field_remote_option

job_industry

field_job_occupational_field_parents_all

job_organization_name

job_upgrade_is_featured

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 the Government Navigation Services (GNS) Business Development Director, you will focus on engaging and targeting new Tier 1 and Tier 2 target accounts (i.e., high-value prospects). On a day-to-day basis, in addition to prospecting and networking initiatives, the GNS Business Development Director will partner with the Business Development teams of in-house and outsourced lead generation professionals to build an active sales funnel (i.e., sales staged Qualified and above) with booking values equal to or greater than sales quota in estimated first-year revenue.To thrive in this role, you will utilize your expertise in Medicare reimbursement, specifically Medicare Bad Debt, Disproportionate Share (DSH), and Worksheet S-10 (Uncompensated Care) to navigate development discussions with prospective clients. Responsibilities:<ul> <li>Develop and execute a strategy that aligns with company objectives to rapidly build brand awareness and drive new revenue</li> <li>Navigate Government Reimbursement</li> <li>Meet or exceed annual goals as assigned</li> <li>Accurately forecast attainment on a monthly, quarterly, and annual basis</li> <li>Ensure sales activity is documented correctly through the CRM automation tool (Salesforce)</li> <li>Collaborate in a team selling environment to identify, pursue and capture new client relationships. </li> <li>Build trusting relationships with potential clients</li> </ul> Requirements:<ul> <li>10+ years of experience selling services surrounding Medicare reimbursement, combined with a strong/effective presence with hospital and health systems' various leadership teams and executives, including the C-suite, with a proven ability to develop relationships and gain buy-in</li> <li>Experience navigating Medicare reimbursement</li> <li>Expertise in Medicare Bad Debt, DSH, Worksheet S-10</li> <li>Ability to travel up to 50%</li> </ul>For this US-based position, the base pay range is $116,133.00 - $173,605.10 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>

