R1 RCM
10,000+ employees
Founded 2017
⚕️ Healthcare Insurance
☁️ SaaS
💸 Finance
💰 Private Equity Round on 2024-07
Healthcare Insurance • SaaS • Finance
R1 RCM is a leading provider of revenue cycle management solutions for the healthcare industry. With an emphasis on maximizing financial performance and optimizing patient care, R1 offers a comprehensive platform that integrates data analytics, intelligent technologies, and deep expertise in revenue cycle management. The company assists healthcare providers—ranging from hospitals and health systems to physician and specialty care practices—in capturing revenue opportunities, improving payer and patient cash flows, and ensuring compliance with government regulations. R1 is committed to driving cost reductions and revenue improvements while enhancing the patient experience. Their suite of services includes revenue recovery, clinical integrity, and regulatory navigation, making them a trusted partner for many top healthcare providers.
Revenue Integrity Specialist
🔥 0 minutes ago
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R1 RCM
10,000+ employees
Founded 2017
⚕️ Healthcare Insurance
☁️ SaaS
💸 Finance
💰 Private Equity Round on 2024-07
Healthcare Insurance • SaaS • Finance
R1 RCM is a leading provider of revenue cycle management solutions for the healthcare industry. With an emphasis on maximizing financial performance and optimizing patient care, R1 offers a comprehensive platform that integrates data analytics, intelligent technologies, and deep expertise in revenue cycle management. The company assists healthcare providers—ranging from hospitals and health systems to physician and specialty care practices—in capturing revenue opportunities, improving payer and patient cash flows, and ensuring compliance with government regulations. R1 is committed to driving cost reductions and revenue improvements while enhancing the patient experience. Their suite of services includes revenue recovery, clinical integrity, and regulatory navigation, making them a trusted partner for many top healthcare providers.
📋 Description
• Prepare Excel analysis, including V-Lookups and pivot tables. • Gather and compile data in a systematic fashion. • Evaluate and implement charge requests with appropriate CPT/HCPCS codes. • Conduct Charge Capture Audits: Review and analyze patient records and billing data. • Identify discrepancies or errors and develop action plan for resolution. • Analyze data to identify likely relationships and summarize materials for discussions. • Monitor regulatory changes and payer updates impacting charge master and revenue integrity. • Collaborate with various departments to resolve discrepancies.
🎯 Requirements
• 3+ years coding experience • Hospital coding experience • Experience with Charge Capture Audits • CCS, CIRCC, COC, CPC or equivalent preferred • EPIC experience preferred
🏖️ Benefits
• Competitive benefits package • Annual bonus plan at a target of 5.00%
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