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Data Analysis
Revenue Cycle Analyst
@R1 RCM Holdco Inc.
[Hiring] Revenue Cycle Analyst @R1 RCM Holdco Inc.
Mar 19, 2025 - R1 RCM Holdco Inc. is hiring a remote Revenue Cycle Analyst. đź’¸ Salary: $43,888 - $70,631 per year, plus bonus. đź“ŤLocation: USA.
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Role Description
As a Revenue Cycle Analyst, you will execute audits and conduct reimbursement research for a regional portfolio of client engagements. Together with your team of 2-4 analysts, you will drive revenue capture for Medicare and Medicare-like payers across a wide range of clinical services.
- Review outpatient hospital facility, clinic, and physician documentation, including medical records, UB-04s, EOBs, itemized bills, and remittance advices to determine appropriate code assignments for services provided (CPT/HCPCS codes).
- Maintain proficiency in ICD-10-CM, CPT, and HCPCS coding, including the use of appropriate modifiers and revenue codes and knowledge/application of NCCI edits for CPT/HCPCS.
- Navigate hospital EMR and billing systems to conduct patient-specific clinical documentation research and validate hospital reporting.
- Build and maintain expertise in Medicare and Managed Care billing, coding, and reimbursement policies.
- Support algorithm research, development, and maintenance for the purpose of processing hospital data to uncover medical reporting inaccuracies that lead to underpayments.
- Mine, research, and identify treatment patterns to identify predictive indicators of care.
- Interact effectively with consulting teams to perform reviews, provide recommendations, and communicate project results for R1/Cloudmed’s clients.
Qualifications
- Bachelor’s degree, or HS diploma with 2+ years experience in hospital billing, resolution, revenue cycle and/or related data analytics (i.e., medical assistant, billing and coding, healthcare technician, biology/health science major).
- Organized self-starter with strong attention to detail.
- Strong analytical and critical thinking skills, including proficiency with Excel.
- Strong communicator.
- Proficient with computers and technology.
Requirements
- For this US-based position, the base pay range is $43,888.00 - $70,631.44 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%.
Benefits
- Competitive benefits package.
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| đź“Ť | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
Back to Remote jobs >
Data Analysis
Data Analysis
|
Salary
đź’¸
$43,888 - $70,631 per year, plus bonus
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Mar 19, 2025
|
️
| đź“Ť | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
