Senior Clinical Revenue Specialist

TriHealth•Cincinnati, OH

2d•Remote

About The Position

Join TriHealth as a Sr. Clinical Revenue Specialist! At TriHealth, you'll play a critical role behind the scenes, ensuring accurate revenue capture and supporting the financial strength that allows us to deliver exceptional care to the communities we serve. Join a collaborative, mission-driven team where your clinical expertise, analytical skills, and innovative thinking directly impact both patient care and organizational success. As a trusted leader in healthcare, TriHealth offers a supportive culture, opportunities for professional growth, and the chance to work alongside clinical, operational, and technology teams to drive meaningful improvements. Here, your work will help shape revenue integrity strategies that support over $1 billion in annual hospital revenue while advancing our commitment to improving health and enhancing lives. Apply today and grow your career with a team that truly values you.

Requirements

Bachelor's Degree (Required)
2 - 3 years experience licensed clinical professional (Required)
Working knowledge and understanding of HCPCS
CPT
Revenue codes
Budget development and RVUs
Working knowledge and understanding of EPIC EMR navigation and clinical documentation

Nice To Haves

Other Licensed Clinical Professional Upon Hire Preferred
Other Coding Credentials Upon Hire Preferred

Responsibilities

Provides leadership to identify and implement hospital revenue enhancement opportunities.
Acts as a liaison, consultant and educator for hospital charge capture to leadership, clinical teams, charge entry team members, IT, billing, and purchasing.
Maintains accurate and compliant CDM.
Regularly reviews vendor CDM data scrubber's compliance reports for assigned service areas and hospital locations and takes necessary action to maximize compliant billing and reimbursement.
Collaborates with leadership and clinical teams on annual strategic pricing to meet gross revenue targets.
Actively develops with IS liaison, specific Revenue Integrity revenue guardian checks, claim edits, and work queue rules.
These revenue validation tools ensure timely billing and accurate reimbursement.
Facilitates development, implementation and provide monitoring of operational charge capture processes that meet regulatory compliance and that are effective for end-users.