Trinity Health · 12 hours ago
REMOTE Revenue Integrity & Optimization Charge Specialist
United States
Full-time
Remote
Mid Level
$51K/yr - $77K/yr
3+ years expTrinity Health is a mission-driven organization that values innovation and teamwork. The Revenue Integrity & Optimization Charge Specialist is responsible for ensuring accurate CPT/HCPCS documentation for patient billing, charge capture in assigned areas, and educating colleagues on proper documentation practices.
DeliveryHealth Care
Responsibilities
Researches, collects & analyzes information. Identifies opportunities, develops solutions, & leads through resolution. Collaborates on performance improvement activities as indicated by outcomes in program efficiency & patient experience. Responsible for distribution of analytical reports
Utilizes multiple system applications to perform analysis, create reports & develop educational materials. Incorporates basic knowledge of TH policies, practices & processes to ensure quality, confidentiality, & safety are prioritized. Demonstrates knowledge of departmental processes & procedures & ability to readily acquire new knowledge
Research & compiles information to support ad-hoc operational projects & initiatives. Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making. Leverages program & operational data & measurements to define & demonstrate progress, ROI & impacts
Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices
Qualification
Required
Associate's Degree in healthcare, business administration, finance, accounting, or related field or equivalent experience considered in lieu of degree
Minimum of 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
Licensure/Certification: RHIA, RHIT, CCS, CPC/COC, AAPC or other coding credentials
Must possess a demonstrated knowledge of clinical processes, charge master maintenance, clinical coding (CPT, ICD-10, revenue codes & modifiers), charging processes, audits, and clinical billing
Working knowledge of third-party payer rules & requirements, computer operations & electronic interfaces related to charge documentation, capture & billing
Knowledge of charge capture, reconciliation, error management operations & overall revenue cycle operations
Preferred
CDC Healthcare Compliance Certification or CHRI cert/membership
Knowledge of Ambulatory Payment Classification (APC), Outpatient Prospective Payment System (OPPS) reimbursement structures and prebill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits, and Discharged Note Final Billed (DNFB)
Knowledge of clinical documentation improvement processes strongly preferred
Benefits
Benefits that start on 1st Day
Daily Pay Program
Tuition Assistance Program
Inclusive Culture of Professionalism and Compassion
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
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