Revenue Integrity Denials Specialist (Remote)

Trinity Health; Livonia (MI); Remote; USD 34,000 - 52,000; Full time

Job summary

Trinity Health in Livonia, MI (remote position) seeks a Revenue Cycle Denials Analyst to analyze clinical and billing data, identify root causes, and implement action plans to reduce denials and improve billing accuracy. You will work with clinical teams to ensure proper documentation and relate services to coding and charging.

Responsibilities include auditing, education, process improvements, and collaboration with PBS, payer strategies, and compliance.

Qualifications

• Bachelor's degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or related field or equivalent experience
• Five or more years of experience in billing, charge documentation, charge audit or charge capture activities
• Proficiency with MS Excel, Access, Business Objects; strong Word and PowerPoint knowledge
• Knowledge of third-party payer rules and requirements; coding credentials preferred
• Knowledge of CPT, ICD-10, HCPCS, APC and OPPS reimbursement structures and prebill edits

Responsibilities

• Analyze data and report trends; identify opportunities for denial prevention across the revenue cycle
• Collaborate with departments on denial coordination and root cause analysis
• Conduct departmental audits; prepare findings and recommendations
• Maintain logs of denials and audits; support training and process improvements
• Stay updated on regulatory changes affecting charging and billing

Skills

Clinical data analysis

Denial prevention

Communication skills

Project coordination

Education

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

Tools

MS Excel

MS Access

Business Objects

Word

PowerPoint

Job description

Trinity Health in Livonia, MI (remote position) seeks a Revenue Cycle Denials Analyst to analyze clinical and billing data, identify root causes, and implement action plans to reduce denials and improve billing accuracy. You will work with clinical teams to ensure proper documentation and relate services to coding and charging.

Responsibilities include auditing, education, process improvements, and collaboration with PBS, payer strategies, and compliance.