Jobs Companies R1 RCM Senior Specialist - Inpatient (IP) Coding QA

Sobre esta vaga de Senior Specialist - Inpatient (IP) Coding QA na R1 RCM

R1 RCM · Remoto · Quezon City, Metro Manila - Remote
As an Inpatient Coding Quality Reviewer, you will be responsible for conducting
internal quality audits focused on inpatient medical coding to ensure accuracy,
compliance, and adherence to official coding guidelines.
This role emphasizes identifying coding errors, improving coding efficiency, and
providing educational feedback to coders. You will collaborate with operations and
training teams to maintain high standards of coding quality and compliance with
payer policies and regulatory requirements
Qualifications:
  • Minimum 5 years of inpatient medical coding experience, including exposure to multiple specialties.
  • Holds at least one relevant certification: CCS, CIC
  • Strong knowledge of CMS guidelines, MS-DRG/APR-DRG and Inpatient Prospective Payment System (IPPS).
  • Proficiency with coding software such as Epic, Cerner, Meditech, and 3M 360.
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.
What’s in it for you?
• Competitive Total Rewards Package
• Target variable incentives
• Medical Plan (HMO) from Day 1 of employment with free dependents
• Life insurance
• Paid Time-Off Benefits
• Sick Leave Conversion
• Night Differential offered
• Employee Referral Program
• All Mandatory Statutory Benefits
R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The 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, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, or any other characteristic protected by local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
#R1Philippines #AllTogetherBetterinR1PH
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Sobre a R1 RCM

R1 is the leader in healthcare revenue management, helping providers achieve new levels of performance through smart orchestration. A pioneer in the industry, R1 created the first Healthcare Revenue Operating System: a modular, intelligent platform that integrates automation, AI, and human expertise to strengthen the entire revenue cycle. With more than 20 years of experience, R1 partners with 1,000 providers, including 95 of the top 100 U.S. health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare organizations unlock greater long-term value. To learn more, visit: https://www.r1rcm.com .

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