Trinity Health · 1 week ago
Revenue Integrity Coding Specialist - CPC Required
United States
Full-time
Remote
Mid Level
3+ years expTrinity Health is a prominent multi-institutional Catholic health care delivery system, and they are seeking a Revenue Integrity Coding Specialist. This role is responsible for coding and validating charges for complex service lines, ensuring compliance with coding guidelines, and educating clinical staff on documentation practices to optimize revenue integrity.
DeliveryHealth Care
Responsibilities
Responsible for coding and/or validation of charges for more complex service lines, advanced proficiencies in surgical or specialty coding practice
Review chart, including nursing notes, physician orders, progress notes, and surgical or specialty notes thoroughly to interpret and validate and/or extract all charges
Ensure each chart is complete according to specified guidelines
Ensure charges captured on the correct patient, correct encounter, correct date of service, with any required modifiers
Review documentation, abstracts data and ensure charges/coding are in alignment within AMA and Medicare coding guidelines
Ensure medical documentation and coding compliance with Federal, State and Private payer regulations
Perform coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review
Responsible for proofing daily charges for accuracy and clean claim submission
Responsible for balancing charges and adjustments
Maintain productivity standards
Maintain compliance with regulatory requirements
Responsible for denial coordination with Patient Business Service (PBS) centers, including analysis of clinical documentation, assisting in appeals, root cause analysis and tracking as needed
Educates clinical staff on need for accurate and complete documentation to ensure revenue optimization and integrity
Educate clinical staff on need for accurate and complete documentation to ensure revenue optimization and integrity
Perform outpatient clinical documentation improvement review (acute only) as needed
Perform research on charges and communicate findings to intra and inter-departmental colleagues
Maintain a minimum productivity standard, based on service line and charge type; including but not limited to, chart review, charge extraction, E&M level assignment and charge entry
Other related responsibilities as assigned by manager
Qualification
Required
High school diploma or equivalent combination of education and experience
Minimum three (3) years of relevant coding and charge control work experience in a Hospital and/or Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial services
Strong working knowledge of medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations
Licensure / Certification: CPC license required
Must possess a demonstrated knowledge of clinical processes, clinical coding (CPT, HCPCS, ICD-9/10, revenue codes and modifiers), charging processes and audits, and clinical billing. Strong understanding of various medical claim formats
Ability to perform charge capture processes, including understanding technical integration of electronic medical record and the automation of charge triggers, and ability to investigate charge errors accordingly
Preferred
Neurosurgery experience preferred
Knowledge of clinical documentation improvement processes strongly preferred
Strong knowledge of Ambulatory Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and pre-bill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits and Discharged Note Final Billed (DNFB)
Epic experience desired
Benefits
Comprehensive benefit packages available, including medical, dental, vision, paid time off, 403B, and education assistance.
Comprehensive benefits that start on your first day of work
Retirement savings program with employer matching
Company
Trinity Health
Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation.
10001+ employees
H1B Sponsorship
Trinity Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (12)
2023 (10)
2022 (9)
2021 (7)
2020 (14)
Funding
Current Stage
Late StageTotal Funding
$0.02MKey Investors
Centers for Disease Control and Prevention
2025-10-17Grant· $0.02M
Leadership Team
Dan Drake
Trinity Health PACE President and CEO
Eileen Coogan
Pres/CEO Allegany Franciscan Ministries
Recent News
2026-01-16
Company data provided by crunchbase