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Flexible R1 Rcm Medical Coding Jobs in Virginia (NOW HIRING)

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Flexible R1 Rcm Medical Coding information

What are the key skills and qualifications needed to thrive as a Flexible R1 RCM Medical Coder, and why are they important?

To thrive as a Flexible R1 RCM Medical Coder, you need a strong understanding of medical terminology, ICD-10/CPT coding systems, and healthcare revenue cycle management, typically supported by a certification such as CPC or CCS. Familiarity with coding software, electronic health records (EHR) systems, and medical billing platforms is essential. Attention to detail, analytical thinking, and strong communication skills help ensure accuracy and effective collaboration with healthcare teams. These competencies are crucial for maximizing reimbursement, maintaining compliance, and reducing claim denials in a dynamic healthcare environment.

What are the typical challenges faced by Flexible R1 RCM Medical Coders, and how can I prepare for them?

Flexible R1 RCM Medical Coders often navigate a fast-paced environment where accuracy and compliance are crucial. One common challenge is staying up-to-date with frequent changes in coding guidelines and payer requirements. Coders must also manage productivity targets while ensuring high-quality coded records. Preparing for these challenges involves continual learning, strong attention to detail, and effective time management. Collaborating with billing teams and participating in ongoing training can help you stay current and succeed in the role.

What is a Flexible R1 RCM Medical Coding job?

A Flexible R1 RCM Medical Coding job involves reviewing and translating healthcare diagnoses, procedures, and medical services into standardized medical codes for billing and insurance purposes. The 'flexible' aspect typically refers to work hours or remote work options. R1 RCM stands for R1 Revenue Cycle Management, a company specializing in healthcare revenue cycle solutions. Medical coders in this role ensure that healthcare providers are reimbursed accurately and comply with healthcare regulations. This position requires knowledge of coding systems like ICD-10, CPT, and HCPCS, as well as attention to detail and familiarity with healthcare documentation.

What is the difference between Flexible R1 Rcm Medical Coding vs Medical Billing Specialist?

AspectFlexible R1 Rcm Medical CodingMedical Billing Specialist
CertificationsAHIMA or AAPC coding credentials, CPC or CCS certificationsBilling and coding certifications preferred, such as CPC
Work EnvironmentHealthcare facilities, remote coding environmentsMedical offices, billing companies, healthcare facilities
Primary ResponsibilitiesAssigning accurate medical codes for diagnoses and proceduresProcessing patient bills, submitting claims, follow-up on payments

Flexible R1 Rcm Medical Coders focus on translating medical documentation into standardized codes, while Medical Billing Specialists handle the billing process and insurance claims. Both roles require coding certifications and often work in similar healthcare settings, but their core tasks differ significantly.

What are the most commonly searched types of R1 Rcm Medical Coding jobs in Virginia? The most popular types of R1 Rcm Medical Coding jobs in Virginia are:
What cities in Virginia are hiring for Flexible R1 Rcm Medical Coding jobs? Cities in Virginia with the most Flexible R1 Rcm Medical Coding job openings:
Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations

Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations

Stout

Arlington, VA

Full-time

Posted 23 days ago


Job description

At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence . Both our client service and culture are second to none, stemming from our firmwide embrace of our core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and being Great communicators. Sound like a place you can grow and succeed? Read on to learn more about an exciting opportunity to join our team.

