The auditor is responsible for reviewing inpatient medical records to validate DRG assignments and ensure accurate documentation. They must provide detailed rationales and evidence for their findings using industry-recognized coding guidelines.
The Senior Manager will lead a high-performing analytics team to drive enterprise-wide insights and operational excellence in revenue cycle performance. They will serve as a strategic advisor to executive leadership, translating complex data into actionable strategies to improve financial outcomes and patient experience.
The System Access Specialist manages user access requests across multiple client systems and service lines using a ticketing platform. They also maintain documentation, troubleshoot access issues, and serve as a liaison between internal users, clients, and vendors.
The auditor is responsible for reviewing inpatient medical records to validate DRG assignments and ensure accurate documentation. They must provide detailed rationales and evidence for their findings using industry-recognized coding guidelines.
The Financial Counseling Representative acts as a patient advocate by verifying insurance eligibility, counseling on benefit plans, and assisting with Medicaid or financial assistance applications. They also collaborate with clinical staff and management to ensure timely service and resolve billing-related escalations.
The Senior Director of Customer Onboarding leads a large cross-functional team to successfully onboard new customers onto the R1 operating system. They are responsible for driving alignment, mitigating project risks, and ensuring the delivery of cost and performance targets.
The Release of Information Specialist is responsible for preparing and releasing patient records to authorized parties while maintaining strict confidentiality and HIPAA compliance. They also handle inbound inquiries, log requests in the EHR system, and perform audits to ensure data accuracy.
The Senior Ops Lead oversees day-to-day revenue cycle engagements and partners with client leaders to drive performance and operational improvements. They are responsible for developing remediation plans, managing client relationships, and translating operational insights into best practices.
The Regional Coding Manager oversees middle revenue cycle functions, including medical coding operations, quality compliance, and process improvement. They are responsible for managing team performance, meeting KPIs, and providing ongoing coaching to ensure service level agreements are met.
The Client Delivery Manager oversees client engagements, ensures exceptional service delivery, and acts as the primary point of contact for issue escalation and requests. They are responsible for preparing detailed revenue cycle reports and facilitating client meetings to drive sustainable improvements.
The CDI Specialist conducts concurrent and retrospective reviews of inpatient medical records to improve documentation quality and coding accuracy. They facilitate physician interaction to ensure clinical conditions and procedures are accurately reflected for severity of illness and resource utilization.
The Coding Integrity Specialist performs complex coding quality reviews to ensure accurate reimbursement and compliance with hospital documentation standards. They collaborate with CDI teams and hospital leadership to resolve documentation inconsistencies and identify coding trends for educational improvement.
The VP of Security Technology will partner with the CISO to define and execute security strategy, focusing on client-facing and product security capabilities. They will lead security due diligence for acquisitions, manage customer security engagements, and oversee enterprise risk management.
The VP of Security Technology will lead, scale, and mature the enterprise security program by translating strategy into operational execution. This role involves managing security architecture, identity and access management, cloud security, and threat management while partnering with executive leadership to align security with business growth.
The Director will orchestrate strategic initiatives across product, engineering, and operations to support the growth and market positioning of the Phare Flow AI-driven platform. Responsibilities include managing quarterly objectives, facilitating leadership forums, and translating complex technical information into clear business narratives.
The Financial Counseling Representative acts as a patient advocate by verifying insurance eligibility, explaining financial responsibilities, and assisting with Medicaid or financial assistance applications. They also collaborate with clinical and case management teams to ensure timely service and resolve complex billing or enrollment issues.
The Senior Service Delivery Analyst will build and maintain reporting solutions to support revenue cycle operations and client delivery. They will translate complex data into actionable insights and partner with stakeholders to drive operational success.
The Physician Advisor reviews denied payor cases to evaluate documentation support for admission status, procedures, and care settings. They also engage with payor medical directors to discuss authorization status and serve as a clinical resource for staff.
Review and interpret medical records to draft persuasive appeals for denied or underpaid claims. Apply clinical knowledge and coding guidance to ensure accurate diagnosis and procedure coding while meeting compliance deadlines.
The Manager is responsible for the design, implementation, and governance of sales compensation, quota, and territory programs. They act as a strategic partner to cross-functional teams to ensure sales plans are financially sustainable and operationally scalable.
The DRG Validation Auditor I is responsible for reviewing inpatient medical records to validate DRG assignments and documentation accuracy. They must provide detailed rationales and evidence for their findings using industry-recognized coding guidelines.
Execute complex interface projects and manage implementation issue resolution across healthcare platforms. Support data exchange formats and troubleshoot client integration issues using interface engine software.
The Integration Specialist II supports interface projects by connecting healthcare data across R1 platforms and client systems. They assist with implementation tasks, data review, and troubleshooting under the guidance of experienced analysts.
The Inpatient Coding Quality Reviewer conducts internal audits to ensure coding accuracy, compliance, and adherence to official guidelines. They also collaborate with operations and training teams to improve coding efficiency and provide educational feedback to staff.
Review payor peer-to-peer cases to evaluate documentation for admission status and care settings. Collaborate with payor medical directors and provide written analysis to ensure compliant revenue for client facilities.
Represent healthcare providers in claim disputes for workers compensation, motor vehicle accidents, and other third-party liabilities. Draft complex appeals and coordinate with external counsel to recover denied claims through legal and procedural arguments.
Design and optimize consulting delivery processes to ensure seamless execution of use cases and customer objectives. Lead and mentor process consultants while providing data-driven insights and technical leadership throughout the solution lifecycle.
Lead the design and optimization of consulting delivery processes to bridge executive strategy with operational execution. Provide business case quantification, mentor solution consultants, and drive the adoption of best practices through technical and operational leadership.
The consultant bridges executive strategy with operational execution by optimizing healthcare metrics and medical coding workflows. They are responsible for translating business requirements into technical implementation plans and designing change management strategies to drive adoption.
Proactively review inpatient cases to ensure compliant admission status and reduce the risk of denials. Engage with attending physicians and utilization review teams to discuss and determine appropriate patient status based on documentation.
Lead the design and optimization of consulting delivery processes to bridge executive strategy with operational execution. Provide business case quantification, mentor solution consultants, and drive the adoption of best practices through technical and operational leadership.
