Revenue Integrity Specialist

Seattle Children's

. Research and analyze coding-related denials and revenue flow interruptions .

Posted 9/18/2026full-timeRemote • Washington • United StatesMid-LevelSenior💰 $88,786 - $133,180 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in coding and abstracting clinical information, with a strong focus on revenue integrity and facility payment models. Proficient in utilizing Epic for technical charge flow and capable of identifying automation opportunities to enhance revenue capture.

Highest-signal resume keywords

Certified Coding Specialist (CCS)Revenue Integrity ExperienceFacility Payment Models KnowledgeTechnical Charge Flow Through EpicCoding Denial Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Coding PracticesAbstracting Clinical InformationRevenue Cycle ManagementCharge ReconciliationData AnalysisAutomation ImplementationPayer Behavior AnalysisDenial RemediationClinical Coding StandardsDecision Support Systems

Soft Skills

CollaborationCommunicationProblem-SolvingAnalytical ThinkingInterpersonal Skills

Tools & Technologies

EpicSlicerDicerReporting WorkbenchSharePointExcelWordPowerPoint3M Encoders

Certifications & Qualifications

Certified Professional Coder (CPC)Certified Outpatient Coder (COC)Registered Health Information Technician (RHIT)Registered Health Information Administrator (RHIA)

Industry Keywords

Acute Care HospitalPayer RelationsClinical Revenue CycleCoding DenialsFacility Payment ModelsDRGAPCEAPGCoding GuidelinesPediatric Acute Care

About the role

Key responsibilities & impact

Research and analyze coding-related denials and revenue flow interruptions
Identify patterns of payer behavior, coder trends, or system issues
Maintain denial work queues and perform hands-on remediation
Track escalations and communicate with Payer Relations and Hospital Billing teams
Provide revenue-related reporting using SlicerDicer and Reporting Workbench
Assist operational owners with charge reconciliation understanding
Serve as a subject matter expert on facility payment models and technical charge flow through Epic
Identify opportunities for automation and AI implementation to improve compliant revenue capture
Collaborate with coding educators and service line leaders to bridge clinical and revenue cycle processes

Requirements

What you’ll need

Associate degree in Health Information Management or related field or equivalent relevant work experience
Minimum of five years of experience in coding and abstracting clinical information in an acute care hospital setting or equivalent
Direct experience with both facility and professional coding practices and standards
Minimum one year of experience in a Revenue Integrity-related role
Certified Coding Specialist (CCS) certification by AHIMA, or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) by AAPC
RHIT or RHIA willing to obtain a listed coding credential within 6 months of hire
Knowledge of facility payment models (DRG, APC, EAPG)
Technical charge flow through Epic for inpatient and outpatient services
Preferred: Bachelor’s degree
Preferred experience in an academic acute care setting
Preferred experience in a pediatric acute care setting
Preferred experience with EPIC
Preferred experience with SharePoint and instructional design
Preferred experience in coding denial management and appeals process
Preferred experience researching payer policy and coding guidelines
Preferred experience with decision support systems
Preferred experience with encoders (3M)
Adept use of Excel, Word, and PowerPoint

Benefits

Comp & perks

Medical, dental, and vision plans
403(b)
Life insurance
Paid time off
Tuition reimbursement