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Revenue Integrity Facility Coding Auditor

2 months ago

Salt Lake, Utah, United States R1 RCM Full time
Revenue Integrity Facility Coding Auditor

R1 RCM is seeking a skilled Revenue Integrity Facility Coding Auditor to join our team. As a key member of our revenue cycle team, you will play a critical role in ensuring the accuracy and integrity of our clients' revenue streams.

Key Responsibilities:
  • Review hospital charges against medical records and applicable documentation to determine appropriate code assignments on services provided (CPT/HCPCS codes)
  • Understand billing and coding requirements for government and commercial payers
  • Abstract statistical data from patient records and enter information following facility guidelines
  • Follow all HIPAA regulations and uphold a higher standard around privacy requirements
  • Maintain at least a 95% accuracy rate
  • Maintain productivity standards, tracking logs and deadlines
Requirements:
  • CPC, CCS, CPC-H (COC), CPMA, CIC, RHIA, RHIT and/or CCS-P certification
  • Experience in billing, charge documentation, charge audit or charge capture activities, or other functions related to revenue cycle activities
  • Experience coding multi-specialties preferred that may include trauma, orthopedics, cardiology, interventional radiology, and neurology
  • Demonstrated knowledge of clinical processes; clinical coding (CPT, HCPCS, ICD-10, revenue codes, status indicators, and modifiers), charging processes and audits
  • Knowledge of CMS guidelines, Ambulatory Payment Classification, and Outpatient Prospective Payment System, reimbursement structures and prebill edits including Outpatient Coding Edits/Correct Coding Initiative edits preferred
  • Experience with encoder technology and electronic medical record systems
  • Ability to work in a flexible environment, adapting to changing priorities
  • Excellent organizational skills and strong attention to detail
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.

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, driving customer success and improving patient care, while also giving back to the community and taking care of our team.