Henry Ford Health · 4 months ago
*Revenue Integrity Specialist(Clinical Coding)/Full Time/Hybrid
Troy, MI
Full-time
Hybrid
Entry, Mid Level
2+ years expHenry Ford Health is seeking a Revenue Integrity Specialist to enhance revenue cycle integrity through process improvement and collaboration with clinical departments. The role involves identifying revenue opportunities, educating staff, and ensuring compliance with hospital payor contracts and reimbursement methodologies.
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Responsibilities
Identify revenue opportunities and work collaboratively with Revenue Cycle staff to drive process improvement
Educate clinical departmental staff and document workflows
Focus on revenue capture accuracy, decreased denials, and reducing organization risk by upholding compliance standards
Understand hospital payor contracts and reimbursement methodologies
Collaborate with Revenue Integrity staff to identify charge system weaknesses, recommend changes, provide education, and track utilization
Prepare reports and recommendations for management and coordinate implementation
Identify possible Revenue Guardian rules based on findings to target identification of possible missed charge scenarios
Supervise work and function as a resource for RI Auditors and RI Senior Auditors
Continuously learn and apply new continuous improvement methodologies and spread successful innovation through the institution
Qualification
Required
Bachelor's degree in Business Administration, Healthcare Administration, Nursing or related area, or five (5) years of leadership and/or consultative experience in lieu of Bachelor's degree, required
Two (2) years experience in healthcare revenue cycle, finance, clinical areas or related experience, required
Ability to work with and interpret detailed medical record documents and communicate effectively with physician, nursing staff, leadership and other HFH personnel
Knowledge of medical coding (facility and professional), related medical terminology, use of medical records, billing claim forms, and federal and state regulations related to rules/coverage
Ability to manage large, complex project assignments independently
Ability to investigate, analyze, and resolve issues at a high level
General understanding of the hospital revenue cycle
Preferred
Hospital billing and finance background, preferred
Knowledge of Medicare, Medicaid, Medicaid OPPS reimbursement, and other third-party billing rules/coverage, preferred
Coding Credential (CPC, COC, CCA, CCS, RHIT) or Clinical Credential (RN, NP, PA) preferred
Company
Henry Ford Health
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10001+ employees
H1B Sponsorship
Henry Ford Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (212)
2024 (156)
2023 (134)
2022 (159)
2021 (140)
2020 (153)
Funding
Current Stage
Late StageTotal Funding
$40.27MKey Investors
Mort Harris
2020-06-04Grant· $0.27M
2018-04-09Grant· $20M
2016-12-05Grant· $20M
Leadership Team
Robert Riney
President and CEO
Brenda Craig
Vice President, Integrated Communications
Recent News
2025-11-07
Company data provided by crunchbase