Charge Description Master Analyst - Revenue Integrity Analyst

February 26

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Logo of R1 RCM

R1 RCM

R1 RCM is a leading provider of revenue cycle management solutions for the healthcare industry. With an emphasis on maximizing financial performance and optimizing patient care, R1 offers a comprehensive platform that integrates data analytics, intelligent technologies, and deep expertise in revenue cycle management. The company assists healthcare providers—ranging from hospitals and health systems to physician and specialty care practices—in capturing revenue opportunities, improving payer and patient cash flows, and ensuring compliance with government regulations. R1 is committed to driving cost reductions and revenue improvements while enhancing the patient experience. Their suite of services includes revenue recovery, clinical integrity, and regulatory navigation, making them a trusted partner for many top healthcare providers.

Revenue Cycle Management (RCM) • Physician Advisory Services • Digital Transformation • Patient Experience • Practice Management

10,000+ employees

Founded 2017

⚕️ Healthcare Insurance

☁️ SaaS

💸 Finance

🔥 Funding within the last year

💰 Private Equity Round on 2024-07

📋 Description

• Ensure accurate and optimal revenue capture for services provided • Managing and maintaining the hospital’s Charge Description Master (CDM) • Developing and implementing pricing strategies for various services and procedures • Analyzing billing trends and identifying opportunities for revenue improvement • Review and analyze patient records, billing data, and financial statements • Verify that medical codes (ICD-10, CPT, HCPCS) are accurate and compliant • Analyze payer contracts and reimbursement rates

🎯 Requirements

• Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or similar coding certification required • 3 years' experience in Hospital Based Charge Description Master (CDM) • In-depth knowledge of healthcare reimbursement methodologies, coding systems, and billing regulations • Intermediate Excel experience: must be able to perform Vlook-up function • Preferred experience with Paragon, Meditech, and Cerner Millenium systems

🏖️ Benefits

• Annual bonus plan at a target of 5.00% • Competitive benefits package

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