Revenue Integrity Coordinator

WMCHealth

Valhalla, NYFull-time$32.95–41.42/hrPosted 3mo agoSeen in employer's feed 4 days ago

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At a glance

Compensation

$32.95–41.42/hr

Location

Valhalla, NY

Schedule

Full-time

Work Authorization

Not specified

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Job overview

WMCHealth is hiring a Revenue Integrity Coordinator. The Revenue Integrity Coordinator reviews and revises accounts to achieve revenue enhancement and billing/coding compliance. This position updates and reviews accounts to ensure accurate and complete charge capture and accurate, timely billing. The incumbent identifies patterns for educational opportunity, researches coding questions, and tracks audited cases.

Key focus areas include Monitors various work queues and reports to identify pending charges and works to resolve issues., Researches coding errors to identify resolutions., and Provides feedback to providers to correct errors..

Successful candidates bring Two Years Clinical Experience, High School Diploma, and Travel Required. Preferred (not required): Cerner, SSI, Patient Keeper, and Paragon.

Skills & qualifications

RequiredNice to have

Skills

CernerSSIPatient KeeperParagonCPT-4 CodesICD-10-CM CodesEMRMedical Record Documentation StandardsHealthcare Insurance Billing IssuesFederal Billing Compliance IssuesState Billing Compliance Issues

Qualifications

Two Years Clinical Experience in a Healthcare SettingHigh School DiplomaTravel to Other WMCHealth FacilitiesAssociate's Degree or Two Years Work ExperienceCertified Professional Coder (CPC) or Similar Credential

Benefits

Medical Insurance

Dental Insurance

Paid Time Off

Tuition Assistance

Vision Insurance

Full job description

Revenue Integrity Coordinator

Company: NorthEast Provider Solutions Inc.

City/State: Valhalla, NY

Category: Clerical/Administrative Support

Department: Revenue Integrity

Union: No

Position: Full Time

Hours: 8-4:30pm, M-F

Shift: Day

Req #: 48308

Posted Date: Jun 23, 2026

Hiring Range: $32.95 - $41.42

Apply Now

External Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/33222) Internal Applicant link

Job Details:

Job Summary:

The Revenue Integrity Coordinator reviews and revises accounts to achieve revenue enhancement and billing/coding compliance. This position updates and reviews accounts to ensure accurate and complete charge capture and accurate, timely billing. The incumbent identifies patterns for educational opportunity, researches coding questions, and tracks audited cases.

Responsibilities:

Monitors various work queues and reports to identify pending charges and works to resolve issues.
Researches coding errors to identify resolutions. Provides feedback to providers to correct errors.
Recommend sound billing/coding best practices that are able to withstand audits.
Foster continuous improvement of revenue cycle processes through education with various departments and trend analysis.
Identify pre-bill and post-bill claim edits involving any type of clinical or coding review or required modifier based on services rendered.
Works within Cerner and within SSI to correct billing issues.
Works with additional EMRs (Patient Keeper, Paragon) to review billing/coding.
Performs periodic review of codes and works with patient billing regarding bundling and unbundling services as delineated in CMS and CCI edits.
Researches technical guidance in CPT/HCPCs Guide, CMS website, Medicare Manuals, etc. to resolve billing issues and promote regulatory compliance.
Maintains and provides information on status of audits and issues presented.
Works on special projects as required.
Participates in required regulatory change implementations and ongoing monitoring related to compliant charge capture.
Performs other duties as assigned.

Qualifications/Requirements:

Experience:

Minimum two years clinical experience in a healthcare setting, Preferred experience in Excel and Electronic Medical Records experience.

Education:

High School Diploma required. Associate’s Degree preferred or two years’ work experience.

Licenses / Certifications:

Certified Professional Coder (CPC) or similar credential, preferred.

Other:

Familiarity with medical record documentation standards and practices, health care insurance billing issues, and federal and state billing compliance issues for hospitals; knowledge of CPT-4 codes and ICD-10-CM codes is preferred. Special Requirements: Requires travel to other WMCHealth Facilities.

About Us:

NorthEast Provider Solutions Inc.

Benefits:

We offer a comprehensive compensation and benefits package that includes: