Outpatient Coding Quality Associate

About the role

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 combine 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.

Responsibilities

• Review outpatient coded records for completeness and accuracy, meeting department standards for high productivity and at least 95% accuracy in professional services coding.
• Identify coding errors, research applicable AMA, payer, and regulatory guidelines, and communicate timely corrections and audit findings to coders.
• Perform retrospective coding quality audits and help resolve local coding issues to improve overall coding consistency and compliance.
• Serve as a coding subject matter expert and resource for coding staff and other departments, including support with education based on audit results.
• Maintain current knowledge of official coding conventions, documentation requirements, government regulations, and commercial payer guidelines.
• Support reporting and performance improvement efforts by helping analyze audit data, identify workflow or audit tool improvements, and assist with testing updates as needed.

Requirements

• Three (3) years' experience in Outpatient coding.
• Credentials: CCS, COC, CPC, RHIA or RHIT.

Qualifications

• Preferred qualifications include experience with edits and denials, strong communication skills, proficiency with standard office systems, and the ability to prioritize shifting workloads to meet department and revenue cycle goals.

Skills

• Strong communication skills.
• Proficiency with standard office systems.

Benefits

For this US-based position, the base pay range is $28.24 - $40.21 per hour. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

Pay

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.

Schedule

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.