Coordinator Charge Revenue Integrity (Remote)

Trinity Health•Livonia, MI

2d•Remote

About The Position

The Coordinator, Charge Revenue Integrity provides oversight and workflow support for assigned Revenue Integrity functions, helping maintain efficient and effective operations and meet quality and performance goals. The role may lead or mentor a small team, support team development and orientation, and contribute to policy and procedure development and process improvement. This is a remote position on the day shift. The position is responsible for accurate charge capture and CPT/HCPCS documentation for patient billing in assigned areas. It reviews patient charts and related clinical documentation to interpret, validate, and extract charges; verifies patient, encounter, date of service, and modifier accuracy; and ensures coding and charges align with AMA and Medicare guidelines. The coordinator performs coding and documentation review, claim denial review, charge entry and approvals, quality charge reviews, and pre-bill edit work, including OCE/CCI and DNFB. The role also provides support and education to clinical and ancillary departments, identifies and communicates charge or documentation issues, and handles coding and validation for more complex service lines. The coordinator works collaboratively with Revenue Integrity colleagues and leadership, communicates operational expectations and performance, addresses or escalates conflicts, and supports safe, compliant, and resource-conscious operations. The role requires ongoing professional development and adherence to applicable laws, regulations, Trinity Health policies, and its Integrity and Compliance Program and Code of Conduct.

Requirements

Associate’s degree in healthcare, business administration, finance, accounting, or a related field, or equivalent experience in lieu of a degree.
Minimum three years of relevant coding and charge control work experience in a hospital and/or physician practice environment, with experience in revenue cycle, billing, coding, and/or patient financial services.
Demonstrated knowledge of clinical processes, chargemaster maintenance, clinical coding (CPT, ICD-10, revenue codes, and modifiers), charging processes and audits, and clinical billing.
Working knowledge of third-party payer rules and requirements, computer operations, and electronic interfaces related to charge documentation, capture, and billing.
Knowledge of charge capture, reconciliation, error management operations, and overall revenue cycle operations.
Ability to review clinical documentation and validate charges and coding.

Nice To Haves

RHIA, RHIT, CCS, CPC/COC, or other coding credentials.
Licensed Vocational Nurse or Licensed Practical Nurse licensure.
CHC (Healthcare Compliance Certification).
CHRI certification or membership.
Registered Nurse qualification.
Knowledge of Ambulatory Payment Classification (APC) and Outpatient Prospective Payment System (OPPS) reimbursement structures and pre-bill edits, including OCE/CCI edits and DNFB.
Knowledge of clinical documentation improvement processes.

Responsibilities

Coordinate operational, technical, and clerical support services and organize workflows according to customer needs and departmental priorities.
Provide oversight and support for assigned Revenue Integrity workflows and functions; may lead a small team and serve as a mentor.
Create and maintain procedural standards and records, and develop educational programs for team members, including new employee orientation.
Contribute to policy and procedure development and performance improvement; identify opportunities, develop solutions, and help lead the team through resolution.
Use multiple system applications for data collection and management while prioritizing quality, confidentiality, and safety.
Review charts, including nursing notes, physician orders, progress notes, and surgical or specialty notes, to interpret, validate, and extract charges.
Verify charges are assigned to the correct patient, encounter, and date of service, with required modifiers.
Review documentation, abstract data, and ensure coding and charges align with AMA and Medicare coding guidelines.
Perform coding functions, including CPT and ICD-10 assignment, documentation review, and claim denial review.
Work pre-bill edits within key metrics, including OCE/CCI and DNFB.
Provide at-elbow support to ancillary departments, including checking appropriate supply and implant charge capture, identifying duplicate charges, and communicating documentation or charge deficiencies and errors.
Perform charge entry, charge approvals, and quality charge reviews, including modifier assignment and clinical documentation checks.
Provide feedback to Revenue Integrity colleagues about opportunities for improvement.
Code and/or validate charges for more complex service lines, using advanced surgical or specialty coding proficiency.
Educate clinical staff on the importance of accurate and complete documentation for revenue optimization and integrity.
Communicate goals, standards, program expectations, and service performance; proactively address or escalate organizational, operational, or team conflicts.
Maintain a safe, organized, and functional work environment; steward resources and support the professional growth of team members.
Maintain working knowledge of applicable laws, regulations, policies, procedures, and compliance standards; self-monitor work and seek guidance or make corrections when needed.