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Trinity Health

Specialist Charge Revenue Integrity – Surgery Coding

Trinity Health

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

Posted 10/2/2026full-timeRemote • Michigan • United StatesMid-LevelSenior💰 $25 - $38 per hourWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in CPT and ICD-10 coding, charge capture, and revenue cycle operations, with a strong ability to analyze data and create detailed reports. Proficient in ensuring compliance with coding guidelines and providing educational support to clinical staff.

Highest-signal resume keywords
CPT CodingICD-10 CodingCharge CaptureRevenue Cycle ManagementData Analysis

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
CPT CodingICD-10 CodingCharge CaptureData AnalysisReport CreationDocumentation ReviewClaim Denial ReviewCharge EntryQuality Charge ReviewsClinical Coding
Soft Skills
CollaborationCommunicationProblem-SolvingAttention to DetailConfidentiality
Tools & Technologies
Electronic InterfacesSystem ApplicationsGraphical Data Presentation ToolsCharge Documentation Software
Certifications & Qualifications
RHIARHITCCSCPC/COCAAPCCDC CertificationCHRI Certification
Industry Keywords
Revenue CycleBillingPatient Financial ServicesClinical ProcessesCharge Master MaintenanceThird-Party Payer RulesAmbulatory Payment ClassificationOutpatient Prospective Payment SystemPrebill EditsOCE/CCI

About the role

Key responsibilities & impact
  • Research, collect, and analyze information to identify opportunities and develop solutions
  • 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, illustrate trends, and recommend practical solutions
  • Leverage program and operational data to define and demonstrate progress, ROI, and impacts
  • Ensure accurate CPT/HCPCS documentation for patient billing
  • Educate colleagues, clinical staff, and ancillary departments on accurate documentation and appropriate coding
  • Perform charge capture and review charts, nursing notes, physician orders, progress notes, and surgical or specialty notes to validate or extract charges
  • Verify charges are assigned to the correct patient, encounter, date of service, and required modifiers
  • Review documentation and ensure charges and 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 resolution of documentation or charge errors
  • Perform charge entry, charge approvals, and quality charge reviews, including modifier appending and clinical documentation checks
  • Validate charges for complex service lines and surgical or specialty coding practices
  • Provide feedback to Revenue Integrity colleagues on areas of opportunity

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
  • Knowledge of 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) and Outpatient Prospective Payment System (OPPS) reimbursement structures and prebill edits including OCE/CCI and DNFB
  • CDC certification preferred
  • CHRI certification/membership strongly preferred
  • Ability to research, collect, analyze, synthesize, and summarize data
  • Ability to create reports and graphical data presentations
  • Ability to use multiple system applications and technology
  • Ability to maintain confidentiality, safety, and compliance with applicable laws, regulations, policies, and guidelines
  • Ability to perform required physical and mental activities, including computer use, reading small print, verbal communication, manual dexterity, and occasional lifting up to 30 pounds

Benefits

Comp & perks
  • Remote work position
  • Equal Opportunity Employer commitment
  • Person-centered, compassionate workplace culture