Revenue Integrity Coordinator
About The Position
Under the direction of the Manager of Revenue Integrity, the Revenue Integrity Coordinator is part of a high-profile team focused on improving revenue results. The role helps ensure patient services are accurately charged, appropriately coded, supported by clinical documentation, and recorded in the proper department. The coordinator assists Revenue Cycle Services, Coding, Clinical Documentation Improvement (CDI), and other departments in resolving billing issues and denials that require clinical expertise. The role also participates in external audit requests and special projects as needed. The position is full-time and hybrid, based at SLH - SeaComm, 145 Market St., Potsdam, NY 13676, with a Monday–Friday schedule from 7:30 AM to 4:00 PM.
Requirements
- High school diploma or equivalent.
- Coding credential (e.g., RHIT or CCS) or equivalent revenue cycle experience.
- Experience with billing and documentation systems.
- General knowledge of reimbursement regulations.
Nice To Haves
- Associate's degree in Healthcare or Business.
- One to two years of previous experience in a hospital-related field.
- Experience with database software applications.
Responsibilities
- Conduct charge capture, coding, documentation, and compliance audits to ensure accuracy and billing compliance.
- Review audit findings with departmental leadership and recommend process improvements.
- Analyze charge capture trends and audit reports to identify missed revenue opportunities and areas for improvement.
- Identify and resolve charging, coding, documentation, and billing discrepancies in EPIC and related systems.
- Provide feedback and guidance to providers and department staff on documentation accuracy and compliance requirements.
- Develop and deliver training and education on charge capture, coding, documentation standards, and regulatory updates.
- Maintain knowledge of Medicare and Medicaid billing guidelines, regulations, and coding requirements, including LCDs and NCDs.
- Collaborate with Revenue Integrity, Coding, Denials/Appeals, and departmental leadership to improve revenue cycle processes and outcomes.
- Assist Revenue Cycle Services, Coding, CDI, and other departments with billing issues and denials requiring clinical expertise.
- Participate in external audit requests and special projects as needed.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
