at R1 RCM in Chicago, Illinois, United States
Job Description
As our Revenue Integrity Analyst, you will be responsible for key operational functions to include charge capture, clinical billing, appeals and advanced third-party or government audits. Every day you will provide day-to-day charge review/reporting, denial support, appeals coordination, and reimbursement analysis. To thrive in this role, you must have demonstrated ownership of charge, denial, and appeals as it pertains to the identification and resolution of a health system.
- Looking for candidates in the Pacific Time Zone. *
Responsibilities:
+ Provide day-to-day charge review/reporting, denial support, appeals coordination, reimbursement analysis to include department level reconciliation.
+ Share trends related to billing and appeals from a clinical perspective, provide transformation recommendations with cited sources, and follow up throughout; share timely feedback, deliver professional work products, and work in a cross-functional role.
+ This role may also serve as a clinical Subject Matter Expert for regulatory and compliance as it pertains to Revenue Cycle Management (RCM).
+ Often leading key projects to include Recovery Audit Contractors (RAC) Program, Charge Description Master (CDM), Texas Medicaid (TMHP), Transfer DRG Program, and Diagnosis Related Group (DRG) Validation.
Required Qualifications:
+ Minimum 3 years’ clinical or health care work experience and/or
+ Minimum 3 years’ revenue cycle management in back-end working denials, appeals, and billing
+ Knowledge of Medical Necessity Requirement
+ Knowledge in ERM software EPIC
For this US-based position, the base pay range is $41,677.00 – $58,093.00 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.
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. (http://go.r1rcm.com/benefits)
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.com
Visit us on Facebook (https://www.facebook.com/R1RCM)