Hospital Coding Auditor

January 22

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Logo of R1 RCM

R1 RCM

Revenue Cycle Management (RCM) • Physician Advisory Services • Digital Transformation • Patient Experience • Practice Management

10,000+ employees

Founded 2017

⚕️ Healthcare Insurance

☁️ SaaS

💸 Finance

🔥 Funding within the last year

💰 Private Equity Round on 2024-07

Description

• Review hospital charges against medical record to determine appropriate code assignments • Understand billing and coding requirements • Abstract statistical data and enter information following facility guidelines • Follow all HIPAA regulations • Maintain at least a 95% accuracy rate

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 • Experience coding multi-specialties preferred including trauma, orthopedics, cardiology, and neurology • Demonstrated knowledge of clinical processes; clinical coding (CPT, HCPCS, ICD-10, revenue codes) • Knowledge of CMS guidelines, reimbursement structures • Experience with encoder technology and electronic medical record systems • Ability to work in a flexible environment, adapting to changing priorities

Benefits

• Competitive benefits package • Participation in annual bonus plan at a target of 5.00% • Opportunity for career development

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