Revenue Integrity Coding Specialist

Trinity Health•South Bend, IN

4d•Remote

About The Position

The Revenue Integrity Coding Specialist is responsible for Urology, Hematology Oncology, and Wellness and Weight Management practices. This full-time, 40-hour-per-week position is 100% remote, with a day shift and flexible schedule. The role performs in-depth analysis of patient clinical and billing data to identify documentation, coding, and denial-prevention opportunities. It develops and implements denial-prevention action plans based on root-cause analysis and supports revenue-cycle efficiency, data integrity, and compliance with billing and regulatory guidelines. The specialist coordinates complex denials with intra-team members to identify root causes; performs audits; and collaborates with internal and external departmental teams on compliance, education, charge-capture accuracy, and revenue-cycle process improvements identified through audits and root-cause analysis. The role works closely with clinical areas to support effective documentation of services and understanding of the relationships among documentation, medical necessity, coding, and charging. It completes assigned reports accurately and on time. Travel between locations within the region may be required.

Requirements

Demonstrated knowledge of clinical processes, charge master maintenance, clinical coding (CPT, ICD-10, revenue codes, and modifiers), charging processes and audits, and clinical billing, obtained through a bachelor's degree in a related field or an equivalent combination of education and experience.
Five or more years of experience in billing, charge documentation, charge audit or charge capture activities, or other revenue-cycle-related functions.
Knowledge of physician practice coding.

Responsibilities

Analyze patient clinical and billing data to identify documentation, coding, and denial-prevention issues.
Develop and implement denial-prevention action plans based on root-cause analysis findings.
Coordinate complex denials with intra-team members to identify root causes.
Perform revenue-cycle audits.
Collaborate with intra- and inter-departmental teams on compliance, education, charge-capture accuracy, and revenue-cycle process improvements.
Work with clinical areas to support documentation of services and understanding of the relationships among documentation, medical necessity, coding, and charging.
Complete assigned reports accurately and on time.
Travel between locations within the region if required.

Benefits

Daily Pay
Tuition reimbursement for full- and part-time colleagues, effective the first day of employment
100% paid tuition for the ASN-to-BSN program, paid directly to the learning partner
Benefits effective the first day, including medical, dental, vision, paid time off, life insurance, and short- and long-term disability
Retirement savings account with employer match
Generous paid time off program
Seven paid holidays
No mandatory overtime
Employee referral incentive program
State-of-the-art equipment
Unlimited CEUs
Supportive team approach