Coordinator Charge Revenue Integrity (Remote)

Trinity Health•Livonia, MI

3d•$25 - $38•Remote

About The Position

The Coordinator, Charge Revenue Integrity provides oversight and support for departmental workflows and functions, with an expanded role that may include delegation, process improvement, and coordination with leadership to maintain efficient operations and quality. The position may support team selection, orientation, and performance feedback, and works cooperatively to meet customer needs and operational goals. This role coordinates operational, technical, and clerical support services; organizes workflows and priorities; may mentor or lead a small team; maintains procedural standards and records; and develops team education and new employee orientation. It uses multiple systems for data collection and management, applies organizational policies and processes, participates in performance improvement, and helps identify and resolve operational issues. The coordinator communicates goals and expectations, builds collaborative relationships, addresses or escalates conflicts, maintains a safe and compliant work environment, stewards resources, and supports personal and team development. Functionally, the role ensures accurate CPT/HCPCS documentation for patient billing and educates colleagues and ancillary departments on documentation and appropriate coding. It is responsible for charge capture in assigned Revenue Integrity areas, reviewing patient records to validate and extract charges, and confirming the patient, encounter, date of service, and required modifiers are correct. The coordinator reviews documentation and coding against AMA and Medicare guidelines; performs coding, documentation review, and claim-denial review; and works pre-bill edits within key metrics, including OCE/CCI and DNFB. The role also supports ancillary departments with appropriate supply and implant charges, identifies duplicate charges and documentation or charge errors, performs charge entry, approvals, and quality reviews, and provides feedback to Revenue Integrity colleagues. It handles more complex service lines and advanced surgical or specialty coding, and educates clinical staff on complete and accurate documentation. The position is remote and is listed as full-time, day shift. The stated pay range is $25.0209–$37.5313.

Requirements

Associate’s degree in healthcare, business administration, finance, accounting, or a related field, or equivalent experience in lieu of a degree.
At least 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, charge master 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.

Nice To Haves

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

Responsibilities

Coordinate operational, technical, and clerical support services that improve departmental coordination, preparation, and workflow.
Plan and organize workflows and prioritize customer needs.
May lead a small team, serve as a mentor, and support team members’ professional growth.
Create and maintain procedural standards and records, and develop team education programs, including new employee orientation.
Use multiple system applications for data collection and management while applying relevant policies and processes.
Collaborate on performance improvement activities and help identify opportunities, develop solutions, and lead teams through resolution.
Communicate goals, standards, expectations, and performance; build collaborative relationships and address or escalate conflicts.
Maintain a safe, organized, and compliant workspace and steward people, financial, equipment, supply, and material resources.
Ensure accurate CPT/HCPCS documentation for patient billing and educate colleagues and ancillary departments on accurate documentation and coding.
Manage charge capture in assigned Revenue Integrity areas.
Review patient charts, including nursing notes, physician orders, progress notes, and surgical or specialty notes, to validate and extract charges.
Verify charges are associated with the correct patient, encounter, and date of service and include required modifiers.
Review documentation and ensure charges and coding 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 ensuring appropriate capture of supply and implant charges, identifying duplicate charges, and communicating documentation or charge deficiencies and errors.
Perform charge entry, charge approvals, and quality charge reviews, including appending modifiers and checking clinical documentation.
Provide feedback to Revenue Integrity colleagues about areas of opportunity.
Code and/or validate charges for more complex service lines, including advanced surgical or specialty coding.
Educate clinical staff on the need for accurate and complete documentation to support revenue optimization and integrity.
Maintain knowledge of applicable laws, regulations, organizational policies, compliance requirements, and safe work practices.