Perform initial admission and continued stay reviews using evidence-based criteria to determine appropriate levels of care. Abstract clinical data from medical records and ensure effective communication with internal and external stakeholders.
R1 RCM
29 Remote Job Openings at R1 RCM
The Privacy Analyst is responsible for investigating data incidents and ensuring compliance with federal and state privacy laws and company policies. They will also develop compliance metrics, conduct risk assessments, and support the overall privacy compliance program to safeguard Protected Health Information.
Manage the build of modular and end-to-end technology solutions while establishing project management best practices and policies. Responsible for tracking project progress, managing budgets, and coordinating with stakeholders to ensure successful deployments and positive ROI.
Responsible for setting up data feeds and processes to produce standardized financial, quality, and productivity reporting for new healthcare clients. This includes data acquisition, modeling, quality assurance, and process improvement to support revenue cycle decision-making.
Lead the day-to-day management of multiple Directors of Service Delivery to optimize revenue cycle performance for clients. Act as a strategic expert to drive operational transformation and align objectives between internal teams and hospital organizations.
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.
Code complex neurosurgical and Neuro IR cases daily, including spine surgeries and brain tumor resections, while managing a high-volume workflow of approximately sixty cases per day. Collaborate with providers to resolve documentation gaps through professional queries to ensure accurate reimbursement and compliance.
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.
Lead and develop a Patient Access team to oversee daily registration and admission operations while ensuring accuracy and efficiency. Collaborate with global offshore teams to align workflows and implement scalable solutions for complex operational challenges.
Design, deploy, and operate AKS clusters and Azure infrastructure using Terraform and GitOps pipelines. Manage the platform's observability stack and participate in a 24x7 on-call rotation to ensure system reliability and security.
Drive revenue growth through new client acquisition and expansion of Revenue Performance Solutions within an assigned region. Develop and execute strategies to build brand awareness and manage the sales funnel in collaboration with the Business Development team.
The role involves partnering across operational areas to drive performance by monitoring key metrics and facilitating a central operating rhythm. Responsibilities include identifying process defects, producing financial analyses, and collaborating with global teams to optimize revenue cycle efficiencies.
Develop and optimize automated processes and integrations between enterprise systems using AI tools and platforms like Power Automate. Collaborate with business leaders to identify automation opportunities and maintain scripts to drive process efficiency.
The role is responsible for driving procurement programs, category execution, and vendor governance across corporate spend. It involves managing CLM tools, leading the Software Review Board, and optimizing costs through strategic sourcing and negotiations.
The Coding Integrity Specialist performs complex coding quality reviews to ensure accurate reimbursement and public reporting. They collaborate with CDI teams and hospital leadership to resolve documentation inconsistencies and identify coding trends for education.
Drive cross-portfolio marketing for the Phare agentic Revenue Operating System by creating cohesive narratives and aligning strategy with actionable tactics. Lead GTM execution, market intelligence programs, and cross-functional orchestration between product, sales, and operations.
Responsible for preparing and releasing patient records to authorized parties while ensuring strict adherence to HIPAA and confidentiality protocols. The role also involves updating data systems, performing audits for accuracy, and handling inquiries from patients and third parties.
PAS Physician Advisor (Part-time Level of Care / Admission Status Review)
R1 RCM
·
Full Time
·
a month ago
R1 RCM
Proactively review inpatient cases concurrently and post-discharge to ensure compliant admission status and reduce denial risks. Engage with attending physicians and utilization review teams to discuss and determine appropriate patient status based on documentation.
PAS Physician Advisor (Level of Care / Admission Status Review)
R1 RCM
·
Full Time
·
a month ago
R1 RCM
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.
Represent healthcare providers in disputes with insurance carriers by drafting complex appeals and reviewing contractual provisions. Resolve high-balance denied claims and represent clients during Administrative Law Judge hearings.
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.
Lead the AI analytics product development lifecycle from ideation to launch while managing stakeholder requirements and cross-functional dependencies. Define the vision and roadmap for self-serve analytical AI products to deliver actionable insights for healthcare revenue cycle management.
The Physician Advisor reviews denied payer cases to evaluate documentation support for admission status and care settings. They also engage with payer medical directors to discuss authorization status and serve as a clinical resource for staff.
The Forward Deployed Process Consultant bridges executive strategy with operational execution by optimizing healthcare workflows and medical coding processes. They are responsible for designing implementation plans, monitoring KPIs, and serving as a liaison between leadership and operational teams.
The Lead Engineer will manage end-to-end access lifecycle processes, including provisioning, modification, and deprovisioning across multiple systems. They will also drive process improvements, handle complex access requests, and ensure adherence to security standards and audit requirements.
Manage the end-to-end access lifecycle, including provisioning, modification, and deprovisioning across multiple systems. Collaborate with stakeholders to ensure compliance, drive process improvements, and resolve ServiceNow tickets within established SLAs.
The role involves processing user access provisioning and deprovisioning requests using IDM tools, assigning roles based on subprocess and department, and managing related ServiceNow tickets. Responsibilities also include providing email support for access queries and ensuring timely deactivation of access within 24 hours to maintain compliance.
The analyst will interact with operations teams, leveraging revenue cycle expertise to identify defect minimization opportunities and improve process outcomes, while producing customer-ready deliverables. Responsibilities also include defining, developing, and running reports to support account reviews and suggesting trends/opportunities to customers.
Drive new business acquisition with hospitals and health systems while owning the full enterprise sales process. Build and nurture executive-level relationships and partner with Product and Marketing to refine sales messaging.
