Specialist - Quality

R1 RCM

  • Hyderabad, Telangana
  • Permanent
  • Full-time
  • 2 months ago
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:Visit us on

R1 RCM

Similar Jobs

  • Quality Assurance & Compliance Specialist

    Alight

    • Hyderabad, Telangana
    Our story At Alight, we believe a company’s success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encoura…
    • 1 month ago
  • Senior Quality Assurance Specialist - Validation

    Statistics & Data Corporation (SDC)

    • Hyderabad, Telangana
    Senior Quality Assurance Specialist - Validation SDC is a team of diversified professionals who deliver exceptional Biometric Services, Consulting, and Technology Solutions to ph…
    • 2 months ago
    • Apply easily
  • Project Quality Management Specialist, Technology

    Novartis

    • Hyderabad, Telangana
    About the role Coordinate, Control quality and validation efforts, assist in developing a quality/validation strategy, verify activities through reports, write/review/approve sys…
    • 1 month ago