R1 RCM · 23 hours ago
Revenue Integrity Analyst
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Responsibilities
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.
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.
Verify that medical codes (ICD-10, CPT, HCPCS) assigned to procedures and diagnoses are accurate and compliant with coding guidelines.
Analyze payer contracts and reimbursement rates to ensure that services are billed and reimbursed appropriately.
Qualification
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Required
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
Preferred experience with Paragon, Meditech, and Cerner Millenium systems
Benefits
Competitive benefits package
Company
R1 RCM
R1 RCM serves as a revenue cycle management partner for hospitals and healthcare systems regardless of the payment models.
Funding
Current Stage
Public CompanyTotal Funding
$200MKey Investors
Intermountain Healthcare
2024-08-01Private Equity
2024-08-01Acquired
2018-03-21IPO
Recent News
secondariesinvestor.com
2024-12-21
2024-12-09
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