Specialist Charge Revenue Integrity (Healthcare Revenue Cycle)

TL;DR

Specialist Charge Revenue Integrity (Healthcare Revenue Cycle): Ensuring accurate charge capture, coding, documentation, and billing processes across hospital and physician practice services with an accent on CPT/HCPCS, ICD-10, revenue cycle analytics, and compliance. Focus on reviewing complex clinical documentation, resolving pre-bill edits and claim denials, validating charges, and improving revenue integrity through staff education and data-driven recommendations.

Location: Remote position associated with U.S. locations in Livonia, Michigan; Maywood, Illinois; and Ann Arbor, Michigan.

Salary: $25.0209–$37.5313 per hour.

Company

hirify.global is a healthcare organization providing person-centered care through hospitals, physician practices, and related clinical services.

What you will do

• Research, analyze, and distribute operational and performance reports, including graphical trend summaries and recommendations.
• Review clinical charts, physician orders, nursing notes, surgical documentation, and specialty records to validate complete and accurate charges.
• Perform charge entry, charge approvals, quality reviews, CPT and ICD-10 coding, claim denial review, and pre-bill edit resolution.
• Validate patient, encounter, date-of-service, modifier, supply, implant, and duplicate-charge information.
• Support ancillary departments and Revenue Integrity colleagues by identifying documentation or charge deficiencies and coordinating resolutions.
• Educate clinical staff on documentation requirements and contribute to performance improvement and revenue optimization.

Requirements

• Associate’s degree in healthcare, business administration, finance, accounting, or a related field, or equivalent experience.
• At least three years of relevant coding and charge-control experience in a hospital or physician practice environment.
• Required coding credentials such as RHIA, RHIT, CCS, CPC, COC, AAPC, or another recognized coding certification.
• Knowledge of CPT, ICD-10, revenue codes, modifiers, charge master maintenance, audits, clinical billing, charge reconciliation, and revenue cycle operations.
• Knowledge of third-party payer requirements, electronic charge documentation and billing interfaces, OCE/CCI edits, and DNFB processes.
• Ability to analyze complex documentation, protect confidential information, and provide clear guidance to colleagues and leadership.

Nice to have

• CDC healthcare compliance certification.
• CHRI certification or membership.
• Knowledge of APC and OPPS reimbursement structures and clinical documentation improvement processes.

Culture & Benefits

• Full-time employment with a daytime work shift.
• Remote work arrangement.
• Work guided by hirify.global’s mission, values, integrity, compliance, and code of conduct.
• Equal opportunity workplace focused on dignity, inclusion, and person-centered care.
• Work may involve exposure to clinical environments, biohazards, interruptions, and physically demanding activities depending on assigned services.