Revenue Integrity Facility Coding Auditor

1 month ago


Salt Lake, Utah, United States R1 RCM Full time
Job Title: 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
  • 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, including trauma, orthopedics, cardiology, interventional radiology, and neurology
Preferred Qualifications:
  • 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
  • Experience with encoder technology and electronic medical record systems
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.

As a member of our team, you will have the opportunity to contribute to our mission of improving patient care and financial performance. We offer a competitive benefits package and a collaborative work environment that values diversity, equity, and inclusion.



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