Revenue Integrity Recovery Coordinator

4 months ago

Grand Rapids, United States Trinity Health Full time
Employment Type:
Full timeShift:
Day Shift

Description:

Performs in-depth analysis of patient clinical and billing data to identify documentation, coding and denial prevention. 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. Works complex denial coordination with intra-team members to identify root cause. Performs audits and collaborates with intra and inter-departmental teams on compliance, education and accuracy in charge capture and improvement in the revenue cycle processes as identified through revenue cycle audits and root cause analysis. Partners with clinical areas to document rendered services and understand its relationship to documentation, medical necessity, coding and charging. Completes assigned reports timely and accurately.

What the Revenue Integrity Recovery Coordinator will need:
  • Required: Bachelor's degree in Healthcare or Business Administration, Finance, Accounting, Nursing, or a related field; or an equivalent combination of education and experience.
  • Required: Five years of experience in billing, charge documentation, charge audit or charge capture activities, or other functions related to revenue cycle activities.
  • Strong knowledge of clinical processes, charge master maintenance, clinical coding (CPT, ICD-10, revenue codes and modifiers), charging processes and audits, and clinical billing. Working knowledge of third-party payer rules and requirements, computer operations and electronic interfaces related to charge documentation, capture and billing. Knowledge of post payment audits and coding, clinical and technical denials. Excellent interpersonal, verbal and written communication and organizational skills. Accuracy, strong analytical skills, attentiveness to detail and time management skills.
What the Revenue Integrity Recovery Coordinator will do:
  • Collaborates with intra-departmental team on denial investigations and root cause analysis, including identifying opportunities for denial prevention along the revenue cycle. Analyzes data and reports trends, performance metrics, process improvements and impact to revenue.
  • Performs other revenue optimization activities, including providing education, process improvement, ongoing assessment and resolution of root cause issues. May assist centralized charge control team when necessary.
  • Conducts departmental audits to ensure proper documentation and compliance with state and federal guidelines relating to the charge capture and billing of services. Prepares and submits audit findings, makes recommendations, and works closely with revenue integrity leadership and inter-departmental leaders to implement solutions.
  • Collaborates with clinical departments, Patient Business Service (PBS) center, Payer Strategies, Compliance and other revenue cycle departments on denial coordination, denial prevention and pre-bill edit prevention.
  • Works closely with Professional Revenue Site Operations Liaisons and/or Physician operational leaders on system implementations, enhancements and new service line requests to ensure revenue cycle integrity and compliance.
  • Works with ancillary teams and Providers to develop processes to minimize future denials.

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.

  • Revenue Integrity Recovery Coordinator

    2 weeks ago

    Grand Rapids, United States Trinity Health Full time

    Employment Type:Full time. Shift:Day Shift. Description:Performs in-depth analysis of patient clinical and billing data to identify documentation, coding and denial prevention. Develops and implements action plans for denial prevention based on root Revenue, Recovery, Coordinator, Integrity, Operations, Clinical, Healthcare, Business Services

  • Revenue Cycle Integrity Specialist

    2 weeks ago

    Grand Rapids, Michigan, United States Trinity Health Full time

    We are seeking a detail-oriented Revenue Cycle Integrity Specialist to join our team at Trinity Health. This role will be responsible for performing in-depth analysis of patient clinical and billing data to identify documentation, coding, and denial prevention opportunities. The successful candidate will develop and implement action plans for denial...

  • Asset Recovery Manager

    1 week ago

    Grand Rapids, United States iMPact Business Group Full time

    Our client is seeking an energetic and results-oriented Asset Recovery Manager to drive growth and excellence in their asset management and recovery division. This role is essential in supporting the company's mission to deliver top-tier recovery audit within the large corporations. As the Asset Recovery Manager, you will lead a dynamic team, collaborate...

  • Auditor - Financial Recovery Specialist

    4 weeks ago

    Grand Rapids, Michigan, United States SpendMend LLC Full time

    Job OverviewSpendMend LLC is seeking a skilled Auditor to conduct internal audits for clients' Accounts Payable Departments. The ideal candidate will assess the effectiveness of controls, accuracy and efficiency of records, and recovery of lost revenue.Key Responsibilities:Conduct thorough audits of accounts payable records to identify sources of lost...

  • School Social Worker

    4 weeks ago

    Grand Rapids, Michigan, United States Integrity Educational Services Full time

    Job SummaryIntegrity Educational Services is seeking a dedicated School Social Worker to join its team at Lighthouse Academy. As a School Social Worker, you will play a vital role in supporting students and families in need.Key ResponsibilitiesServe as a case manager or co-writer with teachers to develop student assessments and learning plans.Provide...

  • Asset Recovery Director

    3 weeks ago

    Grand Rapids, Michigan, United States SpendMend LLC Full time

    Job DescriptionOverview:SpendMend LLC is seeking a highly skilled Asset Recovery Manager to join our team. As a results-driven leader, you will be responsible for driving new business and maximizing value from our current client base.Key Responsibilities:Collaborate with the Tax Director to meet or exceed monthly revenue goals.Develop and implement effective...

  • Peer Recovery Support Specialist

    4 weeks ago

    Grand Rapids, Michigan, United States Family & Community Services, Inc. Full time

    Job Description:As a Peer Recovery Support Specialist, you will play a vital role in coordinating the SafePointe harm reduction program and supporting AxessPointe's MAT program. You will work with clients who are in recovery or active addiction, using your lived experience to connect with them and facilitate recovery services or connections to community...

