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.

As our Coding Liaison you will provide an advanced level of coding review related to potential coding quality concerns at the request of customer leadership (CFO, Clinical Directors, CCO, CMO and others). Everday you will review complex inquiries related to ICD-10 and CPT codes, Modifiers and APC assignment. To thrive in this role you must have outpatient surgery coding experience.

Responsibilities:

• Completes requests from customers and collaborative partners noted above to determine if coding quality issues exist. Review results are shared with Local and Regional Coding Site managers, Coding Advisory team and R1 Education and Training team as needed when coding issues are identified

• Recover potential lost revenue through coding reviews related to medical necessity denials, CPT Mismatch (coding vs. Prior auth) and Inpatient Only designated CPT codes

• Validates CPT codes designated as Inpatient Only for coders (prebill) and case management (postbill)

• Identify trended coding quality issues requiring new or refresher coder education for accurate and compliant code, CPT, Modifier and APC assignment

• Completes thorough coding review for patient or provider complaints related to diagnosis and CPT code assignment

• Conducts special focused CPT and diagnoses reviews to evaluate for potential reimbursement errors and education trends

• Acts as CPT expert resource for coding liaison team

Requirements:

• CPC, CCS, or CCS-P certification or other comparable certifications i.e RHIT, RHIA, etc

• 5+ years outpatient coding experience

For this US-based position, the base pay range is $24.00 - $41.68 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

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. (http://go.r1rcm.com/benefits)

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.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent (https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf)

To learn more, visit: R1RCM.com

Visit us on Facebook (https://www.facebook.com/R1RCM)

R1 is the 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 sophisticated analytics, AI, intelligent automation and workflow orchestration.

Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally and is traded on the Nasdaq stock exchange under the symbol “RCM.”