Coding Associate II

4 weeks ago


Chicago, Illinois, United States R1 RCM Full time

R1 RCM is seeking a skilled Coding Associate II to join our team. As a Coding Associate II, you will be responsible for assigning codes for diagnoses, treatments, and procedures according to the appropriate classification system for professional service encounters.

Key Responsibilities:

  • Assigning codes for diagnoses, treatments, and procedures according to the appropriate classification system for professional service encounters
  • Reviewing physician-assigned diagnosis codes after thorough review of the medical record and querying physicians for additional clarity in a professional manner
  • Able to accurately abstract information from medical records into the abstract system, according to established guidelines
  • Abiding by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC)
  • Entering and validating codes, charges, and other edits flagged in Athena or EPIC for review
  • Reviewing documentation to verify and correct place of service, billing, and service providers, or other missing data elements
  • Using CCI edit software to check bundling issues, modifier appropriateness, and LCD's/NCD's for medical necessity
  • Communicating with other departments to recommend coding guidance for charge corrections, appeals processes, and patient billing concerns
  • Meeting and/or exceeding the established quality standard of 95% accuracy while meeting and/or exceeding productivity standards

Requirements:

  • High School Diploma or GED
  • CCS-P, CPC, or COC certification
  • 2 years' experience in profee coding obstetric care including deliveries and E&M Leveling

About R1 RCM:

R1 RCM is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We combine 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.


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