Clinical Coding Specialist

4 days ago


Detroit, Michigan, United States R1 RCM Full time
Transform the Patient Experience and Financial Performance

R1 RCM, a global leader in revenue cycle solutions, is seeking a highly skilled Clinical Coding Specialist to join our team. As a key member of our revenue cycle operations team, you will play a critical role in reviewing and interpreting medical records to draft appeals of denied and underpaid claims.

With a strong foundation in clinical judgment and knowledge, you will ensure accurate coding of diagnosis and procedure codes, leveraging ICD-9/10 CM & PCS, CPT, HCPCS, and NCCI guidance. Your expertise will be instrumental in identifying opportunities for DRG downgrades and ensuring timely completion of appeals to meet internal and external compliance deadlines.

The ideal candidate will possess an active Registered Nurse license and relevant certifications such as CCS, RHIA, RHIT, or CPC-A. With a strong background in CDI experience, you will thrive in this dynamic environment, where collaboration and continuous learning are encouraged.

We offer a competitive salary range of $71,930.00 - $109,236.00 per year, based on experience and qualifications. Our comprehensive benefits package includes health insurance, retirement plans, and paid time off.



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