Job Information
R1 RCM Specialist - Quality in Gurugram, India
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
Visit us on Facebook (https://www.facebook.com/R1RCMIndia)
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.
Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally and is traded on the Nasdaq stock exchange under the symbol “RCM.”