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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. As our Operations Associate II, you will handle all in-depth research regarding patient’s self-pay, insurance and/or bad debt balances. Every day you will, effectively explains policies and procedures and refers each account for proper resolution and provides feedback to the department where the concern originated via the CU or Host system. To thrive in this role you must, can work independently, accomplish goals, excellent customer service and communication skills, creativity, patience and flexibility.Here’s what you will experience working as an Operations Associate II:<ul> <li>You have basic knowledge of EOB’s, CPT &amp; ICD-9&amp;10 codes, HCFAs, UB04s, HCPCS, DRGs and authorizations/referrals. </li> <li>You will review and Interpret Patient Statements, Balance and basic knowledge of Client Contractual Terms/Agreements (as needed)</li> <li>You will obtain Supporting Documentation Regarding Patient/Client Follow-up Efforts</li> <li>You can identify Contractual &amp; Administrative Adjustments </li> <li>You will assist &amp; Resolve Patient Inquiries/Requests a 24-48 Hour Period</li> <li>You will understand various insurance payors processes.</li> <li>You have a working knowledge of EPIC and HIPPA.</li> </ul>Required Skills:<ul> <li>High School diploma</li> <li>2 years of billing experience</li> </ul>For this US-based position, the base pay range is $15.45 - $24.29 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.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 <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>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.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>

R1 RCM

Operations Associate II

TTCU Federal Credit Union

VP of Collections

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. As our Clinical Coding Appeals Nurse, you will help review and interpret medical records to draft appeals of denied and underpaid claims. Every day you will review medical records to ensure appropriate coding of removed or revised diagnosis and procedure codes. Then you will draft appeal letters based on clinical judgment and knowledge and make coding change suggestions to our clients based on ICD-9/10 CM &amp; PCS, CPT, HCPCS, and NCCI guidance. To thrive in this role, you must have experience identifying different types of hospital documentation including, but not limited to, medical records, UB-04s, EOBs, itemized bills, hospital account notes, appeal letters, and denial/approval letters. Proficiency in basic computer skills is essential for excelling in this remote production-drive position.Here’s what you will experience working as a Clinical Coding Appeals Nurse:<ul> <li>Review and interpret medical records to appeal denied and underpaid claims.</li> <li>Apply clinical judgment and knowledge for DRG downgrades performed because of a Clinical Validation Review by an insurer or third-party auditor.</li> <li>Draft appeal letters that are well-written, logically structured, and persuasive, utilizing ICD-9/10 CM &amp; PCS, CPT, HCPCS, NCCI guidance.</li> <li>Ensure that all appeals are completed timely to ensure internal and external compliance deadlines are met.</li> </ul>Required Skills:<ul> <li>Active Registered Nurse license</li> <li>An active CCS, RHIA, RHIT, CCA, CPC-A, CPC-H, COC, CPMA, CIC, CDI, or CDIP certification OR 2+ years of CDI experience</li> </ul>For this US-based position, the base pay range is $69,556.00 - $114,234.05 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 10.00%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 <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>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.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>#LI-AC01

