoft Office (Excel/Word/Outlook)

Communication skills

Electronic health record proficiency

Education

Associate's degree in health information or related field

Coding certification (CCA or CPC)

1–2 years of related experience

Tools

Craneware

Job description

Blanchard Valley Regional Health Center is seeking a Professional Coding Integrity Specialist to review, enter and modify charges, ensuring documentation supports the assigned charges and modifiers. The role involves collaboration with RI and CDI teams to resolve edits and optimize revenue integrity.

The ideal candidate will have an associate degree in a related field, coding certification (CCA/CPC) or be within 9 months of hire, plus strong knowledge of CPT/HCPCS/IPPS/OPPS and ICD-10.