Specialist – Charge Revenue Integrity

Trinity Health

. Use specialized knowledge, data, research analysis, critical thinking, and problem-solving to support organizational strategic objectives .

Posted 11/5/2026full-timeRemote • Michigan • United StatesMid-LevelSenior💰 $25 - $38 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 AMA and Medicare guidelines. Proficient in data analysis, report generation, and collaboration to enhance operational efficiency and patient experience outcomes.

Highest-signal resume keywords

CPT CodingICD-10 CodingRevenue Cycle OperationsCharge CaptureClinical Documentation Improvement

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisReport GenerationCharge EntryQuality Charge ReviewsClinical CodingDocumentation ReviewClaim Denial ReviewCharge Master MaintenanceError ManagementPerformance Improvement

Soft Skills

Critical ThinkingProblem-SolvingCollaborationAttention to DetailCommunication

Tools & Technologies

Electronic InterfacesComputer OperationsMultiple System Applications

Certifications & Qualifications

RHIARHITCCSCPC/COCAAPC CertificationCDC Healthcare Compliance CertificationCHRI Certification/Membership

Industry Keywords

Revenue IntegrityPatient Financial ServicesAmbulatory Payment ClassificationOutpatient Prospective Payment SystemThird-Party Payer Rules

About the role

Key responsibilities & impact

Use specialized knowledge, data, research analysis, critical thinking, and problem-solving to support organizational strategic objectives
Research, collect, and analyze information; identify opportunities, develop solutions, and lead 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
Research and compile information for ad-hoc operational projects and initiatives
Synthesize and analyze data, provide detailed summaries and graphical presentations illustrating trends, and recommend practical solutions
Leverage program and operational data and measurements to define and demonstrate progress, ROI, and impacts
Ensure accurate CPT/HCPCS documentation for patient billing and educate colleagues and ancillary departments on documentation and appropriate coding
Perform charge capture in assigned Revenue Integrity areas
Review charts and clinical documentation to interpret, validate, and/or extract charges
Verify charges are assigned to the correct patient, encounter, date of service, and required modifiers
Review documentation, abstract data, 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-charge review, duplicate-charge identification, and resolution of documentation or charge deficiencies/errors
Perform charge entry, charge approvals, and quality charge reviews, including modifier appending and clinical documentation checks
Provide feedback to Revenue Integrity colleagues on improvement opportunities
Code and/or validate charges for complex service lines, including advanced surgical or specialty coding
Educate clinical staff on accurate and complete documentation to optimize revenue 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
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 and modifiers), charging processes and audits, and clinical billing
Working knowledge of third-party payer rules and requirements, computer operations, and electronic interfaces related to charge documentation, capture, and billing
Knowledge of charge capture, reconciliation, error management operations, and overall revenue cycle operations
Knowledge of Ambulatory Payment Classification (APC), Outpatient Prospective Payment System (OPPS) reimbursement structures, and prebill edits including OCE/CCI and DNFB edits
Knowledge of clinical documentation improvement processes strongly preferred
CDC healthcare compliance certification preferred
CHRI certification/membership strongly preferred
Ability to follow tasks through to completion, understand and relate to complex ideas, remember multiple tasks and regimens, and work on concurrent tasks/projects
Ability to read small print, hear sounds and speech patterns, and give/receive instructions and verbal communications
Ability to perform manual dexterity, grasping, and handling activities
Ability to use a computer and other technology
Ability to maintain a safe working environment and use available PPE
Ability to comply with Trinity Health’s Code of Conduct, policies, procedures, and guidelines
Ability to provide assistance in an emergency
Ability to lift a maximum of 30 pounds unassisted
Ability to perform standing, walking, bending, stooping, reaching, pushing, and pulling as required
Ability to work indoors and, subject to travel requirements, encounter variable worksite and environmental conditions

Benefits

Comp & perks

Remote work position
Equal opportunity employment