<p><b>R1</b> 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. </p><h3>Position Summary:</h3><p>Applies CPT-4 and HCPCS codes to medical records for the cardiovascular lab and interventional radiology departments based on documentation provided by physicians. Adheres to strict federal coding rules and guidelines in selecting codes that appropriately reflect the services that were provided. Balances need for (95% accuracy) coding accuracy againsttimelyaccount completion for billing deadlines.</p><div><h3>Essential Responsibilities:</h3></div><div><ul><li><p>Coding of surgical procedures performed by cardiologists, and interventional radiologists  </p></li></ul></div><div><ul><li><p>Verification of supplies used during procedures </p></li></ul></div><div><ul><li><h3>Use of encoders and other references </h3></li></ul></div><div><ul><li><p>Maintainsappropriate non-leading queries to physicians </p></li></ul></div><div><ul><li><p>Ability to abstract services from physician documentation and procedure logs. </p></li></ul></div><div><ul><li><p>Reconciliation of monthly surgical logs </p></li></ul></div><div><ul><li><p>Managing multiple job tasks daily (WQs, emails, surgical logs, census, etc.) </p></li></ul></div><div><ul><li><p>Prepares Excel analysis, including V-Lookups and pivot tables. Gathers and compiles data in a systematic fashion, clearly documenting assumptions, and validating accuracy of information to resolve inconsistencies. </p></li></ul></div><div><ul><li><p>Evaluate and implement charge requests withappropriate CPT/HCPCScodes, revenue codes, and pricing, ensuring alignment with clinical services and coding/billing guidelines. </p></li></ul></div><div><ul><li><p>Conducts Charge Capture Audits: Review and analyze patient records, billing data, and financial statements to ensure charge and coding compliance.Identifydiscrepancies or errors and develop action plan for future state resolution </p></li></ul></div><div><ul><li><p>Analyzes data toidentifylikely relationships, summarizesdataand prepares summary materialsfor discussion with clinical and finance teams. </p></li></ul></div><div><ul><li><p>Collaborates with various departments to resolve CDM or RI discrepancies (Utilization Management (UM), Clinical Documentation Integrity (CDI), RCM, Coding Services, Clinical Departments, and Health Information Management (HIM)). </p></li></ul><h3>​ </h3></div><h3>  Skills: </h3><div><div><p>​​1.AdvancedKnowledge:CPT/HCPCS, NCCI,andMUE.</p></div></div><div><div><p>​2. ExcelProficiency: Strong skills in V-Lookups and pivot tables.</p></div><div><p>​3. AnalyticalSkills: Syste