Revenue Integrity Specialist

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.As our Revenue Integrity Specialist, you will apply CPT-4 codes to medical records for the Infusion and Emergency departments based on documentation provided by physicians. Every day you will adhere to strict federal coding rules and guidelines in selecting codes that appropriately reflect the services that were provided. Balances need for (95% accuracy) coding accuracy against timely account completion for billing deadlines. To thrive in this role you must, you must possess a keen eye for detail, a solid understanding of medical coding standards and guidelines, excellent analytical skills, and the ability to work efficiently both independently and as part of a team.Here’s what you will experience working as a Revenue Integrity Specialist:

Knowledgeably applies CPT-4 to Infusion Coding and Emergency Department performed for the sites that are covered by the department.

Coding of surgical procedures performed by cardiologists, and interventional radiologists

Use of 3M and other references

Maintains appropriate non-leading queries to physicians

Ability to abstract services from physician documentation and procedure logs.

Managing multiple job tasks daily (WQs, emails, etc.)

Required Skills:

Infusion Coding and Emergency Department Coding

Proficient knowledge of CPT-4 and assignments

Proficient knowledge of CPT coding guidelines

Proficient knowledge of Modifier assignments

Medical terminology

Ability to maintain high productivity and accuracy

Effective communication skills both verbal and written

Interpersonal skills

Organizational skills

Computer skills-abstracting and encoders, MS Word, Excel, PowerPoint, SharePoint, Epic

Proficient computer skills including 10 key by touch

Preferred Licenses and CertificationsCPC/AAAPC- CPC or CIRCC or CCC or CCVTCORAHIMA- CCSFor this US-based position, the base pay range is $15.66 - $23.45 per hour . 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. (http://go.r1rcm.com/benefits)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.comVisit us on Facebook (https://www.facebook.com/R1RCM)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.”