Specialist, Charge Revenue Integrity – Cardiology

Trinity Health

. Research, collect, analyze, and synthesize information for operational projects and initiatives .

Posted 11/5/2026full-timeRemote • Michigan • United StatesMid-LevelSenior💰 $22 - $33 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in CPT and ICD-10 coding, charge capture, and revenue cycle operations, ensuring compliance with coding guidelines and optimizing revenue integrity. Proficient in analyzing operational data to drive performance improvements and educate clinical staff on documentation best practices.

Highest-signal resume keywords

CPT CodingICD-10 CodingCharge CaptureRevenue Cycle OperationsClinical Documentation Improvement

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Charge ControlClinical CodingDocumentation ReviewClaim Denial ReviewData AnalysisPerformance ImprovementQuality Charge ReviewsGraphical Data PresentationsCPT/HCPCS DocumentationCharge Entry

Soft Skills

CollaborationProblem SolvingCommunicationAttention to DetailEducation and Training

Tools & Technologies

Electronic InterfacesSystem ApplicationsAnalytical Reporting ToolsPPE Usage

Certifications & Qualifications

RHIARHITCCSCPC/COCAAPCCDC (Healthcare Compliance Certification)CHRI Certification

Industry Keywords

Revenue IntegrityPatient Financial ServicesThird-Party Payer RulesAmbulatory Payment ClassificationOutpatient Prospective Payment SystemOCE/CCI EditsDNFBCharge Master MaintenanceClinical ProcessesHealthcare Compliance

About the role

Key responsibilities & impact

Research, collect, analyze, and synthesize information for operational projects and initiatives
Identify opportunities, develop solutions, and lead issues through resolution
Collaborate on performance improvement activities based on program efficiency and patient experience outcomes
Distribute analytical reports
Use multiple system applications to perform analysis, create reports, and develop educational materials
Ensure quality, confidentiality, and safety through knowledge of Trinity Health policies, practices, and processes
Prepare detailed summaries with graphical data presentations illustrating trends and recommending practical solutions
Leverage program and operational data to define and demonstrate progress, ROI, and impacts
Ensure accurate CPT/HCPCS documentation for patient billing and educate colleagues and ancillary departments on accurate documentation and coding
Perform charge capture in assigned Revenue Integrity areas
Review charts, nursing notes, physician orders, progress notes, and surgical or specialty notes to interpret, validate, and/or extract charges
Verify charges are assigned to the correct patient, encounter, date of service, and required modifiers
Review documentation and ensure charges/coding align with AMA and Medicare coding guidelines
Perform CPT and ICD-10 coding, documentation review, and claim denial review
Work pre-bill edits including OCE/CCI and DNFB within key metrics
Provide at-elbow support to ancillary departments, including supply and implant charge capture, duplicate charge identification, and deficiency/error communications
Perform charge entry, charge approvals, and quality charge reviews, including modifiers and clinical documentation checks
Provide feedback to Revenue Integrity colleagues on improvement opportunities
Code and/or validate charges for complex service lines and advanced surgical or specialty coding
Educate clinical staff on accurate and complete documentation for revenue optimization and integrity

Requirements

What you’ll need

Associate’s degree in healthcare, business administration, finance, accounting, or related field or equivalent experience considered in lieu of degree
RHIA, RHIT, CCS, CPC/COC, AAPC or other coding credentials required
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
Demonstrated knowledge of clinical processes, charge master maintenance, clinical coding (CPT, ICD-10, revenue codes & modifiers), charging processes & audits, & 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
CDC (Healthcare Compliance Certification) preferred
CHRI certification/membership strongly preferred
Knowledge of Ambulatory Payment Classification (APC), Outpatient Prospective Payment System (OPPS), OCE/CCI edits & DNFB
Knowledge of clinical documentation improvement processes strongly preferred
Must comply with Trinity Health’s Code of Conduct, policies, procedures & guidelines
Ability to use computers and other technology; maintain a safe working environment and use PPE
Ability to lift a maximum of 30 pounds unassisted occasionally