Clinical Coding Appeals Nurse

Job Description R1 RCM Inc. is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and physician practices. Headquartered in Chicago, R1® is a publicly-traded organization with employees throughout the US and international locations. Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patients and each other. With our proven and scalable operating model, we complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. The Client Experience Director (CXD) will serve as one of the primary points of contact for all day-to-day activities within the Client Experience Team. The CXD will be responsible for establishing trusted relationships with their assigned clients, and when appropriate expand our partnerships through selling new solutions. This person will be responsible for providing support to the Client Experience Team to which they are assigned as well as collaborating across various departments within R1 to drive high client satisfaction and safeguard client retention. To thrive in this role, you must have a dynamic personality who approaches external relationships from the client’s perspective using effective and proactive communication, analytical skills, and daily leadership. The CXD will be tasked with various project leadership opportunities that require a high-level of cross-collaboration with multiple organization units. RESPONSIBILITIES <ul> <li>Client Relationship/Management: 30%</li> <li>Collaboration with other R1 functions: 30%</li> <li>Client Business Reviews and Meetings: 20%</li> <li>Introducing and selling new solutions to existing clients, including having a target sales quota: 15%</li> <li>Document the client experience in CRM: 5%</li> <li>Drive high Net Promoter Score (NPS) results across their client portfolio.</li> <li>Work collaboratively across functions to ensure operational excellence to nurture and ensure client satisfaction leads to growth and retention.</li> <li>Ensure mutual understanding of goals, objectives and action plans related to client’s revenue and book of business.</li> <li>Participate in the contracting and contract renewal process.</li> <li>Contribute to region and client-level strategic planning.</li> <li>Lead the creation and presentation of business reviews.</li> <li>Assist in the implementation of new solutions and onboarding of new clients.</li> <li>Follow best-practice account management and client experience methodologies.</li> </ul> REQUIRED QUALIFICATIONS <ul> <li>4+ years of account management, client experience management, and/or revenue cycle operations consulting experience working with Director-level partners is preferred.</li> <li>Healthcare revenue cycle and revenue integrity experience working with acute care provider organizations.</li> <li>Outstanding organization and prioritization skills</li> <li>Exceptional written and verbal communication skills</li> <li>Bachelor’s degree</li> <li>Proficiency with Microsoft Office, including basic to intermediate Excel functions, and CRM application use (preferred: Salesforce)</li> <li>Ability to travel up to 40%</li> </ul> For this US-based position, the base pay range is $109,118.00 - $187,269.24 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.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 <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>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.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>

Director of Client Success

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. The Data Operations Analyst II is responsible for onboarding and/or supporting new clients in the Cloudmed/R1 platform(s). This role works directly with client IT teams to acquire data files, validate data and imports into our applications. The Data Operations Analyst II works closely with project managers for new implementations, sales teams for implementations/client assessments and operations teams for ongoing support of clients once live.Essential Responsibilities<ul> <li>Own complex client implementations from a data perspective - acquiring, importing, validating data and preparing proprietary systems and platforms ready for go-live. Engage with internal project team members during implementation projects.</li> <li>Manage the relationship between client IT to collaboratively work towards data that meets data specifications.</li> <li>Apply a deep understanding of healthcare data to solve problems for internal and external stakeholders.</li> <li>Serve as a technical mentor to Data Operation Analysts on the team.</li> <li>Data research and analysis – writing queries, analyzing results, identifying trends.</li> <li>Create reports around system performance (rules engine), client data trends and other business needs.</li> </ul>Skills<ul> <li>SQL expertise, can write queries from scratch</li> <li>Ability to partner and collaborate closely with both internal and external project/operational stakeholders and provide excellent communication to both technical and nontechnical stakeholders and teams.</li> <li>Familiarity/comfortability managing data pipelines.</li> <li>Ability to identify problems and ideate on how to improve/fix issues impacting the team and/or clients.</li> <li>Detail oriented, organized, exercise good judgement, ability to manage multiple projects and prioritize own work.</li> <li>Healthcare/Revenue cycle experience is highly preferred </li> </ul>For this US-based position, the base pay range is $65,342.00 - $94,799.70 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 10.00%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 <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>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.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>

