Teams at R1 RCM

Reviews outpatient medical records for coding completeness, accuracy, compliance, and APC/payment opportunities. Validates CPT, HCPCS, ICD-10-CM, modifiers, and APC assignments; researches coding guidelines; provides audit feedback, coaching, and expert guidance; analyzes trends; collaborates with quality, education, denials, and coding teams; and supports revenue integrity, training, and process improvement.

As a Coding Integrity Specialist, you will conduct coding reviews, ensure proper reimbursement, collaborate with teams, and provide feedback on coding accuracy.

Supports biweekly and semi-monthly payroll processing for more than 10,000 employees. Responsibilities include Workday payroll administration, payroll and leave integration monitoring, timekeeping support, employee case resolution, tax compliance, ADP SmartCompliance administration, reconciliations, garnishment validation, SOX controls, audits, reporting, and SOP development.