R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration.

As our Coding Audit Specialist, you will be responsible for performing retrospective and prospective compliance reviews of coding related to inpatient and outpatient professional and facility charges. Every day you will, deliver findings and education based on documentation requirements both verbally and in writing to the client.

Here’s what you will experience working as a Coding Audit Specialist:

• Responsible for auditing of clinical documentation to ensure appropriate selection of evaluation and management codes, CPT, HCPCS and modifiers as well as appropriate sequencing of diagnostic codes

• Responsible for conducting documentation audits and preparing resulting reports, including national comparative data as it relates to the clients individually or aggregately

• Responsible for creating and maintaining education materials for clients to support documentation improvement or understanding as it relates to coding, ensuring documentation meets coding guidelines and the standards of ethical coding; specialty and service line specific coding and reimbursement topics and completing administrative activities required to deliver education

• Responsible for researching, reviewing, and interpreting payer guidelines

• Performs validation reviews for coding quality, accuracy, and compliance

• Provides written feedback and/or one on one recommendations for providers or other coding staff related to documentation and coding guidelines

• Prepares resource material for education, including tip sheets and coding resources

• Abides by the Standards of Ethical Coding and adheres to official coding guidelines

• Responsible for researching education topics and/or opportunities for clients on coding and reimbursement issues and updates and completing administrative activities required to deliver education

Required Skills:

• 5 years coding and/or auditing experience working in multiple specialties

• A nationally recognized coding credential: CPMA, CPC, COC, CCS, CCS-P, RHIA or RHIT

• Excellent oral and written communication skills to effectively interact with and communicate with clients.

• Strong experience working with PowerPoint, Excel, and Adobe.

• Understanding of all or a combination of ICD-10-CM and PCS, CPT, HCPCS, medical terminology, Anatomy and Physiology and HIPAA Compliance

• Ability to consistently engage and build relationships with internal and external partners.

• Self-motivated and resourceful with the ability to multi-task and meet deadlines under time pressures.

• Position qualifies for work from home, however, travel to client locations may be required.

For this US-based position, the base pay range is $15.66 - $23.45 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.

Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package. (http://go.r1rcm.com/benefits)

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent (https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf)

To learn more, visit: R1RCM.com

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R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation and workflow orchestration.

Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally and is traded on the Nasdaq stock exchange under the symbol “RCM.”