Revenue Integrity Specialist

Please note: Remote for Washington State Only

Research and analyze coding-related denials and revenue flow interruptions to identify patterns of payer behavior, coder trends, or system issues. Maintain denial work queues and perform hands-on remediation, escalation tracking, and communication with Payer Relations and Hospital Billing teams. Act as a strategic partner to assigned service lines by providing revenue-related reporting (SlicerDicer, Reporting Workbench) and assisting operational owners with charge reconciliation understanding. Serve as a subject matter expert on facility payment models (DRG, APC, EAPG) and technical charge flow through Epic for both inpatient and outpatient services. Identify opportunities for automation and AI implementation to improve compliant revenue capture. Collaborate with coding educators and service line leaders to bridge gaps between clinical and revenue cycle processes.

Required Education and Experience
Associate degree in Health Information Management or related field or equivalent relevant work experience. Minimum of five years of experience in coding and abstracting clinical information in an acute care hospital setting or equivalent, including direct experience with both facility and professional coding practices and standards. Minimum one year of experience in a Revenue Integrity-related role (e.g., denial management, charge capture analysis, revenue cycle auditing)

Required Credentials
Certified Coding Specialist (CCS) certification by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) by the American Academy of Professional Coders (AAPC). Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) willing to obtain coding credential (listed above) within 6 months of hire.

Preferred
Bachelor’s degree. Experience in an Academic acute care setting. Experience in a Pediatric acute care setting. Experience with EPIC. Experience with SharePoint and instructional design. Experience in coding denial management and appeals process. Experience in research of payer policy and coding guidelines. Experience with decision support systems. Experience with encoders (3M). Adept at use of Excel, Word, PowerPoint.

Compensation Range

$88,786.00 - $133,180.00 per year

Salary Information

This compensation range was calculated based on full-time employment (2080 hours worked per calendar year). Offers are determined by multiple factors including equity, skills, experience, and expertise, and may vary within the range provided.

Disclaimer for Out of State Applicants

This compensation range is specific to Seattle, positions located outside of Seattle may be compensated differently depending on various factors.

Benefits Information

Seattle Children’s offers a generous benefit package, including medical, dental, and vision plans, 403(b), life insurance, paid time off, tuition reimbursement, and more.  Additional details on our benefits can be found on our website www.seattlechildrens.org/careers/benefits.

About Us

Hope. Care. Cure. These three simple words capture what we do at Seattle Children’s – to help every child live the healthiest and most fulfilling life possible.  Are you ready to engage with a mission-driven organization that is life-changing to many, and touches the hearts of all? #HOPECARECURE

Our founding promise to the community is as valid today as it was over a century ago: we will care for all children in our region, regardless of the families’ ability to pay. Together, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho – the largest region of any children’s hospital in the country.
 
U.S. News & World Report consistently ranks Seattle Children’s among the nation’s best children’s hospitals. For more than a decade, Seattle Children’s has been nationally recognized in key specialty areas. We are honored to be one of the nation’s very best places to care for children and the top-ranked pediatric hospital in Washington and the Pacific Northwest.

As a Magnet designated institution, we recognize the importance of hiring and developing great talent to provide best-in-class care to the patients and families we serve. Our organizational DNA takes form in our core values: Compassion, Excellence, Integrity, Collaboration, Equity and Innovation. Whether it’s delivering frontline care to our patients in a kind and caring manner, practicing the highest standards of quality and safety, or being relentlessly curious as we work towards eradicating childhood diseases, these values are the fabric of our culture and community. The future starts here.

Our Commitment

Seattle Children’s welcomes people of all experiences, backgrounds, and thoughts as this is what drives our spirit of inquiry and allows us to better connect with our patients and families. Our organization recruits, employs, trains, compensates, and promotes based on merit without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

The people who work at Seattle Children’s are members of a community that seeks to respect and celebrate all the qualities that make each of us unique. Each of us is empowered to be ourselves.

Seattle Children’s is proud to be an Equal Opportunity Workplace and Affirmative Action Employer.