Revenue Integrity Coordinator

JOB TITLE: Revenue Integrity Coordinator

STATUS: Full-Time

LOCATION: Hybrid (Onsite & Remote) - SLH - SeaComm - 145 Market St., Potsdam, NY 13676

DEPARTMENT: Revenue Cycle

SCHEDULE: M-F; 7:30 AM - 4:00 PM

SUMMARY:
Under the direction of the Manager of Revenue Integrity, the Revenue Integrity Coordinator plays an important role in a high-profile group tasked with improving revenue results. This position is integral to the Revenue Integrity Team to assist in ensuring patient services are accurately charged, appropriately coded, supported by clinical documentation and that the related revenue is recorded in the proper department.

This position is responsible for assisting Revenue Cycle Services, Coding, Clinical Documentation Improvement (CDI), and other departments with resolution of billing issues and/or denials requiring clinical expertise, participating in external audit requests, and special projects as needed.

RESPONSIBILITIES:

• Conducts charge capture, coding, documentation, and compliance audits to ensure accuracy and billing compliance.
• Reviews audit findings with departmental leadership and recommends process improvements.
• Analyzes charge capture trends and audit reports to identify missed revenue opportunities and areas for improvement.
• Identifies and resolves charging, coding, documentation, and billing discrepancies in EPIC and related systems.
• Provides feedback and guidance to providers and department staff on documentation accuracy and compliance requirements.
• Develops and delivers training and education on charge capture, coding, documentation standards, and regulatory updates.
• Maintains knowledge of Medicare/Medicaid billing guidelines, regulations, and coding requirements, including LCDs and NCDs.
• Collaborates with Revenue Integrity, Coding, Denials/Appeals, and departmental leadership to improve revenue cycle processes and outcomes.

MINIMUM QUALIFICATIONS:

• High school diploma or equivalent (required)
• Coding Credential (e.g., RHIT, CCS) or equivalent revenue cycle experience is required
• Experience with billing and documentation systems
• General knowledge of Reimbursement Regulations
  

DESIRED ATTRIBUTES:

• Associate's Degree in Healthcare or Business (preferred)
• One to two years of previous experience in a hospital-related field preferred
• Experience with database software applications desired
  

EDUCATION:

LICENSES / CERTIFICATIONS:

PHYSICAL REQUIREMENTS:

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

PAY RANGE:

The posted pay range is a good faith representation of potential base pay for this position. It may be modified in the future and eligible for additional pay components. Individual annual salaries/hourly rates could vary based on position details and FTE. Pay is determined by considering factors including, but not limited to, experience, relevant qualifications, specialty, internal equity, locations, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

About Us

Rochester Regional Health is an integrated health services organization serving the people of Western New York, the Finger Lakes, St. Lawrence County, and beyond. The system includes nine hospitals; primary and specialty practices, rehabilitation centers, ambulatory campuses and immediate care facilities; innovative senior services, facilities and independent housing; a wide range of behavioral health services; and Rochester Regional Health Laboratories and ACM Global Laboratories, a global leader in patient and clinical trials. It’s vision is to lead the evolution of healthcare to enable every member of the communities it serves to enjoy a better, healthier life.