Physician Billing Coding Auditor

R1 RCM; United States; Remote; USD 43,000 - 71,000; Full time

Job summary

R1 RCM recherche un auditeur de codage médical capable de réviser les charges des médecins et de respecter les normes HIPAA. Le candidat idéal aura des certifications en codage, de l'expérience dans un environnement multi-spécialités, et des compétences solides en gestion du temps et en audit.

Benefits

Competitive benefits package

Qualifications

• Certification CPC, CPMA, RHIA, RHIT, CCS-P, et/ou CCS.
• Au moins 1 an d'expérience en codage et audit de médecin.

Responsibilities

• Réviser les charges des médecins par rapport aux dossiers médicaux.
• Comprendre les exigences de facturation et de codage pour les payeurs gouvernementaux et commerciaux.
• Maintenir des normes de productivité.

Skills

Medical terminology

Time management

Auditing

Coding knowledge (CPT/HCPCS/ICD10/PCS)

Surgical coding

Education

High School Diploma

Job description

At R1 RCM we are a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers.

We deliver proven ROI across the entire revenue cycle – front, middle and back office. This enables our customers to achieve an optimal revenue cycle – one that promotes patient satisfaction and improves financial performance.

R1 is currently seeking a Physician Coding Auditor with a background in Physician coding, billing, and reimbursement guidelines. The Auditor must understand medical terminology, coding, contractual agreements, and various payment methodologies. This position requires good time management skills and the ability to work independently.

Every day in this role, you will:

• Review physician charges against medical record and all applicable documentation to determine appropriate code assignments for diagnoses and services provided (CPT/HCPCS codes)
• Understand billing and coding requirements for government and commercial payers
• Abstract statistical data from the patient record and enter information following facility 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

To be successful in this role you must have:

• CPC, CPMA, RHIA, RHIT, CCS-P, and/or CCS certification:
  • >1 year of physician coding and auditing experience, multi-specialty experience preferred
• Knowledge of auditing and/or coding with CPT/HCPCS/ICD10/PCS
• Surgical coding experience required
• HS diploma required

For this US-based position, the base pay range is $43,888.00 - $70,631.44 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 5.00%

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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