Revenue Integrity Recovery Coordinator

Location: Remote, with possible travel between regional locations; Conshohocken, Pennsylvania, United States

Company

hirify.global operates St. Mary Medical Center, a healthcare facility providing patient care through physicians, clinical colleagues, and advanced medical technologies.

What you will do

• Analyze clinical, billing, and revenue cycle data to identify denial trends, documentation gaps, and charge capture issues.
• Conduct departmental and post-payment audits related to documentation, coding, billing, compliance, and revenue integrity.
• Perform denial investigations and root cause analysis, then develop and implement prevention and process improvement plans.
• Collaborate with clinical departments, providers, Patient Business Services, Payer Strategies, Compliance, Finance, and revenue cycle leadership.
• Support system implementations, enhancements, new service line requests, pre-bill edit prevention, and centralized charge control activities.
• Track potential risk accounts and review reserve impacts with Finance.

Requirements

• Bachelor’s degree in healthcare or business administration, finance, accounting, nursing, or a related field, or an equivalent combination of education and experience.
• At least five years of experience in billing, charge documentation, charge audits, charge capture, or related revenue cycle activities.
• Demonstrated knowledge of clinical processes, charge master maintenance, clinical coding, CPT, HCPCS, ICD-9/10, revenue codes, modifiers, charging processes, and clinical billing.
• Knowledge of third-party payer requirements, APC and OPPS reimbursement structures, OCE/CCI edits, and DNFB.
• Experience with post-payment audits and clinical, technical, and coding denials.
• Strong analytical, organizational, communication, accuracy, prioritization, and time-management skills; proficiency with Microsoft Excel, Access, Word, and PowerPoint is required or highly desired.

Nice to have

• RHIA, RHIT, CCS, CPC/COC, CDC, or CHRI certification.
• Experience with Business Objects.

Culture & Benefits

• Full-time employment with day-shift scheduling; benefit-eligible roles range from 0.5 FTE to 1.0 FTE.
• Medical, dental, vision, mental health, paid time off, 403(b), education assistance, and voluntary benefits are available from the first day.
• Flexible schedules supporting work-life balance.
• Free onsite parking.
• Collaborative, respectful, and mission-driven work environment focused on compassionate, person-centered care.
• Referral Rewards Program.