Revenue Integrity Coordinator
About The Position
Nashville General Hospital is hiring a Full Time, Revenue Integrity Coordinator in Nashville, TN. The Revenue Integrity & Charge Capture Manager is responsible for overseeing the hospital charge master (CDM) and ensuring accurate, compliant charge capture across all clinical departments. This role plays a critical part in improving healthcare revenue cycle performance, optimizing reimbursement, reducing denials, and maintaining regulatory compliance. The ideal candidate has strong experience in medical coding, documentation improvement, payer rules, and revenue integrity operations.
Requirements
- Minimum 2 years' experience in healthcare revenue cycle, reimbursement methodologies, managed care, and government billing regulations.
- Extensive experience in charge master (CDM) maintenance and charge capture processes.
- Required: High School Diploma or equivalent
- Required Certification: CIC (Certified Inpatient Coder)
Nice To Haves
- Payer contract audit experience preferred.
- Preferred: Bachelor’s degree in a healthcare or business-related field
- Preferred Certifications: CRCR, CPMA, or other revenue cycle/coding credentials
Responsibilities
- Manage and maintain the charge master (CDM) to ensure accurate, compliant charge capture and reimbursement.
- Provide guidance and training on ICD-10, CPT/HCPCS, documentation, medical necessity, and payer requirements.
- Review and analyze clinical denials, RAC audits, and DRG validations; implement denial-prevention strategies.
- Conduct audits to ensure coding accuracy, CMS/OIG compliance, and revenue integrity.
- Collaborate with physicians, HIM, Revenue Cycle, Compliance, and clinical departments to resolve coding and documentation issues.
- Monitor regulatory and payer updates impacting billing and communicate changes to stakeholders.
- Lead charge capture workflow improvements and support new service line implementations.
Benefits
- Benefits begin on the first day of the month after 30 days of employment
- Metro Health Incentive Program - Access to high quality healthcare without incurring out-of-pocket expenses
- Short and Long-Term Disability - up to 60% of eligible weekly pay
- Life Insurance - Metro provides you with basic life and AD&D coverage at no cost to you
- Retirement Plan- eligible up to IRS max limits and includes company contribution.
- Shift and Weekend Differential Pay Offered on Nights and Weekends
- Tuition Reimbursement for Employee and Dependents
- Clinical Ladder Program
- Up to 12 paid holidays each Year
- Flexible Spending Accounts
- Free Parking for all employees
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
