Specialist Charge Revenue Integrity – Surgery Coding

Trinity Health

. Research, collect, and analyze information to identify opportunities and develop solutions .

Posted 10/1/2026full-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 coding guidelines and optimizing revenue integrity. Proficient in analyzing data to drive performance improvement and educate clinical staff on documentation best practices.

Highest-signal resume keywords

CPT CodingICD-10 CodingCharge CaptureRevenue Cycle OperationsHealthcare Compliance Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical CodingCharge Master MaintenanceBilling ProcessesData AnalysisDocumentation Review

Soft Skills

Attention to DetailProblem SolvingCommunication Skills

Tools & Technologies

Electronic InterfacesComputer Operations

Certifications & Qualifications

RHIARHITCCSCPC/COCCDC

Industry Keywords

Revenue IntegrityPatient Financial ServicesThird-Party Payer RulesAmbulatory Payment ClassificationOutpatient Prospective Payment System

About the role

Key responsibilities & impact

Research, collect, and analyze information to identify opportunities and develop solutions
Lead 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 trend presentations, and recommend practical options or 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 appropriate coding
Perform charge capture in assigned Revenue Integrity areas
Review charts, including nursing notes, physician orders, progress notes, and surgical or specialty notes, to interpret, validate, and extract charges
Verify charges are assigned to the correct patient, encounter, date of service, and required modifiers
Review documentation and abstract data to align charges/coding 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 capture, duplicate-charge identification, and correction of documentation or charge deficiencies/errors
Perform charge entry, charge approvals, and quality charge reviews, including appending modifiers and checking clinical documentation
Provide feedback to Revenue Integrity colleagues on improvement opportunities
Code and/or validate charges for complex service lines and advanced surgical or specialty coding practices
Educate clinical staff on accurate and complete documentation for revenue optimization and integrity
Comply with Trinity Health’s mission, values, policies, procedures, Code of Conduct, and safety practices

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, 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
CDC (Healthcare Compliance Certification) preferred
CHRI certification/membership strongly preferred
Knowledge of Ambulatory Payment Classification (APC), Outpatient Prospective Payment System (OPPS), OCE/CCI edits, and DNFB
Ability to follow tasks through to completion, understand and relate to complex ideas/concepts, remember multiple tasks and regimens over long periods, and work on concurrent tasks/projects
Ability to read small print, hear sounds and voice/speech patterns, give/receive instructions and verbal communications
Computer/technology proficiency
Ability to maintain a safe working environment and use available PPE
Ability to provide assistance in an emergency
Ability to lift up to 30 pounds unassisted occasionally

Benefits

Comp & perks

Work Remote Position
Day Shift
Equal Opportunity Employer