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Have you considered working as a 340B analyst or similar role? R1 RCM has some open positions related to 340B as well as other RCM positions. Happy to send a referral if you find an open position that interests you.
I started as a receptionist, moved into referrals which gave me coding familiarity, then when the coder quit after 6 months of me being there I talked to the physicians and asked for a chance.