Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position. To ensure accurate and appropriate gathering of information into the coding classification systems to meet departmental, hospital and outside agency requirements. This includes ensuring appropriate reimbursement, compliance and charging with the various coding guidelines and regulatory agencies. Responsible for obtaining accurate and complete documentation in the medical record for accurate coding/MS-DRG assignment, severity of illness and risk of mortality for each medical record. Must code inpatients and/or interventional RAD cardiology/radiology 90% of current FTE status. Responsible for the coding of the highly complex patient classes i.e. inpatient, interventional, etc. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High School Diploma or Equivalent. 2. Current HIM or Coding Certification through ONE of the following - American Health Information Management Association (AHIMA) - American Academy of Professional Coders (AAPC) EXPERIENCE: 1. Three (3) years of hospital inpatient coding or interventional radiology (IRAD) hospital coding experience. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Codes inpatient and/or IRAD 90% of current FTE status. 2. Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10-CM, ICD-10-PCS, CPT, or modifier codes for each diagnosis and procedure that is identified (inpatient and IRAD). Codes highly complex patient classes (inpatient and IRAD). 3. Ensures appropriate MS-DRG assignment based on accurate ICD-10-CMand ICD-10-PCS coding assignment and medical record documentation. 4. Assigns hospital codes to a variety of patient classes (i.e. I/P, IRAD, etc.). 5. Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas. 6. Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals. 7. Assures the accuracy, quality, and timely review of data needed to obtain a clean bill. 8. Contacts physicians or any persons necessary to obtain information required for to accurately code assignments. Works and communicates with other offices in any manner necessary to facilitate the billing process. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Must be able to sit for long periods of time. 2. Must have visual and hearing acuity within the normal range. 3. Must have manual dexterity needed to operate computer and office equipment. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment. 2. Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material. 3. May require travel. SKILLS AND ABILITIES: 1. Must be able to concentrate and maintain accuracy during constant interruptions. 2. Must possess independent decision-making ability. 3. Must possess the ability to prioritize job duties. 4. Must be able to handle high stress situations. 5. Must be able to adapt to changes in the workplace. 6. Must be able to organize and complete assigned tasks. 7. Must possess excellent written and verbal communication skills. 8. Must possess the knowledge of anatomy, physiology and medical terminology. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: SYSTEM West Virginia University Health System Cost Center: 548 SYSTEM HIM Coding Analysis

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.  As our HIM Associate II, you will be responsible for results preparing records for release to patient access or other third parties. Everyday, you will be responsible for retrieving and releasing data to qualified recipients while adhering to confidentiality protocols that aim to protect sensitive information. This position is also responsible for updating data systems. This position performs audits to ensure the accuracy of information and works with staff members to reconcile reports. The successful candidate must have high attention to detail and strong data entry skills. Here’s what you will experience working as an HIM Associate II: - Prepare and release patient records to authorized parties, ensuring confidentiality and adherence to HIPAA regulations. - Handle inbound calls and inquiries from departments, patients, and third parties; log requests in EHR system. - Respond to requests professionally and promptly via phone, email, or fax. - Verify recipient identity and authority; prepare records as per request specifications. - Review released information for compliance with laws and policies; maintain confidentiality. - Stay updated on relevant laws and regulations; assist in training new staff. - Participate in quality improvement initiatives and perform other duties as assigned. Required Skills: - High School diploma or equivalent. - Minimum 2 years of data-related experience, and healthcare or ROI-related experience. - Knowledge of HIPAA and state laws; proficiency in MS Office; strong data preparation skills. - Excellent time management and attention to detail. For this US-based position, the base pay range is $16.00 - $22.95 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. 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. CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent To learn more, visit: R1RCM.com Visit us on Facebook

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Role Description The position is responsible for monitoring, evaluating and approving or denying payment of medical and/or behavioral healthcare services through prospective, concurrent, and retrospective review for the Fee for Service population. The position determines medical necessity based on standards of care, rules, regulations, policies and procedures governing the provision of covered services. The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State’s Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance. Major duties and responsibilities include but are not limited to: - Performs medical claims review/adjudication using claims industry standards. Determines if a claim meets emergency criteria, medical necessity, and/or correct revenue code/CPT/HCPC coding. Also determines if the level of care and length of stay is appropriate for the AHCCCS recipient. - Prepares reports and analyzes savings and trends. Interacts with other departments/providers as needed. - Performs special projects including but not limited to research projects. Qualifications - Must maintain a current Arizona medical license (RN or higher) or Arizona Behavioral Health license (Associate or higher) and 3 years of relevant healthcare experience. - Experience in Prior Authorization, Utilization Management, claims review, auditing, or managed care; knowledge of population served preferred. Requirements - Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency’s ability to reasonably accommodate any restrictions. - Travel may be required for State business. Employees who drive on state business must complete any required driver training. - All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify). Benefits - 10 paid holidays per year - Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees) - Paid Parental Leave - Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child. - Other Leaves - Bereavement, civic duty, and military. - A top-ranked retirement program with lifetime pension benefits - A robust and affordable insurance plan, including medical, dental, life, and disability insurance - Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications) - RideShare and Public Transit Subsidy - A variety of learning and career development opportunities