Role Description The Medical Coding Manager provides operational leadership for coding activities across assigned specialties and service lines. This role ensures coding accuracy, productivity, and compliance with applicable regulatory and payer requirements, while partnering with billing, clinical, and compliance teams to support clean claim submission, reduce denials, and protect revenue integrity. Key Responsibilities - Team Leadership & Development - Lead, coach, and develop coding staff (in-house and outsourced resources) to support accuracy, consistency, and accountability. - Support recruiting, onboarding, training, and competency validation for new and existing team members. - Establish clear performance expectations and conduct regular evaluations aligned to quality and productivity standards. - Address performance gaps through structured coaching and corrective action plans as needed. - Operational Oversight - Oversee day-to-day coding operations to ensure timely completion of encounters and consistent application of coding standards. - Develop and maintain workflows that improve productivity, turnaround time, and coding accuracy across specialties. - Ensure appropriate work distribution based on complexity, volume, and team capacity. - Maintain departmental policies and procedures consistent with official coding guidelines and payer requirements. - Compliance & Audit Oversight - Oversee internal and external coding audits, ensuring timely response, documentation support, and completion of corrective actions. - Monitor adherence to federal, state, and payer-specific coding rules, including documentation requirements. - Identify risk areas and implement corrective and preventive action plans to reduce compliance exposure. - Maintain audit-ready processes and participate in compliance initiatives, education, and reporting. - Revenue Cycle & KPI Management - Monitor team KPIs, including coding quality scores, productivity, and turnaround times. - Partner with billing and revenue cycle leadership to support clean claim submission and reduce coding-related denials. - Identify trends impacting reimbursement (e.g., documentation gaps, modifier usage, payer edits) and implement targeted improvements. - Cross-Functional Collaboration - Partner with providers, clinical leadership, and compliance to promote complete and accurate documentation. - Serve as a resource for coding guidance, escalation support, and interpretation of coding rules. - Collaborate with billing, AR, and payer relations teams on payer-specific coding strategies and issue resolution. - Support contract review, LOA alignment, and operational readiness for new payers, services, or documentation requirements. Qualifications - 5+ years of professional medical coding experience across one or more specialties. - 3-4+ years of people leadership experience preferred. - Working knowledge of ICD-10-CM, CPT, HCPCS, and modifier application, as applicable to the organization’s services. - Strong understanding of coding compliance principles and audit readiness expectations. - Demonstrated ability to manage workflows, track metrics, and drive continuous improvement. - Proficiency with EHR and coding/billing systems, encoder tools, and productivity tracking platforms. Preferred Experience - Active coding credential (e.g., CPC, CCS, CIC) preferred based on specialty and service mix. - Experience managing coding operations in a multi-specialty or service-based environment. - Cross-functional experience partnering with billing and AR teams to address denials and documentation-related revenue risk. Pay Range $85,000 — $110,000 USD Benefits - Comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability, and life insurance. - 401(k) plan with employer match. - Flexible spending accounts. - Employee discount program. - Employee referral program.

HIM Associate II Locations: Remote, UT Full time 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.  The schedule for this role is Tuesday through Saturday 8:00 AM to 4:30 PM (PST). 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 $16.61 - $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.

Role Description This role supports the day-to-day coding operations for 19 acute rehab units by assisting the HIM Director with oversight of workflow, staff productivity, quality, and compliance. This position is specifically focused on IRF-PAI coding and includes performing coding and abstracting while serving as a resource to coding staff and hospital departments. - Assists in managing activities of the Coding staff as well as perform coding, abstracting and reporting in compliance with applicable laws and regulatory requirements. - Responsible for continuing education and ensuring compliance with government and internal coding regulation and standards. - Acts as a resource to coding staff, Revenue Integrity, and other hospital departments. - Onboards, trains & supervises coding department staff for the purpose of ensuring quality coding and maintaining an acceptable turnaround time in the completion of coding assignments. - Develops and motivates a competent, well-trained staff, capable of meeting established goals and promotes efforts to recruit and retain qualified staff. - Assists in completing probationary and annual employee performance evaluations. - Responds to requests from hospital departments, physicians, patients, families, etc. that ensure customer service excellence. - Must have excellent written and verbal communication skills, including the ability to present ideas and concepts effectively across organizational levels. - Assists the facility HIM Director and Coding Manager with oversight for processes and initiatives designed to continuously improve DNFC and Coding Revenue Cycle performance and/or efficiency. - Leads by example; promotes teamwork by fostering a positive, transparent, and focused working environment which achieves maximum results. - Other duties as needed and assigned by Coding leadership, including but not limited to leading and conducting special projects. - Develops project work plans, facilitates resource allocation, executes project tasks and obtains assistance from other intra and inter-departmental resources, as required. - Supervise the work of others, including planning, assigning and scheduling work, reviewing work and ensuring quality standards, training staff and overseeing productivity. Qualifications - A high school diploma or equivalent, and preferably with a bachelor’s degree in health care administration, health information management, or a related field. - Minimum 3 years’ inpatient coding experience, preferably at least two years of experience in supervising, coaching, and evaluating coding staff. - Certified Coding Specialist (CCS) or American Academy of Professional Coders (AAPC). Requirements - Must be authorized to work in the United States without employer sponsorship. Benefits - Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees. - Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. - Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. - Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). - Professional Development: Ongoing learning and career advancement opportunities. Company Description At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. We are Lifepoint’s Rehabilitation Services - IRF Coding Team! We support coding functions for our rehabilitation facilities within our Eastern, Mid-Western, and Western regions.