R1 RCM

Business Development Director-Government Reimbursement

Ready to be pushed beyond what you think you’re capable of? At Coinbase, our mission is to increase economic freedom in the world. It’s a massive, ambitious opportunity that demands the best of us, every day, as we build the emerging onchain platform — and with it, the future global financial system. To achieve our mission, we’re seeking a very specific candidate. We want someone who is passionate about our mission and who believes in the power of crypto and blockchain technology to update the financial system. We want someone who is eager to leave their mark on the world, who relishes the pressure and privilege of working with high caliber colleagues, and who actively seeks feedback to keep leveling up. We want someone who will run towards, not away from, solving the company’s hardest problems. Our <a href="https://www.coinbase.com/mission" target="_blank">work culture</a> is intense and isn’t for everyone. But if you want to build the future alongside others who excel in their disciplines and expect the same from you, there’s no better place to be. The Analytics Engineering team bridges the gap between data engineering, data science, and business analytics by building scalable, impactful data solutions. We transform raw data into actionable insights through robust pipelines, well-designed data models, and tools that empower stakeholders across the organization to make data-driven decisions. Our team combines technical expertise with a deep understanding of the business to unlock the full potential of our data. We prioritize data quality, reliability, and usability, ensuring stakeholders can rely on our data to drive meaningful outcomes. <h4>What We Do:</h4> <ul> <li> Trusted Data Sources: Develop and maintain foundational data models that serve as the single source of truth for analytics across the organization.</li> <li> Actionable Insights: Empower stakeholders by translating business requirements into scalable data models, dashboards, and tools.</li> <li> Cross-Functional Collaboration: Partner with engineering, data science, product, and business teams to ensure alignment on priorities and data solutions.</li> <li> Scalable Data Products: Build frameworks, tools, and workflows that maximize efficiency for data users, while maintaining high standards of data quality and performance.</li> <li> Outcome-Focused Solutions: Use modern development and analytics tools to deliver value quickly, while ensuring long-term maintainability.</li> </ul> What you’ll be doing: Analytics engineer is a hybrid Data Engineer/Data Scientist/Business Analyst role that has the expertise to understand data flows end to end, and the engineering toolkit to extract the most value out of it indirectly (building tables) or directly (solving problems, delivering insights). <ul> <li> Be the expert: Quickly build subject matter expertise in a specific business area and data domain. Understand the data flows from creation, ingestion, transformation, and delivery. <ul> <li> Examples: <ul> <li>Step into a new line of business and work with Engineering and Product partners to deliver first data pipelines and insights.</li> <li>Communicate with engineering teams to fix data gaps for downstream data users.</li> <li>Take initiative and accountability for fixing issues anywhere in the stack.</li> </ul> </li> </ul> </li> </ul> <ul> <li> Generate business value: Interface with stakeholders on data and product teams to deliver the most commercial value from data (directly or indirectly). <ul> <li> Examples: <ul> <li>Build out a new data model allowing multiple downstream DS teams to more easily unlock business value through experimentation and ad hoc analysis.</li> <li>Combine Eng details of the algo engine with stats and data expertise to come up with feasible solutions for Eng to make the algo better.</li> <li>Work with PMs to tie together new x-PG, and x-Product data into one holistic framework to optimize key financing product business metrics.</li> </ul> </li> </ul> </li> </ul> <ul> <li> Focus on outcomes not tools: Use a variety of frameworks and paradigms to identify the best-fit tools to deliver value. <ul> <li> Examples: <ul> <li>Develop new abstractions (e.g. UDFs, Python packages, dashboards) to support scalable data workflows/infra.</li> <li> Stand up a framework for building data apps internally, enabling other DS teams to quickly add value.U </li> <li>se established tools with mastery (e.g. Google Sheets, SQL) to quickly deliver impact when speed is top priority.</li> </ul> </li> </ul> </li> </ul> What We Look For in You: In addition to out of the box thinking, attention to detail, a sense of urgency and a high degree of autonomy and accountability, we expect you to have the following skills: <ul> <li> Data Modeling Expertise: Strong understanding of best practices for designing modular and reusable data models (e.g., star schemas, snowflake schemas).