Impact You'll MakeThis section outlines the key outcomes and contributions expected from the role. It highlights how your work will shape engagements, support clients, and drive value across Stout's Healthcare Consulting practice.
  • Contribute to complex healthcare consulting engagements involving coding audits, disputes, claims analysis, and investigations.
  • Deliver high-quality, accurate coding analysis that informs client decisions, regulatory responses, and litigation support.
  • Identify risks related to billing, coding, and reimbursement, including potential fraud, waste, and abuse.
  • Support the development of defensible findings and recommendations through detailed documentation and analysis.
  • Enhance Stout's reputation for excellence by applying deep expertise in inpatient coding, reimbursement systems, and compliance.
What You'll DoHere, you'll find the core responsibilities and day-to-day duties of the role. These tasks are designed to help you achieve desired outcomes while supporting team and organizational goals.
  • Perform detailed reviews of inpatient medical records to assess accuracy of ICD-10-CM/PCS coding and alignment with clinical documentation.
  • Analyze coding, billing, and reimbursement practices across engagements involving audits, disputes, and investigations.
  • Support forensic analyses to identify compliance risks, inefficiencies, and reimbursement discrepancies.
  • Assist in audits, regulatory reviews, and litigation support by gathering evidence, analyzing issues, and contributing to reporting.
  • Evaluate DRG/APR-DRG/APC assignments and reimbursement implications based on clinical documentation.
  • Collaborate with internal teams, clients, and legal counsel to support engagement objectives.
  • Prepare clear, well-structured reports, analyses, and client-ready deliverables summarizing findings and recommendations.
  • Monitor coding trends, denials, billing edits, and regulatory updates to inform analyses and engagement insights.
  • Contribute to internal knowledge sharing and continuous improvement within the Healthcare Consulting practice.
What You BringThis section details the skills, qualifications, and experience needed to excel in the role.
  • Bachelor's degree in Health Information Management or related field (or equivalent experience).
  • Minimum of five (5) years of recent acute-care inpatient facility coding experience.
  • Strong experience with DRG and PCS coding, including auditing; denials experience preferred.
  • Active coding credential required (CCS, CIC, RHIT, or RHIA).
  • Knowledge of MS-DRG, APR-DRG, APC methodologies and reimbursement frameworks.
  • Experience reviewing clinical documentation for accuracy, compliance, and reimbursement optimization.
  • Familiarity with healthcare regulatory frameworks (e.g., CMS, HIPAA, False Claims Act).
  • Proficiency in Microsoft Office (Excel, Word, PowerPoint); experience with data visualization tools is a plus.
  • Strong analytical, problem-solving, and written/verbal communication skills.
How You'll ThriveThis section highlights the competencies and behaviors that will set you up for success in this role and align with Stout's culture.
  • Analytical and Detail-Oriented: Ability to interpret complex clinical and coding data and draw well-supported conclusions.
  • Collaborative and Client-Focused: Works effectively with cross-functional teams and builds strong client relationships.
  • Accountable and Proactive: Takes ownership of work, manages priorities, and delivers high-quality results on time.
  • Adaptable and Curious: Thrives in a fast-paced consulting environment and continuously learns new regulations and methodologies.
  • Quality and Integrity Driven: Demonstrates commitment to ethical coding practices and compliance standards.
  • Aligned with Stout Values: Embodies Relentless Excellence through teamwork, responsiveness, and strong communication.

Why Stout?
At Stout, we offer a comprehensive Total Rewards program with competitive compensation, benefits, and wellness options tailored to support employees at every stage of life.
We foster a culture of inclusion and respect, embracing diverse perspectives and experiences to drive innovation and success. Our leadership is committed to inclusion and belonging across the organization and in the communities we serve.
We invest in professional growth through ongoing training, mentorship, employee resource groups, and clear performance feedback, ensuring our employees are supported in achieving their career goals.
Stout provides flexible work schedules and a discretionary time off policy to promote work-life balance and help employees lead fulfilling lives.
Learn more about our benefits and commitment to your success.

https://www.stout.com/en/careers/benefits

The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria necessary to successfully perform the job.

Stout is an Equal Employment Opportunity.All qualified applicants will receive consideration for employment on the basis of valid job requirements, qualifications and merit without regard to race, color, religion, sex, national origin, disability, age, protected veteran status or any other characteristic protected by applicable local, state or federal law.

Stout is required by applicable state and local laws to include a reasonable estimate of the compensation range for this role. The range for this role considers several factors including but not limited to prior work and industry experience, education level, and unique skills. The disclosed range estimate has not been adjusted for any applicable geographic differential associated with the location at which the position may be filled. It is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case.

A reasonable estimate of the current range is $60,000.00 - $130,000.00 Annual. This role is also anticipated to be eligible to participate in an annual bonus plan. Information about benefits can be found here - https://www.stout.com/en/careers/benefits.

Stout NYC logo

About Stout NYC

Sourced by ZipRecruiter

Started in 2005, Stout NYC has always been a home for the residents and visitors of New York City; a true public house. At each Stout location, we offer a welcoming place for all to come as they are. Our core values foster connection and authenticity and our brand heart aligns with the community we serve. Like NYC, we have seen it all, and through the ups and downs of city life, Stout NYC has remained a great unifier of people seeking meaningful connections. We see our job as simply providing the place and space for people to enjoy each other’s company. With four great venues strategically located around busy transportation hubs, we service New York City’s various audiences. From the ambitious and driven, the commuter on the move, or those seeking something less traditional, Stout gets back to the roots of why pubs were created in the first place: to foster warmth, connection, and memories. At Stout, we want you to come as you are. Whether it's at the end of a long day, a private event with friends or colleagues, or a fun Friday night turned up, Stout provides a style of hospitality that's accessible and friendly and delivers a memorable charm that will shape your New York City experience

Industry

Food services and drinking places

Company size

51 - 200 Employees

Headquarters location

New York, NY, US

Year founded

2005