Coding Advisor

R1 RCM Inc. is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and physician practices. Headquartered in Chicago, R1® is a publicly-traded organization with employees throughout the US and international locations. Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patients and each other. With our proven and scalable operating model, we complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.

Our Coding Advisor will be responsible for reviewing patient charts coded by Medical Coding Team Members for accuracy and completeness, through review of the patient chart and the applied accompanying codes (ICD-10, CPT, and Internal Tracker Codes) as necessary. This person will review coded charts to ensure proper medical codes are applied; communicates any deficiencies to both the team members and leadership and recommends remedial training as necessary.

Here is what you can expect as our Coing Advisor:

• Responsible for reviewing patient charts coded by Coding Associates for accuracy and completeness through review of the patient chart and the applied accompanying codes (ICD-10, CPT, and Internal Tracker Codes) as necessary.

• Review coded charts to ensure proper medical codes are applied, and communicate any deficiencies to both the associates and leadership. Recommends remedial training, as necessary.

• Performs reviews of account escalations/second-level reviews or other special project reviews utilizing the medical charts and previously applied codes and compares both to ensure accuracy, while making written notes of findings and communicating those findings with team members and leadership.

• Performs client and coder-focused audits or chart reviews as needed.

• May be required to notify team members directly and individually via e-mail or telephone of instances where serious deficiencies necessitate focused reviews.

• Discusses with the Coding QA Management and Coding Management issues/questions/problems which may arise.

• Understand billing and coding requirements for government and commercial payers  

• Abstract statistical data from the patient record and enter information following client/customer guidelines  

• Utilize coding resources or applicable reference materials to ensure accuracy in coding for assigned services  

• Follow all HIPAA regulations and uphold a higher standard around privacy requirements.  

• Maintain productivity standards, tracking logs and deadlines   

• Ensuring compliance with relevant regulations and standards  

• R1 RCM quality auditors perform audits to ensure that medical coding and billing practices adhere to industry standards and regulations.  

Required qualifications:

• CPC, CPMA, RHIA, RHIT, CCS-P, and/or CCS certification

• Minimum 1 year of physician coding and auditing experience, multi-specialty experience preferred 

• Surgical Coding Experience preferred

• Experience in Smartsheet

• Intermediate skill level in Microsoft Word, Excel, Outlook

• Knowledge of auditing and/or coding with CPT/HCPCS/ICD10/PCS 

The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.

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. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.

R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.

If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.

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To learn more, visit: R1RCM.com

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