REVENUE CYCLE COORDINATOR

HUMBOLDT GENERAL HOSPITAL•Winnemucca, NV

2d•Onsite

About The Position

The Revenue Cycle Coordinator is responsible for coordinating key revenue cycle functions with a focus on charge capture integrity and denial management. This role oversees charge capture governance activities including leadership and coordination of the charge capture committee and supports the identification, analysis, and reduction of claim denials across inpatient and outpatient hospital services. The Revenue Cycle Coordinator serves as a central liaison between clinical departments, coding, billing, utilization review, and finance to ensure accurate billing, timely reimbursement, and compliance with regulatory and payer requirements. This position plays a critical role in preventing revenue leakage, improving first pass yield, and driving continuous improvement across the revenue cycle.

Requirements

High School Diploma
3-5 years of experience in hospital revenue cycle, charge capture, billing, or related healthcare role.
Strong understanding of hospital charge capture and billing workflows.
Familiar with denial types, payer requirements, and appeals processes.
Strong organizational, coordination, and follow up skills.
Effective written and verbal communication skills.
Proficient with Cerner community works.
Demonstrated proficiency in Microsoft Excel (pivot tables, formulas, data tracking).

Nice To Haves

Associate or bachelor's degree in healthcare administration, business, finance, or related field
Experience working with multidisciplinary teams across clinical and revenue cycle functions

Responsibilities

Coordinate and oversee the charge capture committee, including meeting schedule, agenda development, documentation, and follow up.
Prepare and present charge capture performance metrics, trends, and identified risks.
Track action items, assigned ownership, and ensure timely resolution of charge capture issues.
Facilitate collaboration between clinical, coding, CDM, and billing teams to improve charge capture accuracy.
Support challenge capture governance, policy adherence, and standardization efforts.
Monitor inpatient and outpatient charge capture process for accuracy, completeness, and timeliness.
Identify mist, wait, duplicate, or incorrect charges and coordinate corrections with appropriate departments.
Support charge reconciliation between clinical documentation, charge entry systems, CDM, and billing systems.
Assist with child audits and contribute to CDM maintenance and compliance activities.
Assist with charge capture audits and reviews as assigned.
Escalate recurring or high-risk charge capture issues to leadership.
Prepare and distribute RCAT charge audits.
Coordinate the tracking and monitoring of claim denials across all payer types, including Medicare, Medicare Advantage, Medicaid, and commercial payers.
Support denial analysis by categorizing denials by type, payer, department, provider, and root cause.
Partner with billing, coding, utilization review, and clinical teams to address denial trends and corrective actions.
Monitor appeal status and denial resolution timeliness, escalating concerns as needed.
Coordinate periodic reviews to ensure a payment per contracts.
Maintain reports and tracking tools related to charge capture.
Run, evaluate, and distribute denial reports.
Monitor key revenue cycle metrics.
Serve as a point of contact for clinical and operational staff regarding charge capture and denial questions.
Provide feedback and education related to charge capture processes, common errors, and payer requirements.
Participate in multi-disciplinary work groups focused on revenue cycle optimization.
Coordinate developing a robust revenue cycle education program for patient access and business office.
Maintain compliance with internal controls, company policies, and relevant regulations (e.g., HIPAA).
Create and update standard operating procedures (SOP's) for Revenue Cycle.
Other related duties as assigned.