Physician Billing Coding Auditor

At R1 RCM we are a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers.

We deliver proven ROI across the entire revenue cycle – front, middle and back office. This enables our customers to achieve an optimal revenue cycle – one that promotes patient satisfaction and improves financial performance.

R1 is currently seeking a Physician Coding Auditor with a background in Physician coding, billing, and reimbursement guidelines.  The Auditor must understand medical terminology, coding, contractual agreements, and various payment methodologies.  This position requires good time management skills and the ability to work independently.

Every day in this role, you will:

• Review physician charges against medical record and all applicable documentation to determine appropriate code assignments for diagnoses and services provided (CPT/HCPCS codes)
• Understand billing and coding requirements for government and commercial payers
• Abstract statistical data from the patient record and enter information following facility guidelines
• Utilize coding resources or applicable reference materials to ensure accuracy in coding for assigned services
• Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
• Maintain productivity standards, tracking logs and deadlines

To be successful in this role you must have:

• CPC, CPMA, RHIA, RHIT, CCS-P, and/or CCS certification:
  • >1 year of physician coding and auditing experience, multi-specialty experience preferred
• Knowledge of auditing and/or coding with CPT/HCPCS/ICD10/PCS
• Surgical coding experience required
• HS diploma required

For this US-based position, the base pay range is $43,888.00 – $70,631.44 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

This job is eligible to participate in our annual bonus plan at a target of 5.00%