Data Operations Analyst II

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. The Inpatient Coding Quality Reviewer will be responsible for reviewing inpatient coded cases for coding completeness and accuracy. This person will identify potential coding and DRG errors, researches appropriate guidelines to support recommended changes, and communicates the changes to the coder involved on a timely basis. The Reviewer provides expert coding advice to coding staff and relays needed coding educational topics to the Regional Manager, IP Coding Quality. This role will report to the Regional Manager of Inpatient Coding Quality. Here’s what you will experience working as a (Inpatient Coding Quality Reviewer): <ul> <li>Review inpatient coded cases for coding completeness and accuracy. </li> <li>Identify potential coding and DRG errors, research appropriate guidelines to support recommended changes, and communicate changes to the coder involved on a timely basis. </li> <li>Provide expert coding advice to coding staff and relay needed coding educational topics to the Regional Manager, IP Coding Quality. </li> <li>Conduct daily pre-bill review of cases flagged by the PwC SMART coding quality monitoring software tool. </li> <li>Maintain required productivity standards and high-quality results. </li> <li>Audit records as defined in the coding quality review plan. </li> <li>Review cases flagged by the coding quality software on a daily basis for multiple hospitals. </li> <li>Validate the completeness of documentation, identify missed diagnoses and procedures, propose physician queries, and ensure the accuracy of diagnoses, procedures, POA, discharge disposition, and DRG assignment. </li> <li>Perform retrospective coding quality reviews as requested. </li> <li>Maintain up-to-date knowledge of industry coding and documentation guidelines to ensure system-wide coding consistency and compliance. </li> <li>Communicate audit findings with coders in a timely manner and support teams in addressing and resolving local coding issues. </li> <li>Serve as an inpatient coding expert and resource for the coding teams and other departments. </li> <li>Work with the Regional Manager to identify areas of educational need based on audit results. </li> <li>Assist with evaluation and testing of audit applications and updates as needed. </li> <li>Work with the hospital’s CDI team to address and resolve documentation issues. </li> <li>Assist with compilation, generation, and analysis of data for results reporting and performance improvement initiatives. </li> <li>Contribute to the reduction of the hospital's and Company’s coding compliance risks and revenue enhancement goals. </li> <li>Maintain an open dialogue and a good working relationship with team members. </li> <li>Assist with training of new auditors and other audits and duties as requested. </li> </ul> Required Skills: <ul> <li>Bachelor's or Associate's Degree with CCS credential. </li> <li>A minimum of seven (7) years of hospital inpatient coding experience. </li> <li>Extensive knowledge of ICD-10-CM/PCS classification system and MS-DRG and APR-DRG methodologies. </li> <li>In-depth knowledge of medical terminology, human anatomy/physiology, pharmacology, and pathology. </li> <li>Expert knowledge of industry Official Coding and Reporting Guidelines, CMS, and other agency directives for ICD-10 coding. </li> <li>Proficient MS Office computer skills, specifically in Excel, and knowledge of various coding software/platforms and EMRs. </li> <li>Detail-oriented with the ability to work independently and maintain a high productivity rate and coding accuracy rate. </li> <li>Effective communication skills and a self-starter attitude. </li> </ul> Desired Qualifications: <ul> <li>Two (2) years of inpatient coding audit experience. </li> <li>Experience in a large (&gt; 500 beds) hospital or multi-hospital health system. </li> <li>Training in hospital Clinical Documentation Improvement. </li> <li>Experience as a Coding Consultant with a consulting firm. </li> </ul> For this US-based position, the base pay range is $18.69 - $39.35 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.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 <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>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.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>#remote #healthcare #tj2022

US-Coding Assoc III

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. The Coding Liaison works with the Coding Liaison Manager and Director of Coding Quality Management to establish open lines of communication regarding potential coding quality concerns. The Coding Liaison assists with coding review inquiries related to ICD-10, CPT, DRG/APR-DRG or APC codes. Our collaborative partners include the following R1 teams: Coding, Quality, Education and Training Teams, Revenue Integrity, CDM and PFS/Site Leaders. The coding liaison team also works with site customers including CDI, Quality/Risk, Case Management, Patient Advocate’s, Physician Advisors, Clinical Departments and Administration. Here's what you'll experience working as a Coding Liaison:<ul> <li>Completes requests from customers and collaborative partners noted above to determine if coding quality issues exist. Review results are shared with Local and Regional Coding Site managers, Coding Advisory team and R1 Education and Training team as needed when coding issues are identified</li> <li>Works with the CDI team, assisting with the resolution of documentation inconsistencies and DRG variances</li> <li>Educates the CDI team and Physician Advisor on coding changes, DRGs, Official coding guidelines and documentation requirements</li> <li>Attends various meetings to include CDI/Mortality/PSI/Revenue Integrity/R1 Coding Quality as needed</li> <li>Works with the Quality &amp; Risk teams to review coding related to HACs, PSI, Mortalities, Core Measures and focused CMS initiatives</li> <li>Provides coding education/guidelines to Quality and Risk, related to HAC, PSI, Mortalities, Core Measures and all other CMS reporting related to pay for performance</li> <li>Conduct coding reviews related to potential lost revenue via Axiom and high dollar medical necessity edits</li> <li>Identify trended coding quality issues requiring new or refresher coder education for accurate and compliant code, DRG/APR-DRG, APC assignment</li> </ul> Required Qualifications:<ul> <li>RHIA, RHIT, CCS certifications or a combination is required</li> <li>Minimum of five (5) years of inpatient coding</li> <li>Minimum of three (3) years of coding auditing</li> <li>Strong problem-solving skills</li> <li>Strong analytical skills and ability to comprehend and analyze large quantities of operational data</li> <li>Ability to review complex medical records</li> <li>Ability to interact professionally with other associates, department directors and the Medical Staff through effective verbal and written communication</li> <li>Experience with Excel, PowerPoint and Word</li> <li>Strong communication and presentation skills</li> </ul> Preferred Qualifications:<ul> <li>Experience in a large (&gt; 500 beds) hospital or multi-hospital health system</li> <li>Experience working with the CDI team is preferred</li> <li>Prefer additional knowledge/experience in outpatient coding</li> <li>Training in hospital Clinical Documentation Improvement</li> <li>Inpatient or outpatient coding audit experience</li> </ul>For this US-based position, the base pay range is $18.69 - $39.35 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.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 <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>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.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>

