Senior Specialist – Inpatient IP Coding QA

🔥 1 hour ago

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R1 RCM

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

💼 Consulting

📦 Logistics

🏥 Healthcare

💰 Private Equity Round on 2024-07

Consulting • Logistics • Healthcare

R1 RCM is a leading provider of revenue cycle management solutions for the healthcare industry. With an emphasis on maximizing financial performance and optimizing patient care, R1 offers a comprehensive platform that integrates data analytics, intelligent technologies, and deep expertise in revenue cycle management. The company assists healthcare providers—ranging from hospitals and health systems to physician and specialty care practices—in capturing revenue opportunities, improving payer and patient cash flows, and ensuring compliance with government regulations. R1 is committed to driving cost reductions and revenue improvements while enhancing the patient experience. Their suite of services includes revenue recovery, clinical integrity, and regulatory navigation, making them a trusted partner for many top healthcare providers.

📋 Description

• Conducting internal quality audits focused on inpatient medical coding to ensure accuracy, compliance, and adherence to official coding guidelines. • Identifying coding errors, improving coding efficiency, and providing educational feedback to coders. • Collaborating with operations and training teams to maintain high standards of coding quality and compliance with payer policies and regulatory requirements.

🎯 Requirements

• Minimum 5 years of inpatient medical coding experience, including exposure to multiple specialties. • Holds at least one relevant certification: CCS, CIC • Strong knowledge of CMS guidelines, MS-DRG/APR-DRG and Inpatient Prospective Payment System (IPPS). • Proficiency with coding software such as Epic, Cerner, Meditech, and 3M 360.

🏖️ Benefits

• Competitive Total Rewards Package • Target variable incentives • Medical Plan (HMO) from Day 1 of employment with free dependents • Life insurance • Paid Time-Off Benefits • Sick Leave Conversion • Night Differential offered • Employee Referral Program • All Mandatory Statutory Benefits