R1 RCM
Revenue Cycle Management (RCM) • Physician Advisory Services • Digital Transformation • Patient Experience • Practice Management
10,000+
🔥 Funding within the last year
💰 Private Equity Round on 2024-07
Hospital Coding Auditor
October 24
R1 RCM
Revenue Cycle Management (RCM) • Physician Advisory Services • Digital Transformation • Patient Experience • Practice Management
10,000+
🔥 Funding within the last year
💰 Private Equity Round on 2024-07
Description
• Review hospital charges against medical record and documentation for appropriate code assignments • Understand billing and coding requirements for government and commercial payers • Abstract statistical data from patient records and enter information following facility guidelines • Follow HIPAA regulations and uphold privacy standards • Maintain at least a 95% accuracy rate and productivity standards
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 possibly 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) • Knowledge of CMS guidelines, Ambulatory Payment Classification, and Outpatient Prospective Payment System, reimbursement structures and prebill edits • Experience with encoder technology and electronic medical record systems • Ability to work in a flexible environment, adapting to changing priorities • Excellent organizational skills and strong attention to detail
Benefits
• Competitive benefits package • Opportunities for career advancement • Chance to contribute and make a difference in communities
Apply NowSimilar Jobs
October 22
Blue Cross and Blue Shield of Nebraska
1001 - 5000
Conduct audits for Medicare Advantage program at Blue Cross and Blue Shield of Nebraska.
October 22
Cox Enterprises
10,000+
Conduct audits for NextGear Capital's Risk organization.
🇺🇸 United States – Remote
💵 $58.5k - $87.8k / year
💰 Seed Round on 2014-12
⏰ Full Time
🟡 Mid-level
🟠 Senior
🔎 Auditor
October 20
Conduct lighting audits for EMC's energy efficiency solutions nationwide.
October 18
Children's Wisconsin
1001 - 5000
Auditor for coding and billing compliance in pediatric healthcare.
October 17
Shuvel
11 - 50
Mindseeker delivers HIM and Revenue Cycle Services as a Profee Coder & Auditor.