Revenue Integrity Specialist: Denial Prevention

Trinity Health; Conshohocken (Montgomery County); On-site; USD 75,000 - 110,000; Full time

Benefits offered by this job

Comprehensive benefits

Free parking

Referral rewards program

Job summary

Trinity Health's St. Mary Medical Center seeks a Revenue Integrity Recovery Coordinator to analyze patient data, identify documentation, coding and denial prevention opportunities, and implement corrective action plans.

This full-time, day-shift role collaborates across departments to improve accuracy in charge capture and regulatory compliance. Responsibilities include conducting audits, supporting education initiatives, and partnering with clinical areas to ensure proper documentation and

Qualifications

• Bachelor’s degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or related field or equivalent experience.
• Five+ years in billing, charge documentation, charge audit or related revenue cycle activities.
• Proficiency with MS Excel, Access, and Business Objects; strong Word/PowerPoint skills.
• Knowledge of third-party payer rules and charge documentation and billing systems.
• RHIA, RHIT, CCS, CPC/COC or other coding credentials strongly preferred.

Responsibilities

• Collaborates with intra-departmental teams on denial investigations and root cause analysis.
• Performs audits and submits findings with recommendations to leadership.
• Supports education, process improvements, and ongoing assessment of root cause issues.
• Partners with clinical departments to ensure proper documentation and charging for services.
• Tracks risk accounts and coordinates with Finance to monitor reserves and potential impacts.

Skills

Coding credentials

Education

Bachelor’s degree in Healthcare or related field

Tools

MS Excel

Access

Business Objects

Word

PowerPoint

Job description

Trinity Health's St. Mary Medical Center seeks a Revenue Integrity Recovery Coordinator to analyze patient data, identify documentation, coding and denial prevention opportunities, and implement corrective action plans.

This full-time, day-shift role collaborates across departments to improve accuracy in charge capture and regulatory compliance. Responsibilities include conducting audits, supporting education initiatives, and partnering with clinical areas to ensure proper documentation and