TriHealth
Overview
This position provides leadership to identify and implement hospital revenue enhancement opportunities. Consistent evaluation and understanding of changing third‑party payer regulations is required to support accurate and compliant gross revenue capture for assigned service lines and hospital locations. The various hospital CDMs (charge description master) will be maintained with current and accurate revenue codes, CPT/HCPCS codes along with standardized descriptions and billing categories. The current gross revenue capture exceeds one billion dollars annually from the TriHealth hospital CDMs. This position requires working collaboratively across all of the revenue cycle, clinical areas, and purchasing to meet gross revenue targets. Coordination with various IT clinical analysts is required to implement charge capture tools that are accurately maintained and that are user friendly. Hospital services are analyzed annually for formulation of pricing strategies.
Job Requirements
Bachelor's Degree (Required)
2–3 years experience licensed clinical professional (Required)
Working knowledge and understanding of HCPCS
CPT
Revenue codes
Budget development and RVUs
Working knowledge and understanding of EPIC EMR navigation and clinical documentation
Other Licensed Clinical Professional Upon Hire Required
Other Coding Credentials Upon Hire Preferred
Job Responsibilities
Provides leadership to identify and implement hospital revenue enhancement opportunities.
Acts as a liaison, consultant and educator for hospital charge capture to leadership, clinical teams, charge entry team members, IT, billing, and purchasing.
Maintains accurate and compliant CDM. Regularly reviews vendor CDM data scrubber's compliance reports for assigned service areas and hospital locations and takes necessary action to maximize compliant billing and reimbursement.
Collaborates with leadership and clinical teams on annual strategic pricing to meet gross revenue targets.
Actively develops with IS liaison, specific Revenue Integrity revenue guardian checks, claim edits, and work queue rules. These revenue validation tools ensure timely billing and accurate reimbursement.
Facilitates development, implementation and provide monitoring of operational charge capture processes that meet regulatory compliance and that are effective for end‑users.
Working Conditions
Bending
Climbing - Rarely
Concentrating
Continuous Learning
Hearing: Conversation - Consistently
Hearing: Other Sounds - Frequently
Interpersonal Communication
Kneeling - Rarely
Lifting
Lifting 50+ Lbs. - Rarely
Lifting
Pulling - Rarely
Pushing - Rarely
Reaching - Rarely
Reading - Consistently
Sitting - Frequently
Standing - Rarely
Stooping - Rarely
Talking - Consistently
Thinking/Reasoning - Consistently
Use of Hands - Frequently
Color Vision - Occasionally
Visual Acuity: Far - Frequently
Visual Acuity: Near - Consistently
Walking - Frequently
TriHealth SERVE Standards and ALWAYS Behaviors
Serve: ALWAYS
Welcome everyone by making eye contact, greeting with a smile, and saying “hello”
Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
Refrain from using cell phones for personal reasons in public spaces or patient care areas
Excel: ALWAYS
Recognize and take personal responsibility to address and recover from service breakdowns when a customer’s expectations have not been met
Offer patients and guests priority when waiting (lines, elevators)
Work on improving quality, safety, and service
Respect: ALWAYS
Respect cultural and spiritual differences and honor individual preferences.
Respect everyone's opinion and contribution, regardless of title/role.
Speak positively about my team members and other departments in front of patients and guests.
Value: ALWAYS
Value the time of others by striving to be on time, prepared and actively participating.
Pick up trash, ensuring the physical environment is clean and safe.
Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.
Engage: ALWAYS
Acknowledge wins and frequently thank team members and others for contributions.
Show courtesy and compassion with customers, team members and the community
Job Info
Job Identification 306925
Job Category Professional/Technical
Posting Date 01/15/2026, 02:14 PM
Job Schedule Full time
Locations 4452 Eastgate Boulevard, Cincinnati, OH, 45245, US
#J-18808-Ljbffr
Job Requirements
Bachelor's Degree (Required)
2–3 years experience licensed clinical professional (Required)
Working knowledge and understanding of HCPCS
CPT
Revenue codes
Budget development and RVUs
Working knowledge and understanding of EPIC EMR navigation and clinical documentation
Other Licensed Clinical Professional Upon Hire Required
Other Coding Credentials Upon Hire Preferred
Job Responsibilities
Provides leadership to identify and implement hospital revenue enhancement opportunities.
Acts as a liaison, consultant and educator for hospital charge capture to leadership, clinical teams, charge entry team members, IT, billing, and purchasing.
Maintains accurate and compliant CDM. Regularly reviews vendor CDM data scrubber's compliance reports for assigned service areas and hospital locations and takes necessary action to maximize compliant billing and reimbursement.
Collaborates with leadership and clinical teams on annual strategic pricing to meet gross revenue targets.
Actively develops with IS liaison, specific Revenue Integrity revenue guardian checks, claim edits, and work queue rules. These revenue validation tools ensure timely billing and accurate reimbursement.
Facilitates development, implementation and provide monitoring of operational charge capture processes that meet regulatory compliance and that are effective for end‑users.
Working Conditions
Bending
Climbing - Rarely
Concentrating
Continuous Learning
Hearing: Conversation - Consistently
Hearing: Other Sounds - Frequently
Interpersonal Communication
Kneeling - Rarely
Lifting
Lifting 50+ Lbs. - Rarely
Lifting
Pulling - Rarely
Pushing - Rarely
Reaching - Rarely
Reading - Consistently
Sitting - Frequently
Standing - Rarely
Stooping - Rarely
Talking - Consistently
Thinking/Reasoning - Consistently
Use of Hands - Frequently
Color Vision - Occasionally
Visual Acuity: Far - Frequently
Visual Acuity: Near - Consistently
Walking - Frequently
TriHealth SERVE Standards and ALWAYS Behaviors
Serve: ALWAYS
Welcome everyone by making eye contact, greeting with a smile, and saying “hello”
Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
Refrain from using cell phones for personal reasons in public spaces or patient care areas
Excel: ALWAYS
Recognize and take personal responsibility to address and recover from service breakdowns when a customer’s expectations have not been met
Offer patients and guests priority when waiting (lines, elevators)
Work on improving quality, safety, and service
Respect: ALWAYS
Respect cultural and spiritual differences and honor individual preferences.
Respect everyone's opinion and contribution, regardless of title/role.
Speak positively about my team members and other departments in front of patients and guests.
Value: ALWAYS
Value the time of others by striving to be on time, prepared and actively participating.
Pick up trash, ensuring the physical environment is clean and safe.
Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.
Engage: ALWAYS
Acknowledge wins and frequently thank team members and others for contributions.
Show courtesy and compassion with customers, team members and the community
Job Info
Job Identification 306925
Job Category Professional/Technical
Posting Date 01/15/2026, 02:14 PM
Job Schedule Full time
Locations 4452 Eastgate Boulevard, Cincinnati, OH, 45245, US
#J-18808-Ljbffr