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R1 RCM

Senior Specialist – Inpatient IP Coding QA

R1 RCM

Inpatient Coding Quality Reviewer ensuring accuracy and compliance in medical coding. Collaborating with teams to maintain high coding standards and provide educator feedback.

Posted 7/28/2026full-timeRemote • 🇵🇭 PhilippinesSeniorWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates extensive experience in inpatient medical coding with a strong focus on compliance, accuracy, and adherence to official coding guidelines. Proficient in utilizing coding software and knowledgeable in CMS guidelines and payment systems.

Highest-signal resume keywords
Inpatient Medical Coding ExperienceCCS CertificationCIC CertificationKnowledge of CMS GuidelinesProficiency with Epic

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Inpatient Medical CodingCoding Error IdentificationCoding Efficiency ImprovementEducational FeedbackCompliance Adherence
Soft Skills
CollaborationCommunication
Tools & Technologies
EpicCernerMeditech3M 360
Certifications & Qualifications
CCSCIC
Industry Keywords
CMS GuidelinesMS-DRGAPR-DRGInpatient Prospective Payment SystemPayer Policies

About the role

Key responsibilities & impact
  • Conducting internal quality audits focused on inpatient medical coding to ensure accuracy, compliance, and adherence to official coding guidelines.
  • Identifying coding errors, improving coding efficiency, and providing educational feedback to coders.
  • Collaborating with operations and training teams to maintain high standards of coding quality and compliance with payer policies and regulatory requirements.

Requirements

What you’ll need
  • Minimum 5 years of inpatient medical coding experience, including exposure to multiple specialties.
  • Holds at least one relevant certification: CCS, CIC
  • Strong knowledge of CMS guidelines, MS-DRG/APR-DRG and Inpatient Prospective Payment System (IPPS).
  • Proficiency with coding software such as Epic, Cerner, Meditech, and 3M 360.

Benefits

Comp & perks
  • Competitive Total Rewards Package
  • Target variable incentives
  • Medical Plan (HMO) from Day 1 of employment with free dependents
  • Life insurance
  • Paid Time-Off Benefits
  • Sick Leave Conversion
  • Night Differential offered
  • Employee Referral Program
  • All Mandatory Statutory Benefits