As our Coding Quality Associate-Profee (auditor) you will be responsible for reviewing coded cases for coding completeness and accuracy. Everyday you will identify potential coding and DRG errors, research appropriate guidelines to support recommended changes, and communicates the changes to the coder involved on a timely basis. To thrive in this role you must have your CCS or CPC and have profee coding experience.

　　Responsibilities:

　　Audits records as defined in the coding quality review plan. Review cases flagged by the coding quality software on a daily basis for multiple hospitals, including validating the completeness of documentation, identifying diagnoses and procedures that have been missed, proposing physician queries, and ensuring the accuracy of diagnoses, procedures, POA, discharge disposition and DRG assignment

　　Perform retrospective coding quality reviews as requested

　　Follows, and maintains up-to-date knowledge of, industry coding and documentation guidelines (e.g., Official ICD-10 Coding and Billing Guidelines, Coding Clinic advice, R1 and Ascension coding policies and procedures, and AHIMA/ACDIS Query Guidelines) so as to maintain system-wide coding consistency and remain in compliance with governmental and other regulatory guidelines

　　Communicates audit findings with coders in a timely manner and supports the teams in effectively and efficiently addressing and resolving local coding issues

　　Maintains both a high productivity rate and a high accuracy rate in accordance with established auditing standards

　　Serves as an inpatient coding expert & resource for the coding teams and other departments

　　Works with the Regional Manager to identify areas of educational need based on audit results

　　Reports to, and works with, the Regional Manager to identify improvements in the audit software tool, workflow processes and flag management; and assist with evaluation and testing of audit applications and updates as needed

　　Work with the hospital’s CDI team to address and resolve documentation issues

　　Assists with compilation, generation and analysis of data for results reporting and performance Improvement initiatives

　　Contributes to the reduction of the hospital's and Company’s coding compliance risks and contributes to the Company’s revenue enhancement goals

　　Maintains an open dialogue and a good working relationship with team members in order to advance the mission and objectives of the hospitals and R1

　　Assists with training of new auditors. Assists with other audits and duties as requested

　　Required Qualifications:

　　CCS or CPC designation

　　A minimum of seven (7) years of professional fee coding experience

　　CPMA preferred

　　Extensive knowledge of ICD-10-CM/PCS classification system and MS-DRG and APR-DRG methodologies is required

　　Expert and up-to-date knowledge of industry Official Coding and Reporting Guidelines along with CMS and other agency directives for ICD-10 coding

　　Must have proficient MS Office computer skills, specifically in Excel and knowledge of various coding software/platforms and EMRs

　　Must be detail-oriented and have the ability to work independently and maintain a high productivity rate and coding accuracy rate

　　Ability to interact with other employees through effective communication

　　For this US-based position, the base pay range is $20.91 - $38.39 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

　　Learn more about Benefits (http://go.r1rcm.com/benefits) at R1

　　Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

　　Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package including:

　　Comprehensive Medical, Dental, Vision & RX Coverage

　　Paid Time Off, Volunteer Time & Holidays

　　401K with Company Match

　　Company-Paid Life Insurance, Short-Term Disability & Long-Term Disability

　　Tuition Reimbursement

　　Parental Leave

　　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 RCM is a leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups.

　　Our mission is to make healthcare simpler, so providers and patients can focus on what matters most. R1’s proven and scalable operating models seamlessly 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. Our priority is to always do what is best for our clients, patients, and each other.

　　Headquartered near Salt Lake City, Utah, R1 employs over 27,000 people globally and is traded on the Nasdaq stock exchange under the symbol “RCM.”