Coding Liaison

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. As our Senior Manager of Client Success, you will serve as a trusted advisor and reliable advocate for clients, overseeing the client experience throughout the full revenue cycle, ensuring optimal financial outcomes, client satisfaction, and long-term retention. As an industry expert, this role serves as the primary liaison between the organization and its clients, driving strategic initiatives to enhance revenue performance, streamline operations, and ensure compliance with industry regulations.Every day you will collaborate cross-functionally with internal teams—such as billing, coding, operations, and technology—to align solutions with client goals. The Senior Manager will offer strategic guidance, support clients in maximizing revenue collection, reducing costs, and improving the overall financial health and performance of the account. To thrive in the role, you will be a a strategic thinker with strong leadership skills, a client-focused mindset, and deep knowledge of revenue cycle management industry and processes, including patient access, billing, coding, collections, and compliance.Here’s what you will experience working as a Senior Manager of Client Success:Client Relationship Management <ul> <li>Develop and maintain strong relationships with key stakeholders across client organizations to deliver an exceptional client experience.</li> <li>Serve as the primary point of contact, ensuring client satisfaction and retention.</li> <li>Address client concerns promptly and work proactively to prevent potential issues.</li> <li>Coordinate and communicates client contractual details for SLAs, performance-based pricing, fees and terms with analytics and finance teams. Communicates periodic changes based on contract amendments.</li> <li>Responsible for identifying customer needs, develop and seek buy-in on solutions and manage through the change process at the account level.</li> </ul>Client Onboarding and Implementation Success<ul> <li>Assist in facilitating the new client onboarding process to ensure smooth transition from the sales and contracting phase to the operational phase of the engagement.</li> <li>Ensure alignment of expectations.</li> <li>Develop tailored strategies to support each client's unique revenue cycle challenges and goals.</li> <li>Provide training and education to clients on RCM processes and technology.</li> </ul>Required Skills:<ul> <li>Bachelor's degree in healthcare administration, business, or related field (Master’s preferred).</li> <li>7+ years of experience in revenue cycle management, healthcare operations, or client success roles.</li> <li>Physician billing experience in specialty groups; radiology, surgical, primary care, and/or others.</li> <li>Strong knowledge of RCM processes, including billing, coding, claims management, and reimbursement.</li> <li>Excellent communication, interpersonal, problem-solving, and leadership skills.</li> <li>Proficiency in utilizing and optimizing EMR systems such as eClinicalWorks, NextGen, Epic, or Meditech</li> <li>Excellent written and oral communication skills (including presentation experience) required.</li> <li>Advanced computer skills including knowledge of patient accounting systems, analytic tools, and Microsoft Office Suite.</li> <li>Strong track record in managing multiple clients and priorities effectively.</li> <li>Demonstrated success in performance monitoring, revenue optimization, and process improvement.</li> <li>Strong analytical skills with experience in financial reporting, KPI tracking, and revenue performance analytics.</li> <li>Familiarity with healthcare compliance regulations such as HIPAA, CMS guidelines, and payer requirements.</li> </ul>Pay Range - $100,000 - $130,000 annually.For this US-based position, the base pay range is $80,019.00 - $127,950.31 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 10.00%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 <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>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.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>

