[Hiring] Charge Integrity Coordinator @LCMC Health

Role Description

This position works closely with Revenue Cycle Service, Clinical Service lines, Information Technology and other departments to resolve charging issues or denials that require expertise in clinical, coding, charge capture, and billing. The position serves as the key liaison for all revenue integrity efforts as it relates to the appropriate assigned financial class.

The Charge Review Coordinator supports the Revenue Integrity department by overseeing charge review workflows, coordinating team activities, resolving complex charge-related issues, and serving as a subject-matter expert in charge capture, payer requirements, Epic reporting, and chargemaster utilization. This role ensures accuracy, compliance, and timely resolution of charge-related issues while supporting team performance, training, process improvement, and regulatory alignment.

Your Everyday

• Oversees audits of clinical departments, guiding and monitoring Revenue Integrity team members in assigned areas.
• Reviews findings with departmental leadership, focusing on documentation standards and recommendations for improvement.
• Identifies target populations for audits through random sampling, focused reviews, and issues identified in collaboration with the Revenue Cycle Director and other site personnel.
• Reviews medical records to ensure accuracy in coding, billing compliance, and medical necessity.
• Analyzes charge capture reports to verify that charges are accurately posted according to diagnosis and procedure codes.
• Identifies charge trends, conducts focused reviews of specific departments, and presents findings and recommendations for improvement.
• Responds to requested charge audits, offering next-step recommendations and improvements.
• Conducts ancillary service quality reviews and departmental audits.
• Offers feedback to providers regarding missing, incomplete, or unclear documentation, and recommends solutions to improve accuracy and compliance.
• Provides guidance on charge capture, coding, documentation, and regulatory compliance as requested.
• Conducts training and orientation in group and one-on-one settings.
• Works with Charge Review Analysts and Specialists to ensure accurate and timely responses to departmental inquiries.
• Stays current on Charge Description Master (CDM), clinical charging procedures, and related systems.
• Maintains up-to-date knowledge of Medicare/Medicaid billing practices and applies CMS rules, Local Coverage Determinations (LCDs), National Coverage Determinations (NCDs), and other regulatory guidelines.
• Contributes to the development of policies, standard operating procedures, and knowledge documents.
• Actively participates in team development, working toward achieving department dashboards, goals, and objectives.
• Regularly reviews industry literature and attends coding conferences to stay informed of changes in coding standards and quality assurance methodologies.
• Performs additional responsibilities as assigned to support the overall success of the Revenue Integrity Team.

Qualifications

• 5+ years of experience in revenue integrity, revenue cycle management, healthcare finance, or a related field.
• Strong knowledge of Chargemaster (CDM) management, including charge capture processes, coding (CPT, HCPCS, ICD-10), and compliance with CMS and third-party payer requirements.
• 3+ years of Epic experience, particularly in managing work queues and charge capture functions.
• Minimum: An associate’s degree in healthcare administration, health information management, or a related field is required.
• Preferred: Bachelor's degree in healthcare.
• Applicable professional certification through AHIMA (RHIA, RHIT, CCS), RN, LPN, or AAPC (COC, CPC) or Epic Certified.

Requirements

• Extensive knowledge of revenue cycle processes and hospital/medical billing to include CDM, UB, RAs and 1500.
• Extensive knowledge of code data sets to include CPT, HCPCS, and ICD 10.
• Extensive knowledge of NCCI edits, and Medicare LCD/NCDs.
• Extensive understanding of reimbursement theories to include DRG, OPPS, HCC and managed care.
• Extensive working knowledge of health care compliance.
• Extensive understanding of medical terminology, anatomy and physiology along with clinic department activities.
• Capacity to review, analyze and interpret managed care contracts, billing guidelines, and state and federal regulations.
• Ability to work with and interpret detailed medical record documents and communicate effectively with physicians, nursing staff, leadership and other billing personnel.
• Requires the ability to manage large complex project assignments, investigate, analyze and resolve issues at a high level.
• Excellent communication, presentation, organizational, analytical and problem-solving skills.
• Must approach problem solving challenges independently, have strong attention to detail and enjoy working in a fast-paced, collaborative team-based environment.
• Computer skills - MS Office including Word, PowerPoint, Excel and Outlook; Windows operating system and Internet.

Benefits

• Deliver healthcare with heart.
• Give people a reason to smile.
• Put a little love in your work.
• Be honest and real, but with compassion.
• Bring some lagniappe into everything you do.
• Forget one-size-fits-all, think one-of-a-kind care.
• See opportunities, not problems – it’s all about perspective.
• Cheerlead ideas, differences, and each other.
• Love what makes you, you - because we do.

Company Description

LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary.