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Job Description R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The Multi Specialty Denial Coding Associate II will be responsible for reviewing clinical documentation and diagnostic results as appropriate (i.e., 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). Under the direction of the Coding Leadership Team, the successful candidate must be able to accurately code conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Here’s what you will experience working as our Coding Associate II: <ul> <li>Assigns 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.</li> <li>Reviews physician assigned diagnosis code after thorough review of the medical record and, if necessary, queries physician for additional clarity in a professional manner.</li> <li>Able to accurately abstract information from the medial records into the abstract system, according to established guidelines.</li> <li>Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC) adheres to official coding guidelines</li> <li>Enters and validates codes, charges and other edits flagged in Athena or EPIC for review.</li> <li>Review documentation (and returned accounts) to verify and correct place of service, billing and service providers, or other missing data elements (ie: NDC #, or number of units)</li> <li>Uses CCI edit software to check bundling issues, modifier appropriateness, and LCD’s/NCD’s for medical necessity.</li> <li>Communication with other departments to recommend coding guidance for charge corrections, appeals processes, and patient billing concerns.</li> <li>Meet and/or exceeds the established coding productivity standards</li> <li>Meet and/or exceeds the established quality standard of 95% accuracy while meeting and/or exceeding productivity standards</li> </ul> Required Qualifications: <ul> <li>High School Diploma or GED required</li> <li>CCS-P, CPC Certification</li> <li>Three (3) years coding experience</li> <li>Must be able to demonstrate proficiency in professional services (95% accuracy).</li> <li>Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA) (ie: Documentation Guidelines ’95 &amp; ’97)</li> <li>Extensive knowledge of government, and commercial payer guidelines.</li> <li>Must be able to use standard office equipment and information systems.</li> <li>Ability to interact with other employees through effective communication.</li> <li>Ability to prioritize and shift workloads to ensure departmental goals align with revenue cycle goals </li> </ul> For this US-based position, the base pay range is $17.58 - $27.14 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>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, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the 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 PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>