Senior Manager, Client Success

Job Description:A People Operations Specialist provides administrative and operational support for our global employees for all people related functions and requests. The role is responsible for HR coordination activities, such as interpreting and executing HR policies and procedures, answering and routing team member questions and concerns, facilitating onboarding and offboarding activities, HRIS maintenance, compliance tracking and benefits administration.Who you’re committed to being:<ul> <li>Be committed to providing exceptional, culture- and values-aligned customer service.</li> <li>Be well-organized and methodical in your approach to problem solving.</li> <li>A lifelong learner; welcome and look for diverse perspectives and opinions because they enhance our decisions.</li> <li>Be a proactive communicator and change agent.</li> <li>Applies judgment and empathy as both a team member advocate and company champion.</li> <li>Think globally across all functions to support our Pluralsight’s international workforce.</li> <li>You are committed to confidentiality and integrity when handling sensitive employee information.</li> </ul>What you’ll do:<ul> <li>Provide timely and accurate resolution to routine queries from employees across all HR functions, including benefits and perks, payroll and expenses, time off and leave, policies and compliance</li> <li>Ensure the delivery of critical people operations processes by becoming a subject matter expert in our HRIS platform to enact employee changes, including hires, departures, job changes and reorganizations, ensuring high degree of accuracy and confidentiality</li> <li>Enhance and maintain tools and resources (e.g., SOPs, job aids, FAQs) to facilitate process integrity and self-service capabilities</li> <li>Support the integrity of our data by proactively running regular audits and reporting</li> <li>Develop a close, consistent, and highly effective working relationship with the rest of the People Operations team to drive a positive internal customer experience</li> <li>Assist with ad-hoc global projects and other tasks as necessary, in support of People team strategic initiatives, to help the organization scale and achieve business results</li> </ul>Experience you’ll bring:<ul> <li>Experience with Google Applications (Gmail, Docs, Sheets, Slides)</li> <li>HRIS (particularly Workday) experience is a plus</li> <li>Experience with ticketing tools (Zendesk, ServiceNow, etc.)</li> </ul>Requirements:<ul> <li>1-2 years of experience in HR operations or People Operations</li> <li>Outstanding interpersonal and communication skills, with genuine desire to provide a positive internal customer experience</li> <li>Proven commitment to maintaining strict confidentiality and professionalism regarding sensitive employee issues and information</li> <li>Ability to manage time, multitask, embrace change, and (re)prioritize in a fast-paced, dynamic environment</li> <li>Comfort with data reporting, plus unwavering attention to detail</li> <li>Comfort working with team members across the globe</li> </ul>Why you’ll love working here:<ul> <li>We’re a blended workplace, where team members work remotely or in a hybrid setup depending on their role and location</li> <li>We’re mission driven and guided by our culture pillars</li> <li>We have a strong commitment to diversity and belonging</li> <li>We cultivate a culture of trust, autonomy, and collaboration</li> <li>We’re lifelong learners and champion team member growth and advancement</li> <li>We’ve got you covered - team member benefits include competitive compensation packages, medical coverage, unlimited PTO and Summer Fridays, wellness reimbursements, Pluralsight subscription, professional development funds and more.</li> </ul>About us:Pluralsight provides the only learning platform dedicated to accelerating the technology skills and capabilities of today’s tech workforce. Thousands of companies, government organizations and individuals around the world rely on Pluralsight to support critical technology skill development in areas that are crucial to innovation including artificial intelligence, cloud computing, cybersecurity, software development, and machine learning. Pluralsight provides highly curated content developed by vetted technology experts, industry leading skill assessments, and hands on, immersive learning experiences designed to help individuals skill-up faster.Physical and Mental Requirements:Work is performed in an office (or home office) environment and requires the ability to operate office equipment and keyboards. Sedentary work. Repetitive work. Ability to perform tasks related to documentation, data analysis, transcription and extensive content analysis. Learn new tasks, remember processes, complete tasks independently, and make timely decisions in the context of a workflow.EEOC StatementBring yourself. Pluralsight is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, age or protected veteran status. Pluralsight will also consider for employment qualified applicants with criminal histories in a manner consistent with EEOC guidelines and applicable local law.We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please visit the <a href="https://www.pluralsight.com/careers" target="_blank">bottom of our website</a> to learn how to request an accommodation.For more information on Pluralsight’s commitment to building a more diverse and inclusive workforce, please review our most recent Diversity, Equity, Inclusion and Belonging report <a href="https://www.pluralsight.com/about/diversity-and-belonging" target="_blank">here</a>.The annual US hourly range for this role is $21.78 - $30.26 USD. Pluralsight's pay ranges vary based on work location. Talent Acquisition can share more detail during the hiring process when applicable. Each candidate’s compensation offer will be based on multiple factors including, but not limited to, geography, experience, skills, job duties, and business need, among other things. In addition to the base salary, this role may also be eligible for benefits and bonuses.Applications must be submitted within 90 days after the initial posting date to be considered.Please be aware of recruiting scams that may impersonate Pluralsight. These unauthorized parties may use our name, logo, and employee information to solicit personal information or payments from job seekers under the guise of employment offers. Please note the following:<ul> <li>Pluralsight will only contact candidates through official channels, such as emails from the @pluralsight.com domain or direct messages via our verified profiles (e.g., LinkedIn).</li> <li>We will never request payment, banking information, or personal documents (such as your social security number or passport) as part of the application process.</li> <li>All legitimate Pluralsight job openings are posted on our <a href="https://www.pluralsight.com/careers" target="_blank">Careers page</a>, and our hiring process is outlined in detail on our <a href="https://www.pluralsight.com/careers/how-we-hire" target="_blank">How We Hire</a> page.</li> </ul>If you receive a suspicious message claiming to be from or about Pluralsight, we encourage you to contact us directly via <a href="mailto:recruiting@pluralsight.com" target="_blank">recruiting@pluralsight.com</a> to verify its authenticity.#LI-Remote #LI-MW1

