Revenue Integrity & Coding Specialist

Westchester Medical Center Health Network; Town of Mount Pleasant (NY); On-site; USD 70,000 - 90,000; Full time

Job summary

The Revenue Integrity Coordinator at Westchester Medical Center Health Network ensures accurate charge capture and compliant billing. The role reviews accounts, identifies coding questions, and supports education to reduce denials.

Responsibilities include monitoring work queues, researching coding errors, collaborating with providers, and participating in audits and regulatory changes to sustain compliant revenue cycle processes.

Qualifications

• Minimum two years clinical experience in a healthcare setting.
• Preferred experience in Excel and Electronic Medical Records experience.
• Familiarity with CPT-4 codes and ICD-10-CM codes is preferred.

Responsibilities

• Monitors work queues and reports to identify pending charges and resolves issues.
• Researches coding errors and provides feedback to providers to correct errors.
• Recommend sound billing/coding best practices to withstand audits.
• Foster continuous improvement of revenue cycle processes through education and trend analysis.
• Identify pre-bill and post-bill claim edits based on CMS/CCI guidance.
• Collaborate with Cerner, SSI, and other EMRs to correct billing issues.

Skills

Clinical experience

Attention to detail

Analytical thinking

Education

High School Diploma

Associate’s Degree preferred

Tools

Cerner

Patient Keeper

Paragon

Excel

EMR systems

Job description

The Revenue Integrity Coordinator at Westchester Medical Center Health Network ensures accurate charge capture and compliant billing. The role reviews accounts, identifies coding questions, and supports education to reduce denials.

Responsibilities include monitoring work queues, researching coding errors, collaborating with providers, and participating in audits and regulatory changes to sustain compliant revenue cycle processes.