As our Revenue Cycle Analyst, you will help execute audits and conduct reimbursement research for a regional portfolio of client engagements. Everyday you will drive revenue capture for Medicare and Medicare-like payers across a wide range of clinical services. To thrive in this role you must have familiarity with hospital inpatient or outpatient coding.Key Responsibilities:
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;
Drive new discoveries and knowledge depth related to clinical focus areas, including medical coding, charge capture, billing and CDI practices;
Utilize R1/Cloudmed and client software platforms to manage account information and workflow between internal departments and consulting teams;
Continue to innovate R1/Cloudmed review process through research, data analytics, and trending;
Participate in R1/Cloudmed’s recruiting and training programs, periodic teambuilding events, and socially responsible activities;
Required Qualifications:
Strong analytical and critical thinking skills, including proficiency with Excel
Desired Qualifications:
Reliable self-starter who is eager to learn and flexible in a dynamic environment
Detail oriented, with demonstrated organizational skills and the ability to manage time efficiently, prioritize tasks;
Team-oriented with strong organizational, interpersonal, and communication skills;
Professional and respectful representatives of R1/Cloudmed and our clients;
Ability to build trust and confidence with internal teams through effective interaction, training, and collab
For this US-based position, the base pay range is $40,305.57 - $63,822.00 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.Learn more about Benefits (http://go.r1rcm.com/benefits) at R1Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package including:
Comprehensive Medical, Dental, Vision & RX Coverage
Paid Time Off, Volunteer Time & Holidays
401K with Company Match
Company-Paid Life Insurance, Short-Term Disability & Long-Term Disability
Tuition Reimbursement
Parental Leave
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.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent (https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf)To learn more, visit: R1RCM.comVisit us on Facebook (https://www.facebook.com/R1RCM)#LI-TJ1 #TJ2023R1 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.Headquartered near Salt Lake City, Utah, R1 employs over 29,000 people globally and is traded on the Nasdaq stock exchange under the symbol “RCM.”