Vendor Medical Coding Analyst locations Remote time type Full time job requisition id R12604 Job Summary: The Vendor Medical Coding Analyst is responsible for guiding the overall efficiency and accuracy of the vendor payment process through analyzing medical records and supplemental data to ensure diagnostic and procedural codes accurately reflect and support the visit as it relates to correct coding guidelines and medical necessity. In addition, they are responsible for leading the identification of root causes of claims issues and holding vendors and internal CareSource teams accountable in implementing process improvements. Essential Functions: - Audit and interpret medical procedures and terminology in medical documentation to conclude if appropriate medical coding was used in vendor claims data. - Utilize critical thinking skills, discretion and independent judgment to determine best course of action for each inquiry. - Identify root cause of vendor payment issues and lead solutioning sessions with vendor and internal CareSource teams. - Identify and implement process improvements based on analysis of issues and other gaps in processes. - Conduct audits of vendor medical records. - Assess and generate reports to determine claim impact to aid in resolution. - Collaborate with leadership to advocate resolving issues based on industry standard coding practices. - Act as a subject matter expert to analyze and decide the appropriate reimbursement for codes submitted on claims. - Track status and oversee the work to conclusion as it moves through vendor and internal teams. - Develop claims test case scenarios and test plans to ensure industry standard coding practices are implemented. - Conduct on-going monitoring and communications to promote and ensure adherence to established protocols and best practices. - Build and maintain cross-functional working relationships with operational departments, markets, and Quality leaders. - Maintain an understanding of Federal and State Regulatory requirements, i.e. CMS, ODJFS and MDCH. - Ability to interface with vendor and represent CareSource in a professional manner. - Assist the vendors proactively by evaluating risks and developing risk-mitigation actions. - Perform all job functions with a high degree of discretion and confidentiality in compliance with federal, state and departmental confidentiality guidelines. - Perform any other job related duties as requested. Education and Experience: - Bachelor's degree required - Equivalent years of relevant work experience may be accepted in lieu of required education - Three (3) years Medical billing coding experience required - Three (3) years Managed Care experience preferred - Three (3) years of claims payment experience required Competencies, Knowledge and Skills: - Knowledge of diagnosis codes, and CPT coding guidelines; medical terminology; anatomy and physiology; and Medicare/Medicaid/Commercial reimbursement guidelines - Intermediate level of Facets, Microsoft Word, Excel, PowerPoint and Access - Firm understanding of basic medical billing process - Reimbursement Methodology (APC, DRG, OPPS) preferred - Advanced communication skills - Data analysis and quality assurance skills - Ability to work independently and within a team environment - Ability to generate reports & identify trends in coding - Attention to detail - Familiarity of the healthcare field - Knowledge of Medicaid/Medicare/Commercial - Critical listening and thinking skills - Claims processing skills - Technical writing skills - Time management skills - Decision making/problem solving skills Licensure and Certification: - Certified Medical Coder (CPC, RHIT or RHIA) required Working Conditions: - General office environment; may be required to sit or stand for extended periods of time - May be required to work additional hours and/or outside normal business hours as needed to meet deadlines. - Travel is not typically required   Compensation Range: $54,500.00 - $87,300.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.   Compensation Type (hourly/salary): Salary   Organization Level Competencies - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-JM1