Offer summary

Qualifications:

CPC, CPC-H (COC), CPMA, CIC, CCS, RHIA, RHIT and/or CCS-P certification required., Minimum of 2 years of relevant experience in hospital and/or physician charge capture, coding, and auditing., Bachelor’s degree or equivalent work experience is necessary., Experience with CPT, HCPCS, and ICD10PCS coding is essential..

Key responsibilities:

Manage overall client relationships for coding auditing services.

Participate in client implementations and training, including remote and on-site activities.

Oversee client inquiries and manage denials while monitoring client actions for trends.

Assist in preparing content for client presentations and participate in periodic business reviews.

Job description

R1 RCM is currently seeking a Lead Coding Auditor to join our team. The Lead auditor’s primary role will be the overall client management from a hospital and physician charge capture and coding auditing services perspective. This includes implementation preparations and training for new clients, attending client team meetings and periodic business reviews, and other client-facing activities.

Every day in this role you will:

Participate in client implementations, which includes attending scheduled client calls and go-live training which may be remote or required travel on site.
Assist in ensuring that all assigned auditors have appropriate EMR access for go-live.
Communicate directly with auditors regarding client needs.
Oversee client questions.
Manage/troubleshoot denials.
Monitor client queues and client actions to identify any issues, client trending, agreement rate or Cloudmed auditor education opportunities.
Communicate directly with other departments (Client Delivery, Product Delivery, Rules Architects, etc.)
Participate in Periodic Business Reviews if needed, providing content for Client Delivery presentations, and presenting auditing trends and metrics as requested.
Production auditing up to 25% of the time.
Client facing up to 50% of the time.
Assistance with team coverage.

To be successful in this role you must:

CPC, CPC-H (COC), CPMA, CIC, CCS, RHIA, RHIT and/or CCS-P certification
2+ years of relevant hospital and/or physician charge capture, coding and/or auditing experience.
Bachelor’s degree or equivalent work experience
Experience auditing and/or coding with CPT, HCPCS, ICD10PCS codes.

For this US-based position, the base pay range is $65,342.00 - $94,799.70 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

This job is eligible to participate in our annual bonus plan at a target of 10.00%

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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