Revenue Integrity Nurse: Charge Capture & Coding Expert

Mercy Health Corporation; Janesville (WI); On-site; USD 75,000 - 112,000; Full time

Benefits offered by this job

Medical, Dental, Vision

Life & Disability Insurance

FSA/HSA Options

Paid time off

Parental and caregiver leave

Tuition and certification reimburse

Job summary

Mercyhealth is seeking an experienced Revenue Integrity professional to partner with clinical leaders to ensure accurate charge capture, coding, and billing across service lines. The role monitors EPIC Revenue Integrity dashboards and educates clinical teams on compliant charge practices.

Ideal candidates will have RN licensure and 3+ years in revenue cycle with strong analytical and communication skills, plus knowledge of CPT/HCPCS coding and payer guidelines.

Qualifications

• Bachelor of Science in Nursing; 3+ years revenue cycle experience.
• Five+ years hospital or coding experience with focus on charge integrity/revenue.
• EPIC HB/PB experience; CPT/HCPCS coding knowledge preferred.

Responsibilities

• Collaborate with clinical department leaders to monitor charge capture across entities.
• Evaluate charging and coding structures for accurate revenue capture and payer compliance.
• Complete focused charge review assessments to ensure policy-based charges are generated timely.
• Advise service lines on proper charge codes; identify opportunities to capture additional revenue.
• Provide guidance on charge capture, coding and billing processes to clinical teams.

Skills

Charge capture

Data analysis

Communication

Revenue cycle knowledge

Education

Bachelor of Science in Nursing

Tools

EPIC HB/PB

Job description

Mercyhealth is seeking an experienced Revenue Integrity professional to partner with clinical leaders to ensure accurate charge capture, coding, and billing across service lines. The role monitors EPIC Revenue Integrity dashboards and educates clinical teams on compliant charge practices.

Ideal candidates will have RN licensure and 3+ years in revenue cycle with strong analytical and communication skills, plus knowledge of CPT/HCPCS coding and payer guidelines.