</li> <li> Prompt Design and Engineering: Expertise in prompt engineering and design for LLMs (e.g., GPT), including creating, refining, and optimizing prompts to improve response accuracy, relevance, and performance for internal tools and use cases.</li> <li> Advanced SQL: Proficiency in advanced SQL techniques for data transformation, querying, and optimization.</li> <li> Intermediate to Advanced Python: Expertise in scripting and automation, with experience in Object-Oriented Programming (OOP) and building scalable frameworks.</li> <li> Collaboration and Communication: Strong ability to translate technical concepts into business value for cross-functional stakeholders. Proven ability to manage projects and communicate effectively across teams.</li> <li> Data Pipeline Development: Experience building, maintaining, and optimizing ETL/ELT pipelines, using modern tools like dbt, Airflow, or similar.</li> <li> Data Visualization: Proficiency in building polished dashboards using tools like Looker, Tableau, Superset, or Python visualization libraries (Matplotlib, Plotly).</li> <li> Development Tools: Familiarity with version control (GitHub), CI/CD, and modern development workflows.</li> <li> Data Architecture: Knowledge of modern data lake/warehouse architectures (e.g., Snowflake, Databricks) and transformation frameworks.</li> <li> Business Acumen: Ability to understand and address business challenges through analytics engineering.</li> <li> Data savvy: Familiarity with statistics and probability.</li> <li> Bonus Skills:</li> <ul> <li>Experience with cloud platforms (e.g., AWS, GCP).</li> <li>Familiarity with Docker or Kubernetes.</li> </ul> </ul> Disclaimer: Applying for a specific role does not guarantee consideration for that exact position. Leveling and team matching are assessed throughout the interview process. ID: G2754 Pay Transparency Notice: Depending on your work location, the target annual salary for this position can range as detailed below. Full time offers from Coinbase also include target bonus + benefits (including medical, dental, vision and 401(k)). Pay Range: $180,000—$212,000 USD Please be advised that each candidate may submit a maximum of four applications within any 30-day period. We encourage you to carefully evaluate how your skills and interests align with Coinbase's roles before applying. <h3>Commitment to Equal Opportunity</h3> Coinbase is committed to diversity in its workforce and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, gender, national origin, age, disability, veteran status, sex, gender expression or identity, sexual orientation or any other basis protected by applicable law. Coinbase will also consider for employment qualified applicants with criminal histories in a manner consistent with applicable federal, state and local law. For US applicants, you may view the Know Your Rights notice <a href="https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRights_10_20.pdf" target="_blank">here</a>. Additionally, Coinbase participates in the <a href="https://static-assets.coinbase.com/e-verify.pdf" target="_blank">E-Verify program</a> in certain locations, as required by law. Coinbase is also committed to providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation because of a disability for any part of the employment process, please contact us at accommodations[at]coinbase.com to let us know the nature of your request and your contact information. For quick access to screen reading technology compatible with this site <a href="https://chrome.google.com/webstore/detail/chromevox/kgejglhpjiefppelpmljglcjbhoiplfn" target="_blank">click here to download</a> a free compatible screen reader <a href="http://www.chromevox.com/tutorial/" target="_blank">(free step by step tutorial can be found here)</a>. <h3>Global Data Privacy Notice for Job Candidates and Applicants</h3> Depending on your location, the General Data Protection Regulation (GDPR) and California Consumer Privacy Act (CCPA) may regulate the way we manage the data of job applicants. Our full notice outlining how data will be processed as part of the application procedure for applicable locations is available <a href="https://www.coinbase.com/legal/applicant_privacy_notice" target="_blank">here</a>. By submitting your application, you are agreeing to our use and processing of your data as required. For US applicants only, by submitting your application you are agreeing to arbitration of disputes as outlined <a href="https://www.coinbase.com/legal/application-arbitration-agreement" target="_blank">here.</a>

