Revenue Integrity Recovery Coordinator - Remote

Trinity Health of New England has an exciting opportunity to join our team as a Revenue Integrity Recovery Coordinator. The Revenue Integrity Recovery Coordinator serves as an integral part of the revenue Integrity team. Responsible for performing in-depth analysis of patient clinical and billing data to identify documentation, coding, and denial prevention.

What will you do:

• Develops and implements action plans for denial prevention based on root cause analysis findings.
• Promotes revenue cycle operational efficiency, data integrity and compliance with billing and regulatory guidelines.
• Responsible for working complex denial coordination with intra-team members to identify root cause.
• Performs audits and collaborates with intra and inter-departmental teams on compliance, education, accuracy in charge capture and improvement in the revenue cycle processes as identified through revenue cycle audits and root cause analysis.
• Works closely with operational areas to effectively document services performed and understand relationship of documentation, medical necessity, coding and charging for all services provided.

Requirements:

• Bachelor's degree in healthcare or business administration, Finance, Accounting, Nursing, or a related field, or an equivalent combination of years of education and experience.
• Five (5) or more years of experience in hospital billing/collections preferred. Or Medical Office Billing/collections
• Prior Hospital admitting / registration experiences preferred, or medical office experience.
• Knowledge of clinical processes, charge master maintenance, clinical coding (CPT, ICD-10, revenue codes and modifiers), charging processes and audits, and clinical billing, charge documentation, charge audit or charge capture activities
• Knowledge of Working knowledge of third-party payer rules and requirements and Ambulatory Payment Classification (APC), and Outpatient Prospective Payment System (OPPS) reimbursement structures and prebill edits including Outpatient Coding Edits (OCE)/Correct Coding Initiative (CCI) edits and Discharged Note Final Billed (DNFB).

Highlights

• Remote Full Time: Monday - Friday
• Eastern Standard time hours required.
• Become a valued member of an excellent, dedicated health care team.
• Engaged leadership.
• Excellent Benefits effective on 1st Day

Trinity Health Of New England is an integrated health care delivery system comprised of world-class providers and facilities dedicated to the full spectrum of preventive, acute, and post-acute care, all delivered with the triple aim of better health, better care, and lower costs for our patient populations.

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.