Mishawaka, Indiana, USA
17 days ago
Revenue Integrity Coding Specialist
Employment Type:Full timeShift:Day Shift

Description:Fully Remote

Why Saint Joseph Health System?
At Saint Joseph Health System, our values give us strength. That character guides every decision we make - even when those decisions are complicated, costly or hard. We honor our mission to care for every man, woman and child who needs us by investing in technology, people and capabilities that allow us to set the standard for quality care.

What we offer:

 NO mandatory overtime Benefits first day of employment (including: medical, dental, vision, PTO, life, STD/LTD) Daily Pay Retirement savings account with employer match Generous paid time off programs Employee referral incentive programTuition/professional development reimbursementNursing Scholarship opportunitiesState of the art equipmentSupportive team approach

About the job:

Responsible to ensure accurate CPT, HCPCS and/or ICD-10 documentation for the patient billing process. Responsible for educating colleagues and providers in accurate documentation of services performed and using the appropriate codes representing those services. Maintains documentation regarding charge capture processes. Performs regular reviews of process adherence and identify missing charges. Coordinates with key stakeholders regarding impacts of system change requests and upgrades to processes to ensure capture accuracy. Provides oversight of charge reconciliation processes for assigned departments; ensuring daily and appropriate monthly reconciliations are occurring. Knowledgeable in payer-specific coding guidelines to ensure accurate revenue capture.

Performs charge entry, charge approvals, and/or quality charge reviews; including but not limited to, appending modifiers and checking clinical documentation. Work closely with Revenue Integrity staff and providers to educate on improved documentation to support coding.

Requirements:

Education:   High school diploma or equivalent combination of education and experience.

Licensure:  Licensure / Certification: RHIA, RHIT, CCS, CPC/COC or other coding credential required.

Experience:  Minimum three (3) years of relevant coding and charge control work experience in a Hospital and/or Physician Practice environment and experience in revenue cycle, billing, coding and/or patient financial services.  Strong working knowledge of medical terminology, data entry, supply chain processes, hospital and/or Medical Group practice operations.

Our Commitment to Diversity and Inclusion
 

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is 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, status as a protected veteran, or any other status protected by law.

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