Coinbase

Senior Analytics Engineer

At Mitratech, we are a team of technocrats focused on building world-class products that simplify operations in the Legal, Risk, Compliance, and HR functions. We are a close-knit, globally dispersed team that thrives in an ecosystem that supports individual excellence and takes pride in its diverse and inclusive work culture centered around great people practices, learning opportunities, and having fun! Our culture is the ideal blend of entrepreneurial spirit and enterprise investment, enabling the chance to move at a rapid pace with some of the most complex, leading-edge technologies available. For over 35 years, the experts at Mitratech have been focused on solving the complex needs. Today, we serve 20,000 client companies of all sizes globally, representing 30% of the Fortune 500 and over 500,000 users in over 160 countries. As we continue to grow, we’re always looking for resourceful, enthusiastic, and fresh perspectives. Join our global team and see what makes Mitratech a truly exceptional place to work! Job Overview: We are looking for an experienced and results-driven Lead DevOps Engineer with 10+ years of expertise in designing, implementing, and scaling cloud-native infrastructure for fast-growing SaaS platforms. Proven track record of building robust CI/CD pipelines, automating cloud operations, and leading high-performing DevOps teams to deliver secure, reliable, and efficient services. Skilled in AWS, Kubernetes, Terraform, and platform monitoring/alerting tools. Adept at cross-functional collaboration, mentoring engineers, and driving continuous improvement in deployment velocity and system uptime. Essential Duties &amp; Responsibilities: <ul> <li>Lead standup meetings with the DevOps team(s) to review current projects and upcoming work.</li> <li>Mentor and guide junior DevOps engineers, promoting a culture of knowledge sharing and continuous improvement.</li> <li>Collaborate with developers, QA, and security teams to support product delivery.</li> <li>Design, build, and manage scalable, secure, and highly available AWS cloud infrastructure.</li> <li>Participate in architectural discussions, sprint planning, and strategic decision-making for infrastructure enhancements..</li> <li>Document and diagram AWS infrastructure.</li> <li>Participate in the Agile process with cross-functional development teams and contribute operational and systems expertise to the software development lifecycle.</li> <li>Contribute to organization-wide processes and standards.</li> <li>Develop and maintain Infrastructure as Code (IaC) using CloudFormation, AWS CDK/SDK, and Terraform.</li> <li>Build and maintain CI/CD pipelines for automated testing, integration, and deployment using tools like Jenkins, GitLab CI, CircleCI, or AWS CodePipeline.</li> <li>Oversee container orchestration (Kubernetes, ECS) and infrastructure for microservices-based applications, ensuring seamless scaling and zero-downtime deployments.</li> <li>Configure monitoring, reporting, and alerting of production systems to ensure high availability and performance.</li> <li>Troubleshoot and resolve issues in development, test, and production environments.</li> <li>Act as an escalation point for production incidents and provide timely resolution through root cause analysis and postmortem reviews.</li> <li>Optimize system performance, reliability, and security, including patching and secure operations.</li> <li>Enforce security policies and best practices across environments, including IAM, secrets management (e.g., Vault, AWS Secrets Manager), vulnerability scanning, and compliance auditing.</li> <li>Evaluate and implement new tools and practices to improve system reliability, developer velocity, and operational efficiency.</li> <li>Maintain DevOps artifacts in git.</li> <li>Develop serverless architectures using AWS services like Lambda, API Gateway, DynamoDB, and Step Functions.</li> <li>Work with our AWS Technical Account Manager and solution architects to ensure we are getting the most out of our AWS resources.</li> <li>Monitor cloud spend and implement cost-saving measures while maintaining performance.</li> <li>Conduct AWS Well-Architected Framework reviews and implement best practices across operational excellence, security, reliability, performance, and cost optimization.</li> </ul> Requirements &amp; Skills: <ul> <li>10+ years of experience in DevOps, cloud architecture, and infrastructure management.</li> <li>Extensive experience with Amazon Web Services (AWS), including EC2, S3, VPC, Lambda, RDS, ECS, EKS, IAM, and more.</li> <li>Knowledge of VPC design, DNS, load balancing (ELB/ALB), and networking protocols in a cloud environment.</li> <li>Strong hands-on experience with IaC tools like CloudFormation, AWS CDK/SDK, and Terraform.</li> <li>Experience with CI/CD tools, pipeline automation and best practices.</li> <li>Familiarity with supporting Windows and Linux operating systems.</li> <li>Strong hands-on containerization experience (Kubernetes, Docker, ECS/EKS).</li> <li>Understanding of database systems (Transactional and/or NoSQL)</li> <li>Proficiency in scripting languages like Python, Shell, or Go, with a focus on automation and infrastructure-as-code principles. </li> <li>Exposure to security scanning and vulnerability tools.</li> <li>Experience with autoscaling and highly available architectures.</li> <li>Experience with configuration management tools like Ansible, Chef, or Puppet.</li> <li>Proficiency in monitoring and logging tools like AWS CloudWatch, Prometheus, Grafana, Splunk, DataDog or ELK stack.</li> <li>Experience with source code management tools (GitHub, Bitbucket).</li> <li>Experience with serverless architectures and event-driven design patterns.</li> <li>Familiarity with the AWS Well-Architected Framework.</li> <li>Experience with multi-region architectures.</li> <li>Experience with disaster recovery strategies and business continuity planning.</li> <li>Experience implementing AWS security best practices and compliance with relevant regulatory standards (e.g., GDPR, HIPAA, SOC2).</li> <li>Familiarity with AWS cost optimization strategies like Reserved Instances and Spot Instances.</li> </ul> Education: <ul> <li>Bachelor’s degree in Computer Science, Engineering, or a related field. A Master’s degree is a plus.</li> </ul> Mitratech is proud to be an EEOE, M/F/D/V, and we are committed to diversity both in practice and spirit at the corporate level. Mitratech participates in the Electronic Employment Verification Program. E-Verify is an Internet-based system that compares information from an employee’s I-9 to data from the U.S. Department of Homeland Security and Social Security Administration Records. To learn more, visit: <a href="http://everify.com/" target="_blank">everify.com</a> We are an equal-opportunity employer that values diversity at all levels. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, or veteran status.

