Revenue Integrity Facility Coding Auditor
1 month ago
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
- 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
- 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
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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Inpatient Coding Specialist
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Inpatient Coding Specialist
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Salt Lake, Utah, United States R1 RCM Full timeR1 RCM is a leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing...
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