  • Clinical Integration Program Coordinator

    3 weeks ago

    Grand Rapids, Michigan, United States Metro Health Full time

    Clinical Integration Program Coordinator Job SummaryMetro Health is seeking a skilled Clinical Integration Program Coordinator to join our team. The successful candidate will be responsible for managing and overseeing the overall clinical integration program model, ensuring better care for patients, better health for our communities, and lower costs through...

  • System Director of Revenue Cycle

    4 weeks ago

    Grand Rapids, United States Mary Free Bed Rehabilitation Hospital Full time

    Mary Free Bed Summary We have the great privilege of helping patients and families re-build their lives. It's extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients "Ask for Mary," they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients...

  • Recovery Care Coordinator

    2 weeks ago

    Grand Forks, United States Patriot Enterprises Full time

    Recovery Care Coordinators (RCCs) The Air Force Wounded Warrior (AFW2) Program works with the Air Force Survivor Assistance Program, Airman & Family Readiness Centers, and the Air Force Medical Service to provide concentrated non-medical care and support for combat wounded, ill and injured Airmen (and their families) as they recover and transition back to...

  • System Director of Revenue Cycle Leadership Position

    3 weeks ago

    Grand Rapids, Michigan, United States Mary Free Bed Rehabilitation Hospital Full time

    Job SummaryMary Free Bed Rehabilitation Hospital is seeking a highly skilled and strategic System Director of Revenue Cycle to lead our patient access and revenue cycle management functions. The ideal candidate will have a proven track record of optimizing patient access processes and ensuring efficient and effective revenue cycle operations.Key...

  • Debt Recovery Specialist

    3 weeks ago

    Grand Rapids, Minnesota, United States Armstrong Receivable Management Full time

    Job Title: Collection Subrogation SpecialistJob Summary: We are seeking a highly skilled Collection Subrogation Specialist to join our team at Armstrong Receivable Management. As a key member of our team, you will be responsible for collecting outstanding balances, providing necessary documentation, coordinating the resolution of disputed invoices, and...

  • Warehouse Coordinator

    4 weeks ago

    Grand Rapids, Michigan, United States Insidesource Full time

    Job OverviewInsidesource is committed to fostering a culture of inclusivity and equity, where every individual feels a deep sense of belonging and opportunity. As a Warehouse Associate, you will play a vital role in upholding our vision to unleash human and business potential.Key ResponsibilitiesManage and maintain accurate inventory records, including...

  • Recovery Coach, 24 Hrs Weekly, 2nd Shift, Retreat Residential Unit

    3 weeks ago

    Grand Rapids, Michigan, United States Pine Rest Christian Mental Health Services Full time

    Cost CenterPine Rest Christian Mental Health Services offers a unique opportunity to join our team as a Recovery Coach in our Retreat Residential Unit. This role is a part of our multi-disciplinary treatment teams, working closely with individuals who are working to regain control over their own lives and recovery process.As a Recovery Coach, you will use...

  • Recovery Coach, 24 Hrs Weekly, 2nd Shift, Retreat Residential Unit

    3 weeks ago

    Grand Rapids, Michigan, United States Pine Rest Christian Mental Health Services Full time

    About the Role:Pine Rest Christian Mental Health Services is seeking a compassionate and experienced Recovery Coach to join our team. As a Recovery Coach, you will play a vital role in supporting individuals in their recovery journey, providing hope, encouragement, and reassurance to those served within our program.Key Responsibilities:Use your personal...

  • Recovery Coach, 24 Hrs Weekly, 2nd Shift, Retreat Residential Unit

    4 weeks ago

    Grand Rapids, Michigan, United States Pine Rest Christian Mental Health Services Full time

    Job Summary:Pine Rest Christian Mental Health Services is seeking a dedicated and compassionate Recovery Coach to join our team. As a Recovery Coach, you will play a vital role in supporting individuals in their recovery journey, providing hope, encouragement, and reassurance to those served within our program.Key Responsibilities: Use your personal recovery...

  • Physical Therapist

    3 weeks ago

    Grand Rapids, Michigan, United States Select Medical Full time

    About the Role:We are seeking a skilled Physical Therapist to join our team at Select Medical. As a Physical Therapist, you will play a vital role in the care and recovery of our patients, providing expert physical therapy services to help them achieve their goals.Responsibilities:Assess patients' physical abilities and develop personalized treatment plans...

  • Social Worker

    4 weeks ago

    Grand Rapids, Michigan, United States Integrity Educational Services Full time

    Job SummaryIntegrity Educational Services is seeking a School Social Worker to serve its students at Lighthouse Academy. The ideal candidate will have a Master's Degree in Social Work and a valid State of Michigan Master's Social Worker license. The School Social Worker will provide individual and group counseling services to students, as well as coordinate...

  • Community Integration Specialist

    3 weeks ago

    Cedar Rapids, Iowa, United States Hillcrest Family Services Full time

    Job SummaryAs a Community Integration Coach at Hillcrest Family Services, you will play a vital role in supporting individuals with disabilities to achieve their goals and live fulfilling lives. This position requires a strong understanding of community resources, case coordination, and skills teaching. If you are passionate about empowering individuals and...

  • Software Integration Specialist

    4 weeks ago

    Grand Rapids, Michigan, United States Allied Universal Full time

    Job Title: Applications EngineerJob Summary:Allied Universal Technology Services is seeking a highly skilled Applications Engineer to join our team. The successful candidate will be responsible for software-specific support of our installation team, ensuring seamless integration of multiple disparate software applications into fully functioning solutions.Key...