Mitratech

Lead DevOps Engineer - AWS

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 Behavioral Health Coding Leadwill be responsible for reviewing clinical documentation and diagnostic results as appropriate (i.e., to extract data and apply appropriate ICD-10-CM, HCPCS and CPT-4 codes for billing, review and correct billing edits, internal and external reporting, research, and regulatory compliance). Under the direction of the Coding Leadership Team, the successful candidate must be able to accurately code conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Here’s what you will experience working as our Coding Lead:<ul> <li>Assigns codes for diagnoses, treatments and procedures according to the appropriate classification system for professional service encounters to determine the highest level of specificity ICD-10 codes, CPT codes, HCPCS codes, and modifiers.</li> <li>Reviews physician assigned diagnosis code after thorough review of the medical record and, if necessary, queries physician for additional clarity in a professional manner.</li> <li>Able to accurately abstract information from the medial records into the abstract system, according to established guidelines.</li> <li>Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC) adheres to official coding guidelines</li> <li>Enters and validates codes, charges and other edits flagged in Athena or EPIC for review.</li> <li>Review documentation (and returned accounts) to verify and correct place of service, billing and service providers, or other missing data elements (ie: NDC #, or number of units)</li> <li>Uses CCI edit software to check bundling issues, modifier appropriateness, and LCD’s/NCD’s for medical necessity.</li> <li>Communication with other departments to recommend coding guidance for charge corrections, appeals processes, and patient billing concerns.</li> <li>Meet and/or exceeds the established coding productivity standards</li> <li>Meet and/or exceeds the established quality standard of 95% accuracy while meeting and/or exceeding productivity standards</li> </ul>Required Qualifications:<ul> <li>High School Diploma or GED required</li> <li>CCS-P, CPC Certification</li> <li>Five (5) years coding experience</li> <li>Experience coding behavioral health</li> <li>Familiarity with Athena</li> <li>Excellent interpersonal communication</li> <li>Must be able to demonstrate proficiency in professional services (95% accuracy).</li> <li>Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA) (ie: Documentation Guidelines ’95 &amp; ’97)</li> <li>Extensive knowledge of government, and commercial payer guidelines.</li> <li>Must be able to use standard office equipment and information systems.</li> <li>Ability to interact with other employees through effective communication.</li> <li>Ability to prioritize and shift workloads to ensure departmental goals align with revenue cycle goals </li> </ul>Desired Qualifications:<ul> <li>Experience coding OB/GYN</li> <li>Experience coding Cardiology</li> <li>Previous work with off-shore teams</li> </ul>For this US-based position, the base pay range is $18.16 - $31.13 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>

Behavioral Health Coding Lead

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 Hospital Coding Auditor, you will review hospital charges against medical record and all applicable documentation to determine appropriate code assignments on services provided (CPT/HCPCS codes). The Auditor must have a comprehensive understanding of medical terminology, coding, contractual agreements, and various payment methodologies. This position requires good time management skills and the ability to work independently. Here’s what you will experience working as a Hospital Coding Auditor <ul> <li>Review hospital charges against medical record and all applicable documentation to determine appropriate code assignments on services provided (CPT/HCPCS codes) </li> <li>Understand billing and coding requirements for government and commercial payers. </li> <li>Abstract statistical data from the patient record and enter information following facility guidelines. </li> </ul><ul> <li>Follow all HIPAA regulations and uphold a higher standard around privacy requirements. </li> <li>Maintain at least a 95% accuracy rate. </li> <li>Maintain productivity standards, tracking logs and deadlines. </li> </ul>To be successful in this role, you must have:<ul><li>CPC, CCS, CPC-H (COC), CPMA, CIC, RHIA, RHIT and/or CCS-P certification </li></ul><ul> <li>Experience in billing, charge documentation, charge audit or charge capture activities, or other functions related to revenue cycle activities. </li> <li>Experience coding multi-specialties preferred that may include trauma, orthopedics, cardiology, interventional radiology, and neurology. </li> <li>Must possess a demonstrated knowledge of clinical processes; clinical coding (CPT, HCPCS, ICD-10, revenue codes, status indicators, and modifiers), charging processes and audits. </li> </ul><ul> <li>Knowledge of CMS guidelines, Ambulatory Payment Classification, and Outpatient Prospective Payment System, reimbursement structures and prebill edits including Outpatient Coding Edits/Correct Coding Initiative edits preferred. </li> <li>Experience with encoder technology and electronic medical record systems. </li> <li>Ability to work in a flexible environment, adapting to changing priorities.</li> <li>Excellent organizational skills and strong attention to detail</li> </ul>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%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>

