R1 RCM · 11 hours ago
Revenue Integrity Analyst II
United States
Full-time
Remote
Mid Level
$47K/yr - $66K/yrR1 RCM is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals. As a Revenue Integrity Analyst II, you will maintain the accuracy, compliance, and efficiency of the charge master by conducting audits, analyzing billing issues, and collaborating with various departments.
Health CareHospitalInformation TechnologyInfrastructureMedical
Responsibilities
Prepares Excel analysis, including V-Lookups and pivot tables. Gathers and compiles data in a systematic fashion, clearly documenting assumptions, and validating accuracy of information to resolve inconsistencies
Evaluate and implement charge requests with appropriate CPT/HCPCS codes, revenue codes, and pricing, ensuring alignment with clinical services and coding/billing guidelines
Conducts Charge Capture Audits: Review and analyze patient records, billing data, and financial statements to ensure charge and coding compliance. Identify discrepancies or errors and develop action plan for future state resolution
Analyzes data to identify likely relationships, summarizes data and prepares summary materials for discussion with clinical and finance teams
Monitor regulatory changes and payer updates that may impact charge master and revenue integrity
Collaborates with various departments to resolve CDM or RI discrepancies (Utilization Management (UM), Clinical Documentation Integrity (CDI), RCM, Coding Services, Clinical Departments, and Health Information Management (HIM))
Serve as a liaison during system upgrades, new service implementation, and pricing reviews
Executive stakeholders will include Chief Financial Officer (CFO), Chief Compliance Officer (CCO), and Chief Medical Officer (CMO)
Qualification
Required
Expertise in charge description master, CPT/HCPCS, NCCI, MUE, pricing, and payer contracts
Strong skills in V-Lookups and pivot tables
Systematic data gathering, compilation, and validation
Accurate documentation and data accuracy
Understanding of billing and revenue recognition
Conducting charge capture audits and identifying discrepancies
Analyzing data and summarizing findings. Running and extracting accurate reports
Working with various departments (UM, CDI, RCM, etc.)
Strong verbal and written skills
Problem-Solving: Developing action plans for discrepancies
Stakeholder Management: Interacting with executive stakeholders (CFO, CCO, CMO)
Certification: CPC or COC + ROCC or at least experience in RAD ONC
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.
Founded in 2003
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$200MKey Investors
Khosla VenturesIntermountain Healthcare
2025-05-28Private Equity
2024-08-01Private Equity
2024-08-01Acquired
Leadership Team
Joseph Flanagan
CEO
Estelle Barnes
EVP, Enterprise Customer Engagement
Recent News
2026-01-07
Columbia West
2025-12-13
Company data provided by crunchbase