R1 RCM is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. Founded in 2003 as Accretive Health, the company has since grown to become a major player in the healthcare revenue cycle management (RCM) industry. R1 RCM uses advanced technologies, including Palantir AI, to tackle some of the toughest challenges in healthcare reimbursement, ensuring that providers get paid accurately and efficiently.
With a strong commitment to environmental, social, and governance (ESG) practices, R1 RCM is dedicated to sustainability and social responsibility. The company’s services include end-to-end management of revenue cycles, physician advisory, clinical documentation improvement, and regulatory compliance support. R1 RCM operates across the United States and has a significant presence in India, with offices in Noida, Chennai, and Hyderabad.
Job Description
R1 RCM is seeking experienced Medical Coders/Senior Medical Coders with coding certifications (CIC or CCS) and 1 to 7+ years of experience in IP DRG medical coding. The ideal candidate will be responsible for reviewing inpatient medical records and assigning accurate ICD-10-CM and PCS codes, ensuring adherence to coding guidelines and effective communication with stakeholders.
Key Responsibilities:
- Review patient medical records following PHI and HIPAA guidelines and convert them into medical coding codes as per ICD-10-CM and PCS guidelines.
- Complete daily assigned tasks within the stipulated time, ensuring quality and timely communication with internal and external stakeholders.
- Adhere to organizational policies and guidelines.
- Assign accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures based on medical record documentation.
- Sequence codes accurately and assign POA indicators correctly.
- Understand and apply medical necessity, DRGs, APGs, and APRs for processing claims.
- Adhere to coding clinics and guidelines, and query physicians for clarification as needed.
- Monitor account status regularly and follow up with respective leaders when necessary.
- Knowledge of 3M coding, Optum, computer-assisted coding (CAC), abstracting software, and Meditech will be an added advantage.
Eligibility Criteria:
- 1 to 7+ years of work experience in IP DRG medical coding.
- Graduate or Postgraduate degree.
- Successful completion of a certification program from AHIMA (CCS) or AAPC (CIC), which must be active during joining and verified.
- Strong knowledge of anatomy, physiology, and medical terminology.
- Effective verbal and written communication skills, with the capability to reply to emails professionally to clients and stakeholders.
- Ability to work independently and adapt to business/process requirements.
How to Apply
Interested candidates are requested to share their resume with the following email address: dbisht4@r1rcm.com.
