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Flexible R1 Rcm Medical Coding Jobs in Washington

C-MCI

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

The ideal candidate will have expertise in medical coding, claims submission, payer interactions ... Revenue CycleManagement (RCM): * Oversee theentire claims lifecycle, from eligibility verification ...

Nourish

RCM Lead

Falls Church, VA · Remote

Support ad-hoc RCM projects - including payer-specific billing efforts and new service line ... Medical coding background (CPC/CCS credentialed) a plus More Information The Nourish Bar Our Values ...

Inova Health System

Medical Records Coder 2

Fairfax, VA · On-site

$18.50 - $24.75/hr

Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules. Medical ... Meets coding productivity standards as established by the Coding Operations Director and Coding ...

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Flexible R1 Rcm Medical Coding information

Are medical coding jobs flexible?

Medical coding jobs, including roles like R1 Rcm Medical Coder, often offer flexible schedules, especially for remote positions. Many coders work part-time or have the ability to set their own hours, depending on employer policies and project deadlines.

Does R1 RCM offer remote work options?

R1 RCM offers remote work options for medical coding roles, including flexible R1 RCM Medical Coding positions. These roles often require certification, attention to detail, and familiarity with coding software, and remote work arrangements are common in the industry.

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 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 medical coder gets paid the most?

In medical coding, senior roles such as Certified Professional Coder (CPC) with extensive experience or specialized certifications like Certified Coding Specialist (CCS) tend to earn higher salaries. Medical coders working in specialized fields such as radiology or with advanced skills in coding software often receive higher pay. Factors like certification, experience, and work environment influence compensation levels for medical coders.

Will AI eventually replace medical coders?

AI technology is increasingly used to assist medical coders by automating routine coding tasks, but it is unlikely to fully replace them in the near future. Medical coding requires critical thinking, understanding of complex medical terminology, and adherence to coding guidelines, which currently benefit from human oversight and expertise. Certified medical coders will continue to play a vital role in ensuring accurate and compliant coding practices.

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 are the most commonly searched types of R1 Rcm Medical Coding jobs in Washington? The most popular types of R1 Rcm Medical Coding jobs in Washington are:
Flexible R1 Rcm Medical Coding jobs near you

Medical Billing Specialist

C-MCI

Fairfax, VA • On-site, Remote

$18.50 - $24/hr

Full-time

Re-posted 25 days ago

Job description


Position: Medical Billing Specialist
Location: Remote / On-site
Department: Revenue Cycle Management
Overview:
CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that enhance medical billing workflows. The ideal candidate will have expertise in medical coding, claims submission, payer interactions, and denial management, ensuring optimized billing practices for maximum reimbursement and minimal claim rejections.
Why Join CMCI?
  • Opportunityto work with cutting-edge AI-driven billing solutions that optimizeRCM efficiency.
  • Work in acollaborative environment with healthcare and AI professionals.
  • Competitivesalary, benefits, and professional development opportunities.

Key Responsibilities:
  • ClaimsProcessing & Submission:
    • Accuratelyprocess, review, and submit medical claims.
    • Verify CPT,ICD-10, and HCPCS codes to ensure claims compliance withpayer-specific policies.
    • Work withclearinghouses and insurance payers to track claims and resolve denials,rejections, and underpayments efficiently.
  • Revenue CycleManagement (RCM):
    • Oversee theentire claims lifecycle, from eligibility verification to final paymentreconciliation.
    • Monitoraccounts receivable (A/R) aging reports and ensure timely follow-upon outstanding claims.
    • Optimizepayer reimbursement rates by leveraging contractual agreements andcoding best practices.
  • Payer &Compliance Coordination:
    • Utilize thepayer lookup database to retrieve Payer IDs and transactiontypes for accurate claim submission.
    • Ensurecompliance with Medicare, Medicaid, and private insuranceguidelines to prevent fraud and billing errors.
    • Stay updatedon coding changes, regulatory requirements, and payer policies tomaintain accuracy in claims processing.
  • Technology& AI Development Support:
    • Provideinsights into billing workflows, common claim errors, and automationopportunities to improve AI-driven billing tools.
    • Assist intesting and refining AI-powered RCM solutions, including automated claimsscrubbing and predictive denial management.
    • Collaboratewith the engineering and data science teams to train AI models forenhanced claims accuracy.

Requirements
Required Qualifications:
  • Education& Certification:
    • Associate'sor Bachelor's degree in Health Information Management, Business, or arelated field (preferred).
    • CertifiedProfessional Biller (CPB) or Certified Professional Coder(CPC) (preferred).
  • Experience:
    • 2+ years ofexperience in medical billing, claims processing, or revenue cyclemanagement.
    • Strongknowledge of CPT, ICD-10, and HCPCS coding systems.
    • Experienceworking with Medicare, Medicaid, and commercial insurance payers.
  • TechnicalSkills:
    • Proficiencywith billing and practice management software such as:
      • ElectronicHealth Records Systems: Epic, Cerner, Athenahealth
      • Clearinghouseplatforms: Emdeon, Availity, Change Healthcare, Waystar, Kareo
    • Experiencewith ANSI X12 837 EDI claims processing.
    • Strong Exceland data analysis skills for tracking claim performance.
    • Familiaritywith AI-based RCM tools is a plus.
  • Soft Skills:
    • Stronganalytical and problem-solving skills for identifying claimdiscrepancies.
    • Excellentcommunication and collaboration skills to liaise with providers andpayers.
    • Ability towork independently and in a team environment in a fast-pacedsetting.

Join CMCI to help revolutionize the future of AI-powered medical billing!
All qualified applicants will receive consideration for employment without regard to any characteristic protected by local, state, or federal laws, rules, or regulations

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