R1 RCM

Multi Specialty Denial Coder II

<h3 dir="ltr">About Us </h3> At FreeWorld, our mission is to end generational poverty and recidivism through economic mobility. We use a tech-forward approach to get returning citizens (folks with a criminal record) into living wage jobs–at scale. We’re focused on trucking jobs at the moment, but are building a platform that will expand well beyond one industry. We’re extremely proud of our 23x social ROI, but have aspirations to 10x that. We’re also proud to have been chosen by <a href="https://info.solve.mit.edu/solver-class-2024" target="_blank">MIT Solve</a> as one of the most innovative tech-forward non-profits driving real change. Serious applicants, please read our <a href="https://drive.google.com/file/d/1O2Qoz0Oz2E_uh3cz_hSM96TdivyWCI94/view?usp=drive_link" target="_blank">FreeWorld Culture FAQ</a> and <a href="https://drive.google.com/file/d/1psk8hS7uUQqZ5Y8JI0gYyYduIIJYo8kW/view?usp=drive_link" target="_blank">FreeWorld Core Values</a> before applying. <h3 dir="ltr"> Our Mission ‍ </h3> FreeWorld’s mission is to end generational poverty and recidivism through economic mobility. We do this by: <ul> <li>Placing returning citizens into high-wage careers at scale.</li> <li>Developing a self-sustaining revenue model to accelerate our growth. </li> <li>Creating systemic change by leveraging our deep layers of graduate data in partnership with the Criminal Justice System to become the Gold Standard for re-entry.</li> </ul> <h3 dir="ltr">Job Description</h3> As a Software Engineer (we’re hiring at all levels), you’ll build apps that help returning citizens get living wage trucking jobs, and you’ll modernize a fragmented and highly-manual workforce ecosystem. You’ll work on small product teams to rapidly ship and iterate, while raising the quality bar with each PR. We work in Next.js on MySQL, and will increasingly incorporate genAI as a first-class level of abstraction. Your uncommon user empathy will shine in your highly-accessible and delightful solutions, and your commitment to your craft will ensure our stack stays lean and easy to evolve. <h3 dir="ltr">What you’ll do (Job Responsibilities)</h3> <ul> <li>Design, develop, and maintain the world’s most effective and delightful re-entry app </li> <li>Use frequent, thoughtful feedback in PR reviews to hold the quality bar high, with grace</li> <li>Experiment with new tools, tech, and techniques to keep us lean and nimble</li> <li>Be an owner/operator of production code, inc sometimes leading blameless post mortems after troubleshooting and patching serious live bugs</li> <li>Recruit, evaluate, and train new talent as we continue to grow the team</li> <li>Travel at least four times a year to full-team and eng-only working retreats</li> </ul> <h3 dir="ltr">What you’ll have (Minimum Qualifications) </h3> Technical <ul> <li>Experience writing easy-to-read, well-tested, low-resource Typescript</li> <li>Exposure to, experience with, or deep acumen for evolutionary architecture (e.g. loose coupling, modularity, continuous deployment, and robust test automation)</li> <li>Track record of good judgement in adopting 3rd party libraries and services </li> <li>Scars from a few egregious mistakes, inc having taken production down a time or two</li> </ul> Non-Technical <ul> <li>Great teammate, over great distances (and Zoom calls) </li> <li>Pride in craft – good enough is never good enough for you, AND</li> <li>Scrappy and entrepreneurial – you know how to think big &amp; fail fast </li> <li>Radically non-judgemental</li> </ul> Bonus Points if… (Preferred Qualifications) ‍‍ <ul> <li>Impacted by the criminal justice system (directly or indirectly)</li> <li>Experience working in the fields of criminal justice or trucking</li> <li>Experience working in a tech-based startup or nonprofit</li> <li>Experience with Next.js, ReactNative, Prisma, and genAI</li> </ul> <h3 dir="ltr">Hiring Process</h3> <ol> <li> Read our <a href="https://drive.google.com/file/d/1O2Qoz0Oz2E_uh3cz_hSM96TdivyWCI94/view?usp=drive_link" target="_blank">FreeWorld Culture FAQ</a> and our <a href="https://drive.google.com/file/d/1psk8hS7uUQqZ5Y8JI0gYyYduIIJYo8kW/view?usp=drive_link" target="_blank">FreeWorld Core Values</a>, and if you still think you are a fit… </li> <li>Submit an application and cover letter. If your qualifications are a match… </li> <li>We have a short introductory call. If we love each other, then…</li> <li>You flex your tech chops in a CoderByte tech assessment (no l33tcode, but yes programming), then... </li> <li>A "CV deep dive" one hour call with the CTO to discuss your previous experiences and career arc, then...</li> <li>You meet three additional team members in 45-minute (each) focused interviews, two technical and one behavioral. </li> <li> Last but not least, we talk to a few of the folks you worked with, and if all goes well, we agree on terms. ‍ </li> </ol> <h3 dir="ltr">Compensation and Benefits</h3> This is a full-time position. Compensation is based on experience, but we are targeting the compensation range provided below. $105k - $135k (Software Engineer) $120k - $175k (Sr Software Engineer) $160k - $215k (Tech Lead) FreeWorld is dedicated to caring for our team. For an up-to-date list of employee benefits, view our <a href="https://drive.google.com/file/d/17hcG72s3iA9DxEytt96n4KorpSxAkc4f/view?usp=drive_link" target="_blank">2024 FreeWorld Benefits</a>. A few key benefits are listed below: <ul> <li>Remote work flexibility</li> <li>Team-centric culture of honesty, vulnerability, &amp; trust!</li> <li>Awesome Health &amp; Disability Insurance (medical, dental, vision, mental health) </li> <li>Financial Health: 401k &amp; High-Yield Savings Account </li> <li>Employee Development (Quarterly Wellness Stipend, Paid Professional Development, and more) </li> <li>Incredible Work-Life Balance! (Unlimited PTO, 14+ paid holidays, &amp; paid parental leave)</li> <li>Creating tremendous impact at scale</li> </ul>

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