Purpose
Work remotely in this position. The role requires a rotational weekend schedule approximately every six weeks.
Responsible for data capture, analysis, and reporting to help Trinity Health leadership improve operational efficiency. Performs auditing of department information, produces reports, and recommends process improvements. Provides knowledge and expertise in the program, services, and applications.
Responsible for ensuring accurate CPT and/or ICD-10 documentation for the patient billing process and educating colleagues and providers on accurate documentation of services performed and proper code usage. Maintains documentation regarding charge capture processes, performs regular reviews of process adherence, identifies missing charges, and coordinates with stakeholders on system changes and upgrades to improve capture accuracy. Provides oversight of charge reconciliation processes for assigned departments, including daily and monthly reconciliations.
May provide guidance to clinical departmental reconciliation processes, including review of supply charges, implants, duplicate charges, and charge deficiencies or errors. Performs charge entry and capture functions, charge approvals, and quality charge reviews, including modifier review and clinical documentation checks. Reviews quality reports related to missing charges, duplicate charges, and late charges, and may create and present information for decision-making purposes. Supports denial-related charge reviews through documentation analysis, root cause analysis, and education to responsible departments.
Minimum Qualifications
- High school diploma or GED
- 1 to 2 years of relevant work experience in a hospital and/or physician practice environment
- Experience in revenue cycle, billing, coding, and/or patient financial services
- Charge control/capture experience strongly preferred
- Experience with medical terminology, data entry, supply chain processes, hospital and/or medical group practice operations, and front-end revenue cycle functions such as patient registration
- Knowledge of billing and regulatory guidelines related to charging and revenue cycle processes
- Ability to assist clinical departments and/or physician practices with changes to charging practices based on guidelines
Additional Qualifications
- RHIA, RHIT, CCS, CPC/COC, AAPC, or other coding credentials preferred
- Licensed Vocational Nurse/Licensed Practical Nurse licensure preferred
- CHC certification preferred
- CHRI certification/membership strongly preferred
Location
Michigan, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
2 weeks ago