Hospital Coding Auditor

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 R37 GenAI Lab Senior Process Analyst in the Perfect Claim pillar, you will play a key role in both the assessment and optimization of existing edits and the design and implementation of future edits within a novel claim scrubber system. This position requires an analytical mindset, strong collaboration skills, and the ability to drive innovation in claim processing. To thrive in this position, you will need to be an innovative self-starter and a collaborator as you work with both external vendors and internal partners to achieve goals. You’ll use your prior experience in conceptualizing and developing products and framework to help shape the future state of work, as we build a new GenAI enabled product platform. Here's what you will experience working as a Senior Process Analyst: <ul> <li>Analyze and optimize current edits in claim scrubbers to improve claim processing accuracy and efficiency. </li> <li>Design new edits to address future needs, anticipating changes in claim processing requirements based on payer policies and reimbursement guidelines.</li> <li>Collaborate with cross-functional teams to implement optimization solutions and new edits. </li> <li>Monitor and evaluate the performance of edits, making data-driven recommendations for further enhancement. </li> <li>Ensure compliance of edits with industry standards and regulations. </li> <li>Conduct testing and validation to ensure new edits function accurately and effectively. </li> <li>Analyze trends and patterns to predict future requirements and challenges in claim processing. </li> <li>Produce detailed reports and presentations to communicate findings, analytics, and recommendations. </li> <li>Travel domestically and internationally; 25-50%.</li> </ul> Required Qualifications: <ul> <li>Bachelor's Degree</li> <li>5-8 years of experience in healthcare operations (i.e. revenue cycle management, provider, payer, vendor).</li> <li>Expertise in healthcare billing operations.</li> <li>Strong project management skills with demonstrated track records in quality and operational improvements, ability to prioritize workload, meet deadlines, and perform multiple tasks simultaneously.</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.This job is eligible to participate in our annual bonus plan at a target of 20.00%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>

US-Process Analyst

At R1 RCM we are a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. We deliver proven ROI across the entire revenue cycle – front, middle and back office. This enables our customers to achieve an optimal revenue cycle – one that promotes patient satisfaction and improves financial performance.As our DRGV Auditor II, your primary role will be auditing inpatient cases for DRG validation and/or documentation improvement. This consists of reviewing accounts in proprietary software and client EMR systems to validate the accounts. Opportunity for growth includes a client facing Lead Auditor role and an internally facing Mentor role. Every day in this role you will:<ul> <li>Review inpatient medical records for validation of DRG assignment </li> <li>Provide detailed rationale and supporting evidence for recommendation and findings </li> <li>Utilize industry-recognized references to support their review findings, such as the ICD-10 Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding, AHIMA Practice Briefs related to compliant querying, and AHA Coding Clinics </li> </ul>To succeed in this role, you must have:<ul> <li>Current AHIMA credentials of one or more of the following are required: RHIA, RHIT, and/or CCS </li> <li>3+ years of ICD-10 auditing and DRG reimbursement experience, with recent acute inpatient auditing experience </li> </ul>For this US-based position, the base pay range is $51,700.00 - $95,429.25 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>

DRGV Auditor II

Endeavor Business Media

Associate Editor - Firehouse

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. 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>

4,216 Jobs