Responsible for ensuring accurate CPT/HCPCS documentation for the patient billing process and educating colleagues and ancillary departments in accurately documenting services performed and using the appropriate codes representing those services. Responsible for charge capture in Revenue Integrity assigned areas. Review's chart, including nursing notes, physician orders, progress notes, and surgical or specialty notes thoroughly to interpret and validate and/or extract all charges. Verifies charges captured on the correct patient, correct encounter, correct date of service, with any required modifiers. Review's documentation, abstracts data and ensure charges/coding are in alignment within AMA and Medicare coding guidelines. Performs coding functions, including CPT, ICD-10 assignment, documentation review and claim denial review Trinity Health Job Description Specialist, Charge Revenue Integrity Responsible for working the pre-bill edits within key metrics, including but not limited to OCE/CCI, & DNFB. Provides “at-elbow support” to ancillary departments including but not limited to; ensuring supply charges are appropriate captured (may include implants), identify duplicate charges and initiate appropriate communications when there are documentation and/or charge deficiencies or charge errors. Performs charge entry, charge approvals, and/or quality charge reviews; including but not limited to, appending modifiers, and checking clinical documentation. Provides feedback to intra-departmental Revenue Integrity colleagues including areas of opportunity. Responsible for coding and/or validation of charges for more complex service lines, advanced proficiencies in surgical or specialty coding practice. Educates clinical staff on need for accurate and complete documentation to ensure revenue optimization and integrity.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.