Certified Coding Specialist (CCS) Auditor

R1 RCM Inc. is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and physician practices. Headquartered in Chicago, R1® is a publicly-traded organization with employees throughout the US and international locations. Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patients and each other. With our proven and scalable operating model, we 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. As our Inpatient Production Auditor, you will be responsible for auditing inpatient cases and reviewing inpatient medical records for validation while maintaining excellent organizational skills and strong attention to detail. Every day, you will be expected to play an intricate part in providing analytical expertise for the validation process while evaluating claim reimbursement potential based on coding assignment. To thrive you must be detail-oriented and flexible in a work environment. RESPONSIBILITIES Audit inpatient cases for DRG validation Review inpatient medical records for validation of DRG assignment Provide detailed rationale and supporting evidence for recommendation and findings Utilize industry-recognized references to support their review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding, AHIMA Practice Briefs related to compliant querying, and AHA Coding Clinics Evaluate claim reimbursement potential based on coding assignment REQUIRED QUALIFICATIONS CCS Required Recently credentialed encouraged to apply Strong verbal and written communication skills Experience with multiple EMR Systems such as Epic, Cerner, and Meditech Must be able to organize workflow, prioritize tasks, and meet deadlines Excellent organizational skills and strong attention to detail Ability to work in a flexible environment, adapting to changing priorities Self-starter who is eager to learn, and can work independently and in a dynamic environment For this US-based position, the base pay range is $50,065.00 - $64,381.00 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. 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 for assistance. CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent ( To learn more, visit: Visit us on Facebook ( 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 are the one company that combines 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. Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally and is traded on the Nasdaq stock exchange under the symbol "RCM."

Created: 2024-11-02