REVENUE CYCLE COORDINATOR

POSITION SUMMARY

The Revenue Cycle Coordinator is responsible for coordinating key revenue cycle functions with a focus on charge capture integrity and denial management. This role overseas charge capture governance activities including leadership and coordination of the charge capture committee and supports the identification, analysis, and reduction of claim denials across inpatient and outpatient hospital services. The Revenue Cycle Coordinator serves as a central liaison between clinical departments, coding, billing, utilization review, and finance to ensure accurate billing, timely reimbursement, and compliance with regulatory and payer requirements. This position plays a critical role in preventing revenue leakage, improving first pass yield, and driving continuous improvement across the revenue cycle

     TASK LETTER CODE

PRIMARY DUTIES

(Are the essential job tasks or primary responsibilities that the individual who holds the position must be able to perform unaided or with the assistance of an accommodation. For example: “DO” (action verb) “WHAT” (object) – “Collects vitals from patients at the being of the visit according to clinic protocol”.

% OF TIME PERFORMING DUTY

A

Charge capture committee oversight: coordinate and oversee the charge capture committee, including meeting schedule, agenda development, documentation, and follow up. Prepares and presents charge capture performance metrics, trends, and identified risks. Track action items, assigned ownership, and ensure timely resolution of charge capture issues. Facilitate collaboration between clinical, coding, CDM, and billing teams to improve charge capture accuracy. Support challenge capture governance, policy adherence, and standardization efforts

30%

B

Charge capture coordination: monitor inpatient and outpatient charge capture process for accuracy, completeness, and timeliness. Identify mist, wait, duplicate, or incorrect charges and coordinate corrections with appropriate departments. Support charge reconciliation between clinical documentation, charge entry systems, CDM, and billing systems. Assist with child audits and contribute to CDM maintenance and compliance activities. Assist with charge capture audits and reviews as assigned. Escalate recurring or high-risk charge capture issues to leadership. Prepare and distribute our RCAT charge audits.

20%

C

Denial management and coordination: coordinate the tracking and monitoring of claim denials across all payer types, including Medicare, Medicare Advantage, Medicaid, and commercial payers. Support denial analysis by categorizing denials by type, payer, department, provider, and root cause. Partner with billing, coding, utilization review, and clinical teams to address denial trends and corrective actions. Monitor appeal status and denial resolution timeliness, escalating concerns as needed. Coordinate periodic to ensure a payment per contracts.

10%

D

Reporting and performance monitoring: maintain reports and tracking tools related to charge capture. Run, evaluate, and distribute denial reports. Monitor key revenue cycle metrics.

20%

E

Collaboration and education: serve as a point of contact for clinical and operational staff regarding charge capture and denial questions period provide feedback and education related to charge capture processes, common errors, and payer requirements. Participate in multi-disciplinary work groups focused on revenue cycle optimization. Coordinate developing a robust revenue cycle education program for patient access and business office.

10%

F

Maintain compliance with internal controls, company policies, and relevant (regulations e.g., HIPAA)

5%

G

Create and update standard operating procedures (SOP's) for Revenue Cycle. 

5%

H

Other related duties as assigned.

MINIMUM EDUCATION: High School Diploma

PREFERRED EDUCATION: Associate or bachelor's degree in healthcare administration, business, finance, or related field preferred

MINIMUM EXPERIENCE: 3-5 years of experience in hospital revenue cycle, charge capture, billing, or related healthcare role.  Experience working with multidisciplinary teams across clinical and revenue cycle functions preferred. 

REQUIRED CERTIFICATIONS:

PREFERRED CERTIFICATIONS/LICENSES:

SPECIAL SKILLS: Strong understanding of hospital charge capture and billing workflows. Familiar with denial types, payer requirements, and appeals processes. Strong organizational, coordination, and follow up skills. Effective written and verbal communication skills. Proficient with Cerner community works. Demonstrated proficiency in Microsoft Excel (pivot tables, formulas, data tracking)

SUPERVISES: N/A

PHYSICIAL DEMANDS: For physical demands and working conditions, see next page.