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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 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

R1 RCM

Clinical Coding Appeals Nurse

<h2>Responsibilities</h2> <h2>Overview</h2> Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health &amp; Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We’re committed to expanding what’s possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative. At Enhabit, the best of what’s next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients. Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include: <ul> <li>30 days PDO – Up to 6 weeks (PDO includes company observed holidays)</li> <li>Continuing education opportunities</li> <li>Scholarship program for employees</li> <li>Matching 401(k) plan for all employees</li> <li>Comprehensive insurance plans for medical, dental and vision coverage for full-time employees</li> <li>Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees</li> <li>Flexible spending account plans for full-time employees</li> <li>Minimum essential coverage health insurance plan for all employees</li> <li>Electronic medical records and mobile devices for all clinicians</li> <li>Incentivized bonus plan</li> </ul> <h2>Responsibilities</h2> In addition to performing visits and completing coordination of client care, the Registered Nurse RN Home Health is the point of contact for all disciplines involved with providing care to patients and oversees the frequency of visits for the episode. The Registered Nurse RN consults as needed with the physician and the office giving details about patient care. Performing accurate OASIS collection, ensuring the medication profile remains current, ensuring lab values have been reported to the physician timely, attending weekly case conference and monthly case manager meetings are key responsibilities of this role. <h2>Qualifications</h2> Registered Nurses (RNs) must meet the following requirements: <ol> <li>Be currently licensed as a Registered Nurse (RN) in the state of employment</li> <li>A minimum of one year of clinical experience is preferred</li> <li>Demonstrate knowledge and skill in current nursing practice</li> <li>Possess a valid state driver’s license and automobile liability insurance</li> </ol> <h2>Additional Information</h2> Enhabit Home Health &amp; Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary. <a href="https://careers-ehhi.icims.com/jobs/130953/rn---home-health/job/login" target="_blank">Apply</a>

Enhabit Home Health & Hospice

RN - Home Health

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 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 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>

RIS Analyst

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

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary<ul> <li>Network implementation manager.</li> <li>Configure custom, domestic, and direct-to-employer networks. </li> <li>Subject matter expert for network files, network IDs, and PPO codes.</li> <li>User Acceptance Testing for new implementations and issue resolution.</li> <li>Performs research for network issues and partners with EDI IT on resolution.</li> <li>Coordinates custom online provider directories.</li> </ul> Required Qualifications<ul> <li>2+ years healthcare industry experience.</li> <li>1+ year network operations or provider relations experience.</li> <li>Proficiency in Microsoft Office Suite (Word, Excel, Outlook, etc.).</li> </ul>Preferred Qualifications<ul> <li>1+ year of implementation management experience</li> <li>1+ year of vendor management experience</li> </ul> Education<ul><li> High School Diploma or GED</li></ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$46,988.00 - $122,400.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 05/23/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Senior Network Analyst

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 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>

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