Neuro Coding Associate III (Neurosurgery & Neuro IR)

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 a Neuro Coding Associate III, you will play a critical role in ensuring accurate reimbursement for the most complex and high-value procedures in healthcare. This role is for experienced coders who are actively working in neurosurgery and Neuro Interventional Radiology (Neuro IR) and are ready to operate at an elevated level in a fast-paced, production-driven environment. You will partner closely with providers and revenue cycle teams, applying your deep expertise to complex cases that directly impact hospital financial performance and patient care outcomes. This is a high-performance role designed for top-tier coders who want to operate at the highest level of their specialty. The work is demanding, highly detailed, and requires both technical expertise and strong people skills, especially when collaborating directly with providers. 

What You will Do 

• Code complex neurosurgical and Neuro IR cases daily, including spine surgeries (e.g., ACDF, back procedures), brain tumor resections, and endovascular clot retrievals performed through vascular pathways.

• Manage a high-volume workflow with an expectation of approximately sixty cases per day, balancing speed with precision in a metric-driven environment.

• Accurately code high-value cases (typically $30K–$50K per surgery), ensuring compliance with coding standards and maximizing appropriate reimbursement.

• Interpret complex clinical documentation across neurosurgery and critical care, applying advanced coding knowledge with minimal ramp-up.

• Collaborate with providers through queries, maintaining professionalism and clarity while resolving documentation gaps.

• Support additional coding workstreams when needed, while maintaining primary focus on neurosurgery and Neuro IR assignments.

What Makes You Successful 

• You are currently coding neurosurgery and/or Neuro IR cases daily—this is not a role for someone who has done it in the past, but someone actively working in this specialty today.

• You bring deep, specialized knowledge of neurosurgical procedures and documentation and can confidently work independently in complex cases.

• You thrive in a high-demand, production-driven environment and consistently meet productivity and quality expectations.

• You have a calm, professional presence when collaborating with physicians, including navigating challenging or high-pressure interactions with enthusiastic providers.

• You are meticulous, resilient, and adaptable, with strong critical thinking and time management skills.

Qualifications 

• 4+ years of coding experience in a Neuro coding environment

• Required certification (one or more): CCS, COC, RHIA, RHIT, or CPC 

• Experience working in production-based coding environments with defined productivity targets. 

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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