Specialist Charge, RIO (Remote)

TL;DR

Specialist Charge, RIO (Remote): Data capture, analysis, and reporting to support hirify.global leadership in achieving operational efficiency with an accent on accurate CPT/ICD-10 coding, charge reconciliation, and process improvements. Focus on auditing charges, identifying deficiencies, educating providers, and analyzing denials for revenue optimization.

Location: Remote (US-based, Livonia, Michigan)

Pay Range: $24.5303-$36.7954

Company

Leading non-profit Catholic health system serving patients across the US.

What you will do

• Research, collect, and analyze data for ad-hoc operational projects and initiatives, providing summaries and recommendations.
• Audit department information, produce analytical reports, and suggest process improvements.
• Ensure accurate CPT/ICD-10 documentation for patient billing and educate colleagues/providers on coding.
• Perform charge entry, approvals, quality reviews, and reconciliations for assigned departments.
• Assist with denial reviews, root cause analysis, and provide at-elbow support to ancillary departments.
• Coordinate with stakeholders on system changes and maintain charge capture processes.

Requirements

• High school diploma or GED
• Minimum 3 years relevant coding/charge control experience in hospital/physician practice and revenue cycle
• Experience with clinical processes, charge master, coding guidelines, APC/OPPS, prebill edits
• Strong knowledge of medical terminology, data entry, supply chain, hospital operations
• Ability to perform charge capture, investigate errors, Epic experience desired
• Must adhere to US federal/state/local laws and hirify.global policies

Nice to have

• RHIA, RHIT, CCS, CPC/COC or other coding credentials; CHC preferred; CHRI strongly preferred
• Licensed Vocational/Practical Nurse licensure
• Knowledge of clinical documentation improvement processes

Culture & Benefits

• Incorporate hirify.global Mission, Values, Vision, Actions & Promise in daily work.
• Equal Opportunity Employer committed to diversity, equity, and inclusion.
• Remote work under temperature-controlled conditions with occasional travel/physical activity.
• Focus on ethical behavior, compliance, confidentiality, quality, and safety.