Offer summary

Qualifications:

Advanced knowledge of charge description master, CPT/HCPCS, NCCI, MUE, pricing, and payer contracts., Proficiency in Excel, particularly with V-Lookups and pivot tables., Strong analytical skills for systematic data gathering and validation., Understanding of billing processes and revenue recognition..

Key responsabilities:

Prepare detailed Excel analyses and compile data to resolve billing inconsistencies.

Research billing questions and ensure accurate revenue recognition for services.

Conduct charge capture audits and develop action plans for discrepancies.

Collaborate with various departments and present findings to executive stakeholders.

Job description

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. 

Position Summary

The Revenue Integrity Specialist (RIS Analyst) is responsible for preparing detailed Excel analyses, researching billing questions, conducting charge capture audits, and analyzing data to ensure accurate revenue recognition. This role involves collaborating with various departments and committees, and providing insights to executive stakeholders.

Essential 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.
Research charging/billing questions for new and existing services to ensure appropriate revenue recognition.
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.
Runs and extracts accurate reports from software tools.
Work with Utilization Management (UoM), Clinical Documentation Integrity (CDI), RCM, Coding Services, Clinical Departments, and Health Information Management (HIM).
Hospital committee(s) may include one or more of the following: Compliance Committee, Denials and Appeals Committee (DAC), Utilization Review (UR).
Executive stakeholders will include Chief Financial Officer (CFO), Chief Compliance Officer (CCO), and Chief Medical Officer (CMO).

Skills

1. . **Advanced Knowledge:** Expertise in charge description master, CPT/HCPCS, NCCI, MUE, pricing, and payer contracts.

2. **Excel Proficiency:** Strong skills in V-Lookups and pivot tables.
3. **Analytical Skills:** Systematic data gathering, compilation, and validation.
4. **Attention to Detail:** Accurate documentation and data accuracy.
5. **Revenue Knowledge:** Understanding of billing and revenue recognition.
6. **Audit Skills:** Conducting charge capture audits and identifying discrepancies.
7. **Data Analysis:** Analyzing data and summarizing findings.
8. **Reporting:** Running and extracting accurate reports.
9. **Collaboration:** Working with various departments (UoM, CDI, RCM, etc.).
10. **Committee Participation:** Contributing to hospital committees.
11. **Communication:** Strong verbal and written skills.
12. **Problem-Solving:** Developing action plans for discrepancies.
13. **Stakeholder Management:** Interacting with executive stakeholders (CFO, CCO, CMO).

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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