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From Home R1 Rcm Medical Coding Jobs in Connecticut

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From Home R1 Rcm Medical Coding information

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

To thrive as a Work-from-Home R1 RCM Medical Coder, you need a solid understanding of medical terminology, anatomy, ICD-10/CPT/HCPCS coding systems, and typically a certification such as CPC or CCS. Familiarity with medical billing software, electronic health records (EHR), and compliance tools is essential. Strong attention to detail, time management, and effective communication skills set top performers apart in this role. These competencies ensure accurate claims processing, minimize errors, and support timely reimbursements for healthcare providers.

What are some common challenges faced by remote R1 RCM medical coders, and how can they be addressed?

Remote R1 RCM medical coders often encounter challenges such as maintaining consistent communication with team members, managing time effectively without in-person supervision, and staying updated with frequent changes in coding regulations. Utilizing collaboration tools, participating in regular virtual check-ins, and dedicating time for ongoing learning can help address these issues. Additionally, establishing a dedicated workspace and setting a structured daily routine can significantly improve productivity and work-life balance.

What is a From Home R1 RCM Medical Coding job?

A From Home R1 RCM Medical Coding job involves working remotely for R1 RCM, a revenue cycle management company, to review and assign standardized medical codes to diagnoses and procedures in patient records. Medical coders use systems like ICD-10, CPT, and HCPCS to ensure healthcare providers receive proper reimbursement from insurance companies. Working from home allows for flexible work hours while still maintaining accuracy and compliance with healthcare regulations. This role typically requires specialized training in medical coding and may require certification.

What is the difference between From Home R1 Rcm Medical Coding vs R1 Rcm Medical Billing?

AspectFrom Home R1 Rcm Medical CodingR1 Rcm Medical Billing
CertificationsCPMA, CPC, CCSCPC, CPC-H, CCS
Work EnvironmentRemote, home-basedRemote or office-based
Industry UsageHealthcare, insurance claimsHealthcare, billing and collections
Job FocusAssigning medical codes for diagnoses and proceduresProcessing patient bills and insurance claims

From Home R1 Rcm Medical Coding primarily involves assigning accurate medical codes for diagnoses and procedures, often working remotely. R1 Rcm Medical Billing focuses on managing patient billing, submitting claims, and collections. While both roles are essential in healthcare revenue cycle management, coding emphasizes documentation accuracy, whereas billing centers on financial transactions.

What are the most commonly searched types of R1 Rcm Medical Coding jobs in Connecticut? The most popular types of R1 Rcm Medical Coding jobs in Connecticut are:
What are popular job titles related to From Home R1 Rcm Medical Coding jobs in Connecticut? For From Home R1 Rcm Medical Coding jobs in Connecticut, the most frequently searched job titles are:
What cities in Connecticut are hiring for From Home R1 Rcm Medical Coding jobs? Cities in Connecticut with the most From Home R1 Rcm Medical Coding job openings:

(Certified Professional Medical Coder) Professional Review Specialist II

Corvel

East Hartford, CT • Hybrid

$22.17 - $35.66/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 hours ago


CorVel rating

7.9

Company rating: 7.9 out of 10

Based on 50 frontline employees who took The Breakroom Quiz

80th of 138 rated financial services


Job description

The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided.

This is a hybrid position until fully trained. Training will be full-time onsite.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager
  • Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans
  • Appropriately document work and final conclusions in designated computer program
  • Additional duties as assigned

KNOWLEDGE & SKILLS:

  • Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology
  • Knowledge of applicable fee schedule and or applicable U&C Guidelines
  • Proficient in Microsoft Office applications
  • Technical aptitude with the ability to expand knowledge of MedCheck’s proprietary systems
  • Ability to work independently, follow process guidelines, and meet productivity standards and timelines (must maintain a score of 98% or higher on performance audits)

EDUCATION & EXPERIENCE:

  • Associate’s degree or equivalent experience
  • CPC or CPC-A required
  • Previous experience in the following areas preferred:    
    • Medical bill auditing
    • Knowledge of workers' compensation claims process
    • Prospective, concurrent and retrospective utilization review

PAY RANGE: 

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location.  Pay rates are established taking into account the following factors:  federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.  Our ranges may be modified at any time. 

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.  The level may impact the salary range and these adjustments would be clarified during the offer process. 

Pay Range: $22.17 - $35.66 per hour 

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management 

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL:

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries.  CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients.  We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities.  Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Hybrid


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