Revenue Integrity Coordinator at Nashville General Hospital

DescriptionNashville General Hospital is hiring a Full Time Revenue IntegrityCoordinator in Nashville TN.The Revenue Integrity & Charge Capture Manager is responsible for overseeing the hospital charge master (CDM) and ensuring accurate compliant charge capture across all clinical departments. This role plays a critical part in improving healthcare revenue cycle performance optimizing reimbursement reducing denials and maintaining regulatory compliance. The ideal candidate has strong experience in medical coding documentation improvement payer rules and revenue integrity operations.As a Revenue Integrity Coordinator you will be responsible for:Manage and maintain the charge master (CDM) to ensure accurate compliant charge capture and reimbursement.Provide guidance and training on ICD-10 CPT/HCPCS documentation medical necessity and payer requirements.Review and analyze clinical denials RAC audits and DRG validations; implement denial-prevention strategies.Conduct audits to ensure coding accuracy CMS/OIG compliance and revenue integrity.Collaborate with physicians HIM Revenue Cycle Compliance and clinical departments to resolve coding and documentation issues.Monitor regulatory and payer updates impacting billing and communicate changes to stakeholders.Lead charge capture workflow improvements and support new service line implementations.Required Skills & Qualifications:Minimum 2 years experiencein healthcare revenue cycle reimbursement methodologies managed care and government billing regulations.Extensive experience in charge master (CDM) maintenance and charge capture processes.Payer contract audit experience preferred.Education & Certification:Required: High School Diploma or equivalentPreferred: Bachelors degree in a healthcare or business-related fieldRequired Certification: CIC (Certified Inpatient Coder)Preferred Certifications: CRCR CPMA or other revenue cycle/coding credentialsAbout Nashville General HospitalNashville General Hospital (NGH) is Nashvilles original community- based hospital. Joint Commission accredited NGH readily accommodates a wide range of needs from emergency services and acute care to ancillary and ambulatory services. NGH continues tomaintainits strong commitment to the healthcare needs of Nashville and Davidson County underserved while alsoprovidingcare to all segments of the communityNashville General Hospital is an Equal Opportunity Employer/Disability/VeteranOurbenefits include:Benefits begin on the first day of the month after 30 days of employmentMetro Health Incentive Program - Access to high quality healthcare without incurring out-of-pocket expensesShort and Long-Term Disability - up to 60% of eligible weekly payLife Insurance -Metro provides you with basic life and AD&D coverage at no cost to youRetirement Plan- eligible up to IRS max limits and includes company contribution.Shift and Weekend Differential Pay Offered on Nights and WeekendsTuition Reimbursement for Employee and DependentsClinical Ladder ProgramUp to 12 paid holidays each YearFlexible Spending AccountsFree Parking for all employeesJoin our team at Nashville General Hospital. Apply today! We are an E-Verify employer. For more information please click on the following links: E-Verify Participation Poster: EnglishSpanish E-Verify Right to Work Poster: EnglishSpanishRequired Experience:IC Key Skills ASC 606,Hotel Experience,Hospitality Experience,GAAP,Accounting,Revenue Management,Pricing,Analysis Skills,Salesforce,SOX,ERP Systems,NetSuite Employment Type : Full-Time Department / Functional Area: Finance Experience: years Vacancy: 1