Job Overview
Location
Remote, USA
Job Type
Full-time
Category
HR & Recruiting
Date Posted
April 2, 2026
Full Job Description
📋 Description
- • As a Revenue Integrity Analyst II at R1 RCM Inc., you will play a critical role in safeguarding the financial health and compliance of healthcare providers by ensuring the accuracy and integrity of the charge description master (CDM), directly impacting reimbursement, regulatory adherence, and revenue cycle performance.
- • You will conduct daily charge capture audits, analyze complex billing discrepancies, and collaborate with clinical, finance, and coding teams to resolve issues, ensuring that services are accurately coded, priced, and billed in alignment with CPT/HCPCS, revenue codes, NCCI edits, MUEs, and payer contracts.
- • You will partner with cross-functional stakeholders including Utilization Management (UM), Clinical Documentation Integrity (CDI), Revenue Cycle Management (RCM), Coding Services, Clinical Departments, and Health Information Management (HIM) to identify root causes of charge variances and implement sustainable corrective actions.
- • You will prepare and maintain sophisticated Excel-based analyses using V-Lookups, pivot tables, and data validation techniques to gather, compile, and validate charge data, documenting assumptions and methodologies to support audit findings and executive reporting.
- • You will monitor evolving regulatory changes, payer policy updates, and CMS guidelines that impact charge master integrity, proactively recommending updates to maintain compliance and optimize revenue capture.
- • You will serve as a key liaison during system upgrades, new service implementations, and pricing reviews, ensuring seamless integration of charge changes while minimizing disruption to billing operations.
- • You will engage directly with executive stakeholders — including the Chief Financial Officer (CFO), Chief Compliance Officer (CCO), and Chief Medical Officer (CMO) — presenting findings, summarizing trends, and advising on strategic improvements to revenue integrity processes.
- • You will develop deep expertise in healthcare revenue cycle operations, mastering the intersection of clinical documentation, coding standards, billing regulations, and financial analytics, positioning yourself as a trusted advisor in charge integrity and compliance.
- • You will contribute to a mission-driven organization that leverages advanced technology, AI, and automation to transform healthcare financial performance, gaining exposure to industry-leading practices and opportunities for professional growth in a dynamic, remote-first environment.
🎯 Requirements
- • Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) plus Registered Oncology Coder (ROCC) certification, OR equivalent hands-on experience in Radiology Oncology coding and charge capture.
- • Advanced proficiency in Microsoft Excel, including complex V-Lookups, pivot tables, data validation, and automated reporting to analyze large datasets and identify billing discrepancies.
- • In-depth knowledge of charge description master (CDM) management, CPT/HCPCS coding, HCPCS Level II, revenue codes, NCCI edits, MUEs, and payer-specific contract terms and billing guidelines.
- • Proven ability to conduct charge capture audits, interpret clinical documentation, identify coding and billing variances, and develop actionable resolution plans in collaboration with multidisciplinary teams.
- • Strong verbal and written communication skills to effectively present findings, summarize complex data, and engage with executive stakeholders including CFO, CCO, and CMO.
- • Demonstrated experience collaborating with Utilization Management (UM), Clinical Documentation Integrity (CDI), RCM, Coding Services, Clinical Departments, and Health Information Management (HIM) to resolve revenue integrity issues.
🏖️ Benefits
- • Competitive base salary range of $46,586.59 - $66,107.05 per year, with eligibility for an annual bonus plan targeting 5.00% of base pay based on individual and company performance.
- • Access to a comprehensive, competitive benefits package including health, dental, vision, life insurance, and disability coverage, designed to support the well-being of employees and their families.
- • Opportunities for professional development and continuous learning through exposure to advanced revenue cycle technologies, AI-driven analytics, intelligent automation, and workflow orchestration platforms.
- • Remote work flexibility within the USA, enabling a balanced work-life integration while contributing to a national healthcare improvement mission.
- • Commitment to equal employment opportunity and a harassment-free workplace, with robust policies protecting all characteristics under federal, state, and local law, including reasonable accommodations for disabilities.
- • Meaningful impact on patient care and healthcare affordability by ensuring accurate charge capture and compliant reimbursement, directly supporting R1 RCM’s mission to transform the patient experience and financial performance of healthcare providers nationwide.
Skills & Technologies
Go
Remote
Degree Required
About R1 RCM Inc.
R1 RCM Inc. provides technology-driven revenue cycle management services to hospitals, health systems, and physician groups across the United States. The company offers end-to-end solutions spanning patient registration, coding, billing, claims processing, denial management, and collections, supported by analytics, automation, and outsourced staffing. Its cloud-based platform integrates with electronic health records to improve cash flow, reduce administrative costs, and ensure compliance with evolving healthcare regulations, serving a diverse client base that includes large health systems and academic medical centers.
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