Revenue Integrity Coding Specialist

Trinity Health; South Bend (IN); Remote; USD 65,000 - 90,000; Full time

Benefits offered by this job

Tuition reimbursement

ASN to BSN tuition

Benefits from day one

Employer matching retirement plan

Paid time off + 7 holidays

No mandatory overtime

Employee referral program

CEU support

Job summary

Saint Joseph Health System is seeking a Revenue Integrity Analyst to perform in-depth analysis of patient clinical and billing data to identify documentation, coding and denial prevention opportunities. You will develop action plans to improve revenue cycle efficiency and ensure compliance with billing regulatory guidelines.

The role collaborates with clinical areas and intra- and inter-departmental teams, participates in audits, and supports root-cause analysis to optimize charge capture.

Qualifications

• Bachelor's degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or equivalent.
• Five+ years of billing, charge documentation, charge audit or related revenue cycle experience.
• Knowledge of physician practice coding (CPT/ICD-10).

Responsibilities

• Analyze patient clinical and billing data to identify documentation gaps and denial patterns.
• Develop action plans to prevent denials and improve revenue cycle efficiency.
• Coordinate denial management with intra-team and inter-departmental colleagues.
• Complete reports timely and ensure compliance with billing and regulatory guidelines.

Skills

Physician practice coding

Education

Bachelor's degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or related field

Job description

Employment Type

Full time

Shift

Day Shift

Description

Location: 100% Remote

Status: Full Time- 40 hours

Flexible Schedule

Responsible for Urology, Hematology Oncology, and Wellness and Weight Management practices.

Saint Joseph Health System is proud to offer Daily Pay. Work Today, Get Paid Today!

Why Saint Joseph Health System?

• At Saint Joseph Health System, our values give us strength. That character guides every decision we make - even when those decisions are complicated, costly or hard. We honor our mission to care for every man, woman, and child who needs us by investing in technology, people and capabilities that allow us to set the standard for quality care.

What we offer

• Tuition reimbursement for all full and part-time colleagues effective first day of employment
• 100% paid tuition for ASN to BSN program (paid directly to learning partner)
• Benefits day one (Including: Medical, Dental, Vision, PTO, Life, STD/LTD, etc.)
• Retirement savings account with employer match
• Generous paid time off program + 7 paid holidays
• NO mandatory overtime
• Employee referral incentive program
• State of the art equipment, unlimited CEU’s and supportive team approach

JOB SUMMARY

• Responsible for performing in-depth analysis of patient clinical and billing data to identify documentation, coding and denial prevention. Develops and implements action plans for denial prevention based on root cause analysis findings. Promote revenue cycle operational efficiency, data integrity and compliance with billing and regulatory guidelines. Responsible for working complex denial coordination with intra-team members to identify root cause. Performs audits and collaborates with intra and inter-departmental teams on compliance, education, accuracy in charge capture and improvement in the revenue cycle processes as identified through revenue cycle audits and root cause analysis. Works closely with clinical areas to effectively document services performed and understand relationship of documentation, medical necessity, coding and charging for all services provided. Completes assigned reports timely and accurately. May be required to travel between locations within the Region.

JOB SPECIFICATIONS AND CORE COMPETENCIES

• Education: Must possess a demonstrated knowledge of clinical processes, charge master maintenance, clinical coding (CPT, ICD-10, revenue codes and modifiers), charging processes and audits, and clinical billing as normally obtained through a Bachelor's degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or a related field, or an equivalent combination of years of education and experience.
• Experience: Five (5) or more years of experience in billing, charge documentation, charge audit or charge capture activities, or other functions related to revenue cycle activities.
• Must be knowledgeable in physician practice coding.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran