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Coding Integrity SpecialistR1 RCM • Remote, United States
Coding Integrity Specialist

Coding Integrity Specialist

R1 RCM • Remote, United States
3 days ago
Job type
  • Full-time
  • Remote
Job description

Job Description:

  • Conduct complex coding reviews related to reimbursement, public reporting, and pay for performance.
  • Collaborates with the CDI team, assisting with the resolution of documentation inconsistencies, DRG variances, and CDI and internal operations.
  • Ensures that the DRG or reimbursement accurately reflects the services/utilization of resources provided by the hospital.
  • Performs second level focused pre-bill and post-bill account reviews to ensure accurate coding.
  • Conduct complex 360 coding reviews which include identification and correction of coding, and trending for documentation, coding denials, billing, and charging.
  • Evaluate for coding accuracy/specificity to assist with preventing possible loss of revenue for the hospital related to value-based payment programs.

Requirements:

  • Bachelor's or associate’s degree in HIM related fields or CCS credential is required.
  • Minimum 5 years of inpatient coding.

Benefits:

  • Health insurance
  • 401(k) matching
  • Paid time off
  • Flexible working arrangements
  • Professional development opportunities
  • Competitive benefits package
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Coding Integrity Specialist • Remote, United States

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