Physician Coding Compliance Auditor
2 weeks ago
About R1 RCM: R1 is a premier provider of innovative, technology-driven solutions that enhance the patient experience and optimize the financial performance of healthcare institutions, including hospitals, health systems, and medical groups.
Position Overview: We are currently in search of a Physician Coding Compliance Auditor who possesses a solid foundation in physician coding, billing practices, and reimbursement protocols. The ideal candidate will have a comprehensive understanding of medical terminology, coding standards, contractual agreements, and diverse payment models.
Key Responsibilities:
- Conduct thorough reviews of physician charges against medical records and relevant documentation to ascertain accurate code assignments for diagnoses and services rendered (CPT/HCPCS codes).
- Comprehend billing and coding stipulations for both government and commercial payers.
- Extract statistical data from patient records and input information in accordance with facility guidelines.
- Utilize coding resources and reference materials to ensure precision in coding for designated services.
- Adhere to all HIPAA regulations and maintain a high standard of privacy compliance.
- Meet productivity benchmarks while managing tracking logs and deadlines effectively.
Qualifications:
- Certifications: CPC, CPMA, RHIA, RHIT, CCS-P, and/or CCS certification is required.
- A minimum of 1 year of experience in physician coding and auditing, with multi-specialty experience preferred.
- Experience in surgical coding is mandatory.
- Proficient knowledge of auditing and coding practices with CPT/HCPCS/ICD10/PCS.
- Ability to thrive in a dynamic environment, adapting to shifting priorities.
- Exceptional organizational skills and meticulous attention to detail.
Compensation: For this position, the base salary range is $40,000 to $63,822 annually. Individual compensation is determined by role, level, location, job-related skills, experience, and relevant education or training.
Our Commitment: At R1, we are dedicated to leveraging our collective expertise to discover innovative solutions that keep pace with the evolving healthcare landscape. Our team members are encouraged to continuously learn, collaborate across departments, and explore new career pathways.
We value contributions that drive customer success and enhance patient care, while also prioritizing community engagement and employee well-being through a competitive benefits package.
Diversity and Inclusion: R1 RCM Inc. is committed to equal employment opportunities. Our employment practices are free from discrimination based on age, color, national origin, citizenship status, disability, medical condition, race, religion, gender, sexual orientation, gender identity, marital status, veteran status, or any other characteristic protected by law.
If you require assistance due to a disability during the application process, please reach out for support.
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