Full-Time

Specialist

Quality

Posted on 7/10/2025

R1 RCM

R1 RCM

10,001+ employees

Revenue cycle management solutions for healthcare

No salary listed

Senior

Hyderabad, Telangana, India + 1 more

More locations: Noida, Uttar Pradesh, India

In Person

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Requirements
  • Any Graduate, Post Graduate
  • Minimum of 5+ years of experience in medical coding in coding/auditing/training role
  • Overall experience of 4 years in the applied specialty
  • Certified in medical coding at AAPC or AHIMA accreditation (should not be recently certified)
  • 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
  • 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
Desired Qualifications
  • Currently working as Process Trainer/QA/SME/Team leader/Group Coordinator will be added advantage
  • Multispecialty proficiency will be an added advantage

R1 RCM provides Revenue Cycle Management (RCM) solutions to healthcare providers, including hospitals and physician groups. The company uses technology to streamline financial and administrative processes, helping clients manage and collect patient service revenue more efficiently. R1 RCM stands out by focusing on reducing administrative burdens, allowing healthcare providers to prioritize patient care. The goal is to enhance patient experiences and improve financial performance for healthcare organizations.

Company Size

10,001+

Company Stage

IPO

Headquarters

Murray, Utah

Founded

2003

Simplify Jobs

Simplify's Take

What believers are saying

  • Increased telehealth adoption boosts demand for RCM solutions like those from R1 RCM.
  • Value-based care models create opportunities for RCM solutions aligning financial incentives with quality care.
  • R1 RCM's AI lab, R37, aims to transform healthcare financial performance with Palantir's tools.

What critics are saying

  • R1 RCM's AI reliance may face challenges if AI advancements outpace current capabilities.
  • Partnership with Palantir could expose R1 RCM to data privacy and security risks.
  • Performance-based contracts risk revenue loss if financial and operational targets aren't met.

What makes R1 RCM unique

  • R1 RCM specializes in end-to-end Revenue Cycle Management for healthcare providers.
  • The company leverages AI and automation to streamline financial and administrative processes.
  • R1 RCM partners with Palantir Technologies to enhance AI-driven healthcare solutions.

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Benefits

Performance Bonus

Professional Development Budget

Growth & Insights and Company News

Headcount

6 month growth

0%

1 year growth

2%

2 year growth

0%
Rama On Healthcare
Jun 18th, 2025
Former Revecore CEO joins R1 RCM

R1 RCM has named Dave Wojczynski president to lead the company's physician revenue cycle management business.

Rama On Healthcare
May 28th, 2025
R1 RCM Boosts AI with Khosla Investment

R1 RCM has secured an investment from Khosla Ventures to enhance its AI-driven healthcare revenue cycle transformation efforts. Khosla Ventures, known for backing AI companies like OpenAI and DoorDash, supports R1's collaboration with Palantir Technologies, which began in March with the launch of R37, an AI lab focused on automating revenue cycle operations.

Rama On Healthcare
May 28th, 2025
R1 RCM Boosts AI with Investment

R1 RCM has secured an investment to enhance its AI initiatives. The article provides information on Rama SmartSearch, a tool that helps users stay updated with healthcare industry news by refining search algorithms to find relevant content. It allows users to combine keywords using operators like "AND" and "OR" for more precise or broader search results. The article does not specify the investment amount.

GlobeNewswire
May 28th, 2025
R1 Announces Investment from Khosla Ventures as it Accelerates AI-Driven Healthcare Transformation

Investment Follows Recent R37 Launch...

R1 RCM
Apr 4th, 2025
R1 Offers CEU Credits Through Provider Edge Program to Fuel Professional Growth

That's why R1 RCM Inc. launched R1 Provider Edge, an education and insights program designed to support its clients' financial success and the professional growth of their revenue cycle employees.