Neuro Coding Associate III (Neurosurgery & Neuro IR)

R1 RCMRemote, CA, CA
$21 - $32Remote

About The Position

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.

Requirements

  • Currently coding neurosurgery and/or Neuro IR cases daily.
  • Deep, specialized knowledge of neurosurgical procedures and documentation.
  • Ability to work independently in complex cases.
  • Experience in a high-demand, production-driven environment with consistent productivity and quality expectations.
  • Calm, professional presence when collaborating with physicians, including navigating challenging or high-pressure interactions.
  • Meticulous, resilient, and adaptable with strong critical thinking and time management skills.
  • 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.

Responsibilities

  • 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.

Benefits

  • Opportunity to constantly learn.
  • Collaborate across groups.
  • Explore new paths for your career.
  • Contribute, think boldly and create meaningful work.
  • Competitive benefits package.
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