Job Description

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.

Applies CPT-4 and HCPCS codes to medical records for the Cardiovascular Lab and Interventional Radiology departments based on physician documentation. Ensures compliance with federal coding guidelines, maintains a minimum of 95% coding accuracy, and supports timely account completion to meet billing deadlines.

Essential Responsibilities

• Assign CPT/HCPCS codes for procedures performed by cardiologists and interventional radiologists.
• Verify supplies used during procedures.
• Utilize coding encoders and reference materials to ensure accurate code assignment.
• Submit appropriate, non-leading physician queries for documentation clarification.
• Abstract services from physician documentation and procedure logs.
• Reconcile monthly surgical logs.
• Manage daily workloads, including work queues, emails, surgical logs, and census reports.
• Evaluate and implement charge requests using appropriate CPT/HCPCS, revenue codes, and pricing.
• Conduct charge capture audits by reviewing patient records, billing data, and financial information to identify discrepancies and ensure compliance.
• Analyze and summarize data trends for discussions with clinical and finance teams.
• Collaborate with departments including Utilization Management (UM), Clinical Documentation Integrity (CDI), Revenue Cycle Management (RCM), Coding Services, Clinical Departments, and Health Information Management (HIM) to resolve coding, charge, and CDM discrepancies.

Required Skills

• Advanced knowledge of CPT/HCPCS coding, NCCI edits, and MUE guidelines.
• Proficiency in Excel, including VLOOKUPs, pivot tables, and report generation.
• Strong analytical, auditing, and data validation skills.
• Understanding of charge capture, billing, revenue recognition, and coding compliance.
• Ability to identify discrepancies, perform root-cause analysis, and develop corrective action plans.
• Strong verbal and written communication skills.
• Excellent attention to detail and accuracy.
• Ability to collaborate effectively with cross-functional teams and executive stakeholders.
• Strong problem-solving and stakeholder management skills.

Other Qualifications

• Experience conducting charge capture and coding compliance audits.
• Ability to analyze data, identify trends, and summarize findings.
• Experience extracting and reporting data from software applications.
• Strong collaboration skills with clinical, operational, and revenue cycle teams.
• Experience working with senior leadership and key stakeholders.

Education Level
High School Diploma.

Experience Level
4–6 years of related experience.

Licenses and Certifications

Required Certification: CCS, CIRCC, COC, CPC, or equivalent certification.

For this US-based position, the base pay range is $48,131.00 - $81,225.49 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.This job is eligible to participate in our annual bonus plan at a target of 5.00%

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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