Specialist - Quality

Posted 2 Days Ago
Be an Early Applicant
3 Locations
Senior level
Fintech • Healthtech • Analytics
The Role
The Specialist - Quality will provide floor support and ensure quality standards are met during auditing processes in medical coding. Responsibilities include conducting audits, reviewing coder performance, and participating in client meetings to enhance overall coding knowledge and quality.
Summary Generated by Built In

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For™ 2023 by Great Place To Work® Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare simpler’ and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.

Eligibility Criteria:

Education – Any Graduate, Post Graduate.
Currently working as Process Trainer/QA/SME/Team leader/Group Coordinator will be added advantage.
Candidate should possess minimum of 5+ years of experience in medical coding in coding/auditing/training role.
Candidate should have overall experience of 4 years in the applied specialty.
Candidate should be certified in medical coding at AAPC or AHIMA accreditation (should not be recently certified)
Should have expert knowledge of ICD-10-CM, CPT, hospital outpatient, and emergency department coding rules, National Correct Coding Initiative edits, CPT Assistant coding guidelines, APCs, Official Coding Guidelines and Coding Clinic guidelines.
Excellent process knowledge & Domain understanding.
Ability to review and interpret complex medical records.
Multispecialty proficiency will be an added advantage.
Ability to learn new applications/software systems effectively and efficiently.
Ability to work independently and make sound decisions.
Good verbal and written communication and analytical skills.
Skilled in interpersonal, written, and verbal communication, including email.

Responsibilities:

Floor support and 100% reviews to coders during transitions & Prebill phase to ensure meeting on quality standards.
Conducting focused and retro reviews for all assigned coders and Facilities
Regular audit feedbacks and coding queries resolution.
Providing regular updates monthly coding articles, newsletters & hot topics for enhancing coders knowledge & expertise
Participating in client call and meetings.

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com

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Top Skills

Icd-10-Cm,Cpt
The Company
HQ: Murray, UT
10,001 Employees
On-site Workplace
Year Founded: 2003

What We Do

R1 is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers

R1’s proven and scalable operating models seamlessly 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.

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