Purpose
Remote position responsible for data capture, analysis, and reporting to help Trinity Health leadership achieve operational efficiency. The role audits departmental information, produces reports, suggests process improvements, and provides knowledge and expertise across programs, services, and applications.
Functional Role
Responsible for ensuring accurate CPT and/or ICD-10 documentation for the patient billing process and for educating colleagues and providers on documenting services accurately and using the appropriate codes. Maintains documentation regarding charge capture processes, performs regular reviews of process adherence, identifies missing charges, and coordinates with key stakeholders on system change requests and process upgrades to improve capture accuracy.
Provides oversight of charge reconciliation processes for assigned departments, ensuring daily and monthly reconciliations occur appropriately. May provide at-the-elbow guidance to clinical departments on daily reconciliation processes, including ensuring supply charges are captured appropriately, identifying duplicate charges, and communicating when documentation or charge errors occur.
Performs charge entry and capture functions, charge approvals, and quality charge reviews, including appending modifiers and checking clinical documentation. Reviews quality reports related to missing charges, duplicate charges, and late charges, updates reference logs and reporting tools, and may create and present information for decision-making purposes.
Supports stakeholders with denial-related charge reviews, including analysis of clinical documentation, root cause analysis, and education for the responsible ancillary department.
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 and/or charge capture experience strongly preferred
- Working knowledge of current medical terminology, data entry, supply chain processes, hospital and/or medical group practice operations, and revenue cycle front-end functions
- Understanding of billing and regulatory guidelines related to charging and other revenue cycle processes
Preferred 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 or membership strongly preferred
Location
Connecticut, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
2 weeks ago