Coding Liaison

Coding Liaison

R1 RCM | Salt Lake City, UT, 84190, US

Posted a month ago

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**Coding Quality - Coding Liaison**

Remote USA

Set your sights on a role making a real difference in the healthcare system. We're looking for a self-motivated Coding Liaison professional to join our team. We have a relentless focus on driving results for our customers and enabling them to invest more into patient care; in turn, this allows us to continue to grow our company and your career.

The Coding Liaison works with the Coding Liaison Manager and Director of Coding Quality Management to establish open lines of communication regarding potential coding quality concerns. The Coding Liaison assists with coding review inquiries related to ICD-10, CPT, DRG/APR-DRG or APC codes. Our collaborative partners include the following R1 teams: Coding, Quality, Education and Training Teams, Revenue Integrity, CDM and PFS/Site Leaders. The coding liaison team also works with site customers including CDI, Quality/Risk, Case Management, Patient Advocate's, Physician Advisors, Clinical Departments and Administration.

**Your day to day role will include:**

+ Completes requests from customers and collaborative partners noted above to determine if coding quality issues exist. Review results are shared with Local and Regional Coding Site managers, Coding Advisory team and R1 Education and Training team as needed when coding issues are identified

+ Works with the CDI team, assisting with the resolution of documentation inconsistencies and DRG variances

+ Educates the CDI team and Physician Advisor on coding changes, DRGs, Official coding guidelines and documentation requirements

+ Attends various meetings to include CDI/Mortality/PSI/Revenue Integrity/R1 Coding Quality as needed

+ Works with the Quality & Risk teams to review coding related to HACs, PSI, Mortalities, Core Measures and focused CMS initiatives

+ Provides coding education/guidelines to Quality and Risk, related to HAC, PSI, Mortalities, Core Measures and all other CMS reporting related to pay for performance

+ Conduct coding reviews related to potential lost revenue via Axiom and high dollar medical necessity edits

+ Identify trended coding quality issues requiring new or refresher coder education for accurate and compliant code, DRG/APR-DRG, APC assignment

**You Have:**

+ CCS Certification required.

+ RHIA, RHIT, or Associate Degree in other field, required

+ Minimum of five years of inpatient coding. Prefer additional knowledge/experience in outpatient coding. Experience working with the CDI team is preferred

+ Strong problem-solving skills.

+ Strong analytical skills and ability to comprehend and analyze large quantities of operational data

+ Ability to review complex medical records

+ Ability to interact professionally with other associates, department directors and the Medical Staff through effective verbal and written communication

+ Experience with Excel, PowerPoint and Word

+ Strong communication and presentation skills

**It would be great if you also have:**

+ Experience in a large (> 500 beds) hospital or multi-hospital health system.

+ Training in hospital Clinical Documentation Improvement.

+ Inpatient or outpatient coding audit experience.


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 including:

+ Comprehensive Medical, Dental, Vision & RX Coverage

+ Paid Time Off, Volunteer Time & Holidays

+ 401K with Company Match

+ Company-Paid Life Insurance, Short-Term Disability & Long-Term Disability

+ Tuition Reimbursement

+ Parental Leave

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.

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