Pluralsight

People Operations Specialist

R1 RCM Inc. is a leading provider of technology-enabled revenue cycle management services which transform and solve challenges across health systems, hospitals and physician practices. Headquartered in Chicago, R1® is a publicly-traded organization with employees throughout the US and international locations. Our mission is to be the one trusted partner to manage revenue, so providers and patients can focus on what matters most. Our priority is to always do what is best for our clients, patients and each other. With our proven and scalable operating model, we complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. 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:<ul> <li>Developing and implementing pricing strategies for various services and procedures, considering factors like costs, market rates, and reimbursement policies.</li> <li>Ensuring that hospital policies and procedures related to billing and coding are followed by all relevant departments.</li> <li>Analyzing billing trends and identifying opportunities for revenue improvement or areas of potential compliance risk.</li> </ul>Charge Capture Analysis:<ul> <li>Review and analyze patient records, billing data, and financial statements to ensure accurate charge capture.</li> <li>Identify discrepancies or errors in charge capture processes and rectify them.</li> </ul>Coding Compliance:<ul><li>Verify that medical codes (ICD-10, CPT, HCPCS) assigned to procedures and diagnoses are accurate and compliant with coding guidelines.</li></ul>Reimbursement Review:<ul><li>Analyze payer contracts and reimbursement rates to ensure that services are billed and reimbursed appropriately.</li></ul>Qualifications:<ul> <li>Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or similar coding certification required</li> <li>3 years' experience in Hospital Based Charge Description Master (CDM)</li> <li>In-depth knowledge of healthcare reimbursement methodologies, coding systems, and billing regulations.</li> <li>Intermediate Excel experience: must be able to perform Vlook-up function</li> <li>Preferred experience with Paragon, Meditech, and Cerner Millenium systems</li> </ul>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 <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>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.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>

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