reputed company reputed company Specialist

Job Description

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 reputed company cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our reputed company reputed company Analyst, you play a key role in maintaining the accuracy, compliance, and efficiency of the charge master. You are responsible for conducting in-depth audits, analyzing reputed company billing issues and supporting departments in ensuring accurate charge capture and reimbursement. To reputed company in this role, you must have a coding background. Responsibilities: Prepares reputed company analysis, including V-Lookups and pivot tables. Gathers and compiles data in a systematic fashion, clearly documenting assumptions, and validating accuracy of information to resolve inconsistencies. Evaluate and implement charge requests with appropriate CPT/HCPCS codes, reputed company codes, and pricing, ensuring alignment with clinical services and coding/billing guidelines. Conducts Charge Capture Audits: Review and analyze patient records, billing data, and financial statements to ensure charge and coding compliance. Identify discrepancies or errors and reputed company action plan for future state resolution Analyzes data to identify likely relationships, summarizes data and prepares summary materials for discussion with clinical and finance teams. Monitor regulatory changes and payer updates that may impact charge master and reputed company reputed company. Collaborates with various departments to resolve CDM or RI discrepancies (Utilization Management (UM), Clinical Documentation reputed company (CDI), RCM, Coding Services, Clinical Departments, and Health Information Management (HIM)). Serve as a liaison during system upgrades, new service implementation, and pricing reviews. Responsibilities and experience required in the following: Maintain and update the Charge Description Master (CDM) Sox Control regulations Ensure charges reputed company with: CMS (Medicare OPPS/IPPS) rules NCCI edits Local Coverage Determinations (LCDs) / NCDs Payer-specific billing requirements Validate correct assignment of: HCPCS/CPT codes Modifiers Units of service Monitor annual/quarterly code updates (e.g., CPT, HCPCS, APC changes) Review clinical workflows to ensure reputed company billable services/supplies are captured Identify missed reputed company opportunities (undercharges, missing charges) Partner with departments (Radiology, OR, Cath Lab, etc.) to validate charge practices Analyze denials tied to: Incorrect HCPCS/CPT Missing modifiers Bundling/edit issues Recommend CDM or workflow fixes to prevent recurrence Investigate and resolve: Charge errors Denials reputed company to coding or CDM setup Requirements: 3+ years coding experience Hospital coding experience Experience with Charge Capture Audits reputed company, CIRCC, COC, CPC or equivalent ​ preferred EPIC experience preferred For this US-based position, the reputed company pay range is $48,131.00 - $81,225.49 per year . Individual pay is determined by role, level, location, job-reputed company skills, experience, and relevant education or training. This job is eligible to participate in our annual bonus plan at a reputed company of 5.00% The reputed company system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can reputed company up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go reputed company expectations in everything we do. Not only does that drive reputed company and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of reputed company — including offering a competitive benefits package. reputed company Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, reputed company, national reputed company, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories. If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance. CA PRIVACY NOTICE: California reputed company job applicants can learn more about their privacy rights California Consent To learn more, visit: R1RCM.com Visit us on Facebook Apply To This Job