Outpatient Coding Quality Associate

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 Outpatient Coding Quality Associate is responsible for ensuring the accuracy, completeness, and compliance of medical coding across healthcare services. This role involves reviewing coded records for quality assurance, identifying areas of improvement, and supporting coders through feedback and education to maintain high standards in coding practices. The associate will work closely with medical coders, auditors, and compliance teams to uphold regulatory and organizational requirements.

Here is what you can expect as our Quality Coding Associate:

• Conduct retrospective and concurrent audits of coded clinical documentation to ensure accuracy of ICD-10-CM, CPT, and HCPCS coding.

• Review coding practices against official coding guidelines, payer policies, and internal standards.

• Provide detailed feedback to medical coders, identify error patterns, and recommend corrective actions or training.

• Collaborate with the coding leadership team to develop and refine quality improvement initiatives.

• Maintain detailed audit records and assist in preparing quality performance reports and dashboards.

• Stay current on industry regulations, including CMS, HIPAA, and payer-specific rules.

• Assist in training and mentoring new or underperforming coders as needed.

• Participate in internal and external coding audits and assist in implementing corrective action plans.

• Ensure documentation supports medical necessity and aligns with coded diagnoses and procedures.

• Serve as a resource for coding questions and provide clarification on complex cases.

• High school diploma or equivalent required.

• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification required.

• Certification in auditing (e.g., CPMA) is a plus.

• Minimum 3 years of hands-on inpatient coding experience

• At least 2 years of experience in coding quality review or auditing is preferred

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.

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To learn more, visit: R1RCM.com

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