Coding Liaison

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.  

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.

Here's what you'll experience working as a Coding Liaison:

• 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

Required Qualifications:

• RHIA, RHIT, CCS certifications or a combination is required

• Minimum of five (5) years of inpatient coding

• Minimum of three (3) years of coding auditing

• 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

Preferred Qualifications:

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

• Experience working with the CDI team is preferred

• Prefer additional knowledge/experience in outpatient coding

• Training in hospital Clinical Documentation Improvement

• Inpatient or outpatient coding audit experience

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.

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent

To learn more, visit: R1RCM.com

Visit us on Facebook