Revenue Cycle Analyst-Outpatient Coding Review Team

R1 RCM Inc. is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and physician practices. Headquartered in Chicago, R1® is a publicly-traded organization with employees throughout the US and international locations. 

Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patients and each other. With our proven and scalable operating model, we complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. 

As a Revenue Cycle Analyst, you will execute audits and conduct reimbursement research for a regional portfolio of client engagements. Together with your team of analysts, you will drive revenue capture for commercial contract payers across a wide range of clinical services. To thrive you must have strong interest in, or experience within, hospital billing, resolution, and revenue cycle management.

Key Responsibilities:

• Review outpatient hospital facility, clinic, and physician documentation, including, but not limited to medical records, UB-04s, EOBs, itemized bills, and remittance advices to determine appropriate code assignments for services provided (CPT/HCPCS codes).
• Analyze and apply Commercial and Managed Care contracts to facilitate proper pricings.
• Navigate hospital EMR and billing systems to conduct patient-specific clinical documentation research and validate hospital reporting.
• Build and maintain expertise in Medicare and Managed Care billing, coding, and reimbursement policies.
• Support algorithm research, development, and maintenance for the purpose of processing hospital data to uncover medical reporting inaccuracies that lead to underpayments.
• Mine, research, and identify treatment patterns to identify predictive indicators of care.
• Interact effectively with consulting teams to perform reviews, provide recommendations, and communicate project results for R1/Cloudmed’s clients.

Required Qualifications:

• Bachelor’s degree, or HS diploma with 2+ years’ experience in hospital coding, billing, resolution, revenue cycle and/or related data analytics (i.e., medical assistant, billing and coding, healthcare technician, biology/health science major).
• Organized self-starter with strong attention to detail.
• Strong analytical and critical thinking skills, including proficiency with Excel.
• Strong communicator.
• Proficient with computers and technology.

For this US-based position, the base pay range is $43,888.00 - $70,631.44 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.This job is eligible to participate in our annual bonus plan at a target of 5.00%

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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