Revenue Integrity Clinical Auditor

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. 

As our Clinical Auditor, Revenue Integrity you will help ensure accurate medical charging allowing patient care facilities to focus on providing care. Every day you will perform medical record audits to ensure charges were provided and supported, investigate patient charge concerns by reviewing medical records and looking for inaccuracies, collaborate with other revenue cycle departments on process improvements to reduce charge related errors. To thrive in this role you must be able to read and understand medical charts, have an eye for finding discrepancies and errors, and communicate your findings verbally and in writing.

Here’s what you will experience working as a Revenue Integrity Specialist

• Research medical records to determine services charged were provided and supported and validate the accuracy of patient charges

• Perform periodic charge audits to support corporate compliance program

• Identify process improvements for revenue cycle staff operations and clinical department teams

• Assist coders with clinical documentation issues and liaise with charge capture and billing functions

Required Skills:

• Ability to read and understand medical charts through clinical experience as an RN, medical assistant, occupational therapist, respiratory therapist, radiology technician, etc.

• Knowledge of medical terminology and clinical documentation processes and procedures

• Ability to navigate Electronic Medical Records

• Microsoft Outlook, Word, and Excel - ability to sort and filter spreadsheets

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 competitive benefits package.

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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To learn more, visit: R1RCM.com

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