Documentation and Revenue Specialist
- Requisition ID
- 185333
- Department
- 530388 Womens Health South Meadows
- Schedule
- Full Time - Eligible for Benefits
- Shift
- Day
- Category
- Clerical & Administrative Support
Position Purpose
The Documentation and Revenue Operations Specialist play a critical role in supporting providers by ensuring accurate and compliant clinical documentation and coding across both hospital-based (HB) and professional billing (PB) settings. This individual will reconcile daily charges, educate clinical staff, collaborate with Revenue Integrity and Compliance, and optimize workflows to support accurate reimbursement and operational efficiency.
Nature and Scope
1. Documentation & Provider Support
• Partner with providers to ensure documentation supports accurate code selection and billing.
• Assist with real-time or retrospective review of documentation, identify gaps, and suggest improvement strategies.
• Educate providers on coding updates, payer policies, and documentation best practices.
2. Coding & Charge Reconciliation
• Apply comprehensive knowledge of CPT, ICD-10, and E/M guidelines specific to OB/GYN services.
• Review, edit, and reconcile daily charges to ensure accuracy and compliance before submission.
• Verify that charges are correctly assigned to the appropriate HAR and encounter.
3. Operational Integration
• Navigate workflows across both hospital and clinic environments to enable seamless documentation and billing.
• Collaborate with clinical, scheduling, and front office teams to ensure operational alignment and efficiency.
• Assist in developing processes to enhance coding and documentation workflows.
4. Revenue Integrity & Compliance
• Partner with Revenue Integrity to identify trends, resolve coding and billing discrepancies, and ensure correct HB and PB submissions.
• Assist in internal audits and implement corrective action plans.
• Stay current on federal and state regulations, payer requirements, and organizational policies.
5. Training & Education
• Provide education and support to both new and existing clinical and administrative staff on charge capture, coding updates, and documentation requirements.
• Engage in ongoing coding training to maintain certification and stay informed about current regulations
This position does not provide patient care.
Disclaimer
The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
Minimum Qualifications
Requirements - Required and/or Preferred
Name | Description |
|---|---|
Education: | Must have working-level knowledge of the English language, including reading, writing and speaking English. Associate's degree in a healthcare-related field required; Bachelor's degree preferred. Equivalent work experience may substitute for the degree requirement. |
Experience: | Minimum of 1–2 years of professional/physician or outpatient coding experience preferred. Minimum of 2 years of experience in a clinical setting. Experience in both hospital-based (HB) and professional billing (PB) coding environments preferred. Strong working knowledge of healthcare billing regulations, coding compliance guidelines, and reimbursement practices. Proficiency in EHR systems, with Epic preferred; familiarity with daily reconciliation workflows. Excellent communication, organizational, and problem-solving skills. |
License(s): | None |
Certification(s): | Ability to obtain Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), or equivalent certification within 1 year of employment. |
Computer / Typing: | Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. |
Benefits
Renown Health exists to make a genuine difference in the health and well-being of the people and communities we serve. And it is through your passion that this mission is made real every day. The relationship with employees is the foundation for success as we proceed with our strategic direction. We strive to build upon this solid partnership by offering a comprehensive and competitive benefits package that meets the diverse needs of employees and their family members.
With my CAREER Rewards there's peace of mind in knowing that Renown Health is also fighting for the most important things in your life - family, finances and future. Navigate options and make sure you are getting the most value from your Nursing career with us.
Paid Time Off
401(k) Company Match
Flexible Work Environment
Renown Health is northern Nevada's healthcare leader and Reno's only locally owned, not-for-profit health system. We are an entire network of hospitals, primary care offices, urgent care centers, lab services, medical specialties, and x-ray and imaging services - with more than 7,000 nurses, doctors and care providers dedicated to the health and well-being of our community.
For Providers: Renown Health and the University of Nevada, Reno School of Medicine (UNR Med) are affiliate partners in Nevada's first integrated academic health system. The affiliation aims to improve the health of the community, region, and state through research, medical education, and expanded clinical care. Renown physicians participate as joint faculty at UNR Med for teaching, lectures, supervising clinical rotations, and other academic activities for the education of medical and physician assistant students, residents and fellows.