Coding Specialist

• 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

Specialist Charge Revenue Integrity – Surgery Coding

• 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