Remote Outpatient Coding Quality Reviewer

R1 RCM, Inc.; Salt Lake City (UT); Remote; USD 39,000 - 55,000; Full time

Job summary

R1 RCM Inc. is seeking an Outpatient Quality Reviewer to review outpatient coded cases across multiple areas, ensure coding accuracy, and advise on CPT®, HCPCS, ICD-10-CM, and APC code assignments. The role involves researching guidelines and sharing expert insights with the coding team.

The position requires seven years of hospital outpatient coding experience and active certifications (RHIT/RHIA/COC/CCS/CCS-P). This is a remote US-based role with a competitive benefits package.

Qualifications

• RHIT/RHIA/COC/CCS/CCS certification required.
• Seven years of hospital outpatient coding experience.
• Bachelor’s or an Associate degree preferred.

Responsibilities

• Review outpatient coded cases for CPT®, HCPCS, ICD-10-CM, modifiers, and APC code assignments.
• Provide audit feedback and guidance to coders and quality reviewers.
• Analyze audit results to identify trends and education opportunities.
• Collaborate with Quality, Education, Denials, and Coding Operations to resolve issues.
• Stay current with CMS, AHA, AMA and other regulatory guidelines.
• Drive continuous improvement in a remote work environment while maintaining accuracy and productivity.

Education

RHIT

RHIA

COC

CCS-P

CCS

Bachelor's or Associate Degree

Job description

R1 RCM Inc. is seeking an Outpatient Quality Reviewer to review outpatient coded cases across multiple areas, ensure coding accuracy, and advise on CPT®, HCPCS, ICD-10-CM, and APC code assignments. The role involves researching guidelines and sharing expert insights with the coding team.

The position requires seven years of hospital outpatient coding experience and active certifications (RHIT/RHIA/COC/CCS/CCS-P). This is a remote US-based role with a competitive benefits package.