Rev Integrity Specialist - Charge Description Master
Kettering Medical Center
Welcome page Returning Candidate? Log back in! Rev Integrity Specialist - Charge Description Master Posted Date 1 month ago(12/22/2025 10:50 AM) Job ID 2025-57381 Job Category Accounting/Finance Job Type Full-Time Shift First Shift Department 931593 - CDM FTE 80 Hours Per Pay Period/FTE 1.0 Job Code 127970 Job Details
Coding certification CPC-Certified Professional Coder or - Certified Coding Specialist required (external candidates holding, internal candidates with relevant experience certification required 18 months) RHIT and RHIA preferred.2–5+ years in revenue cycle (e.g. HIM, PFS/Billing, CDM), charge capture, or coding/edit resolution. Preferred experience coding in acute outpatient hospital setting.Coder, Health InformationCCS or CPC coding certification required. Preferred member of AHIMA and/or AAPC Professional Associations.Consideration for other recognized medical coding certifications may be considered with Director approval. Job Responsibilities: Knowledge of healthcare revenue cycle processes in assigned area/department Knowledge of regulatory and governing body coding and billing guidelines. Ability to navigate Epic EMR & chart auditing for supporting charge related documentation. Proficient in data entry using Microsoft Office Suite products.Possess strong interpersonal, team building, and analytical skillsAbility to work with minimal directionAbility to prioritizeExperience resolving CCI, MUE, OCE, EAPG edits.Proficiency in Epic or other major EHR/billing scrubbers.Strong analytical skills, attention to detail, and familiarity with payer billing regulationsReview and resolve claim edits in work queues using Epic or billing scrubber systems.Apply coding corrections or modifiers in response to CCI, MUE, OCE, and EAPG rejections.Consult documentation and coding guidelines (ICD 10, CPT, HCPCS), adjust charges as required.Reach out to clinical teams or coders to confirm documentation and corrections.Track trends in edits and provide feedback or training to prevent recurring issues.Support revenue integrity by auditing denied or held claims and optimizing charge capture.Assist with charge master/CDM maintenance and updates based on trend analysis.Performs other duties as assigned Overview
Support Services | Miamisburg | Full-Time | Days
Responsibilities & Requirements Job Requirements:Coding certification CPC-Certified Professional Coder or - Certified Coding Specialist required (external candidates holding, internal candidates with relevant experience certification required 18 months) RHIT and RHIA preferred.2–5+ years in revenue cycle (e.g. HIM, PFS/Billing, CDM), charge capture, or coding/edit resolution. Preferred experience coding in acute outpatient hospital setting.Coder, Health InformationCCS or CPC coding certification required. Preferred member of AHIMA and/or AAPC Professional Associations.Consideration for other recognized medical coding certifications may be considered with Director approval. Job Responsibilities: Knowledge of healthcare revenue cycle processes in assigned area/department Knowledge of regulatory and governing body coding and billing guidelines. Ability to navigate Epic EMR & chart auditing for supporting charge related documentation. Proficient in data entry using Microsoft Office Suite products.Possess strong interpersonal, team building, and analytical skillsAbility to work with minimal directionAbility to prioritizeExperience resolving CCI, MUE, OCE, EAPG edits.Proficiency in Epic or other major EHR/billing scrubbers.Strong analytical skills, attention to detail, and familiarity with payer billing regulationsReview and resolve claim edits in work queues using Epic or billing scrubber systems.Apply coding corrections or modifiers in response to CCI, MUE, OCE, and EAPG rejections.Consult documentation and coding guidelines (ICD 10, CPT, HCPCS), adjust charges as required.Reach out to clinical teams or coders to confirm documentation and corrections.Track trends in edits and provide feedback or training to prevent recurring issues.Support revenue integrity by auditing denied or held claims and optimizing charge capture.Assist with charge master/CDM maintenance and updates based on trend analysis.Performs other duties as assigned Overview
Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.
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