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US-Coding Assoc III @R1 RCM Holdco Inc.

[Hiring] US-Coding Assoc III @R1 RCM Holdco Inc.

Apr 02, 2025 - R1 RCM Holdco Inc. is hiring a remote US-Coding Assoc III. đź’¸ Salary: $18.16 - $31.13 per hour. đź“ŤLocation: USA.

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Role Description

As our Professional Coder III you will be responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM, HCPCS and CPT-4 codes for billing, review and correct billing edits, internal and external reporting, research, and regulatory compliance.

  • Accurately code conditions and procedures as documented in the ICD-10-CM Official Guidelines for coding and reporting.
  • Review physician assigned diagnosis code after thorough review of the medical record and, if necessary, query physician for additional clarity in a professional manner.
  • Communicate with other departments to recommend coding guidance for charge corrections, appeals processes, and patient billing concerns.
  • Assign codes for diagnoses, treatments and procedures according to the appropriate classification system for professional service encounters to determine the highest level of specificity ICD-10 codes, CPT codes, HCPCS codes, and modifiers.
  • Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC) and adhere to official coding guidelines.
  • Meet and/or exceed the established quality standard of 95% accuracy while meeting and/or exceeding productivity standards.
  • Use CCI edit software to check bundling issues, modifier appropriateness, and LCD’s/NCD’s for medical necessity.
  • Review documentation (and returned accounts) to verify and correct place of service, billing and service providers, or other missing data elements (e.g., NDC #, or number of units).

Qualifications

  • High School Diploma or GED required
  • CCS-P, CPC certification
  • Must be able to demonstrate proficiency in professional services (95% accuracy)
  • Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA) (e.g., Documentation Guidelines ’95 & ’97)

Requirements

  • Proficiency in coding using ICD-10-CM, HCPCS, and CPT-4 codes
  • Ability to abstract information from medical records into the abstract system according to established guidelines

Benefits

  • Competitive benefits package

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US-Coding Assoc III @R1 RCM Holdco Inc.
All others
Salary đź’¸ $18.16 - $31.13 per hour
Remote Location
USA
Job Type full-time
Posted Apr 02, 2025
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đź“Ť Be aware of the location restriction for this remote position: USA
‼ Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more.
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