As our Hospital Revenue Integrity Analyst you will ensure accurate and optimal revenue capture for services provided and managing and maintaining the hospital’s Charge Description Master (CDM). Everyday you will ensure that all services and procedures are accurately listed in the CDM to reflect the hospital’s current offerings. To thrive in this role you must have a coding certification and experience working in revenue cycle.

Key Responsibilities:

CDM Maintenance:

• Developing and implementing pricing strategies for various services and procedures, considering factors like costs, market rates, and reimbursement policies.

• Ensuring that hospital policies and procedures related to billing and coding are followed by all relevant departments.

• Analyzing billing trends and identifying opportunities for revenue improvement or areas of potential compliance risk.

Charge Capture Analysis:

• Review and analyze patient records, billing data, and financial statements to ensure accurate charge capture.

• Identify discrepancies or errors in charge capture processes and rectify them.

Coding Compliance:

• Verify that medical codes (ICD-10, CPT, HCPCS) assigned to procedures and diagnoses are accurate and compliant with coding guidelines.

Reimbursement Review:

• Analyze payer contracts and reimbursement rates to ensure that services are billed and reimbursed appropriately.

Qualifications:

• Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or similar coding certification required

• 3 years’ experience in Hospital Based Charge Description Master (CDM)

• In-depth knowledge of healthcare reimbursement methodologies, coding systems, and billing regulations.

• Intermediate Excel experience: must be able to perform Vlook-up function

• Preferred experience with Paragon, Meditech, and Cerner Millenium systems

For this US-based position, the base pay range is $45,011.00 - $63,466.20 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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