Denials Standardization Lead 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 Performance Management Denials Analyst Standardization Lead, you will help reduce preventable claim denials by identifying clinical, coding, and process‑driven root causes that negatively impact reimbursement and overall revenue cycle performance.

Every day you will analyze denied claims to develop and write clear problem statements that define the intended objective, where the process failed, and the specific failure points driving denials that outline where to fix the problem.  Partner closely operational teams to validate medical terminology, coding accuracy, and front-end revenue cycle processes contributing to denials. Assess and communicate the financial impact of denials, supporting initiatives aimed at reducing significant revenue loss and improving the bottom line for internal and external clients.

To thrive in this role, you must have hands‑on experience in a denials or revenue cycle environment, strong critical‑thinking skills, and the ability to clearly communicate clinical and operational issues to stakeholders.

Here’s what you will experience working as a Denials Analyst: 

• A denials‑focused, performance‑driven environment with clear expectations

• Direct collaboration with coding and revenue cycle teams

• Ownership of denial analysis with measurable financial impact

• Autonomy to identify issues and drive corrective action

Required Skills:

• Minimum 2 years of experience in revenue cycle management with a focus on denials and performance management

• Working knowledge of medical terminology related to denied claims

• Experience collaborating with coding teams and stakeholders analyzing denial root causes

• Need to have advance excel skills: pivot tables, data annualization, data visualizations. Example: Spread sheet of 20,000 accounts need to be sorted down to specific data set of inventory wide data sliced to a narrow focus.

• Complex Denial experience

• Recent Revenue Cycle Front End Denial experience and understanding all revenue cycle front end processes 

• Experience identifying root causes and presenting cause and solution to management

• Medical terminology in denials 

• The ability to write up charting assessment