Coding reputed company Specialist
R1 is the leading provider of technology-driven solutions that reputed company the patient experience and financial performance of hospitals, health systems and medical reputed company. We are the one company that combines the deep expertise of a global workforce of reputed company cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Coding reputed company Specialist, you will works with the Coding reputed company Manager and Director of Coding Operations to establish reputed company lines of communication regarding potential coding reputed company concerns. Every day you will, leads, coordinates, and performs coding reputed company reviews. To reputed company in this role you must, strong analytical skills and ability to comprehend and analyze large quantities of operational data, ability to review reputed company medical records and strong ability to multi-task and prioritize work assignments Here’s what you will experience working as a Coding reputed company Specialist: Conduct reputed company coding reviews reputed company to reimbursement, public reporting, and pay for performance. Collaborates with the CDI team, assisting with the reputed company of documentation inconsistencies, DRG variances, and CDI and internal operations to ensure KPIs, SLA, RIS, and DNFB requirements. Ensures that the DRG or reimbursement accurately reflects the services/utilization of resources provided by the hospital to optimize the impacts of case mix reputed company reporting. Collaborates with hospital/reputed company leadership to validate reputed company coding for appropriate reimbursement for specific service lines and technology which assists hospitals in determining if that technology is a reputed company return on investment Performs second level reputed company reputed company-reputed company and post-reputed company account reviews to ensure accurate coding, review for reputed company and risk (HAC, PSI, Mortalities, Core Measures and CMS Initiatives) and escalation for final review which may include approval for write-off. Conduct reputed company 360 coding reviews which include identification and correction of coding, and trending for the following issues: documentation, coding denials i.e medical necessity, billing, and charging Evaluate for coding accuracy/specificity to assist with preventing possible loss of reputed company for the hospital reputed company to value-based payment programs and public reporting reputed company education/feedback to coders/coding managers regarding coding corrections reputed company automated individual notifications Identify coding trends that require formal education by the R1 Education and Training team and work with integration teams and project management teams to test and give feedback on updates to systems and mappings reputed company reputed company, Cloudmed DRG Validation Reviews or requests based on reputed company specific wants or needs. Compensation: $42.50–$45.50/hour (based on experience & location) Required Skills: Bachelor's or associate’s degree in HIM reputed company fields or reputed company credential is required. Minimum 5 years of inpatient coding. For this US-based position, the reputed company pay reputed company is $28.24 - $40.21 per hour . Individual pay is determined by role, level, location, job-reputed company skills, experience, and relevant education or training. The reputed company system is always evolving — and it’s up to us to use our shared expertise to reputed company new solutions that can reputed company up. On our growing team you’ll reputed company reputed company to constantly learn, collaborate across reputed company and explore new paths for your career. Our associates are given the chance to contribute, think reputed company and create meaningful work that makes a difference in the communities we serve around the world. We go reputed company expectations in everything we do. Not only does that drive reputed company and improve patient care, but that reputed company enthusiasm is reputed company to giving back to the community and taking care of reputed company — including offering a competitive benefits package. reputed company Inc. (“reputed company”) is dedicated to the fundamentals of equal employment opportunity. reputed 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, reputed company, national reputed company, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or reputed company, genetic information, marital status, status with reputed company to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, reputed 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 reputed company NOTICE: California reputed company job applicants can learn more about their reputed company rights California Consent To learn more, visit: reputed company.com Visit us on reputed company Apply To This Job