Jobs at R1 RCM

Leads analytics, reporting, data modeling, automation, AI-agent development, and quality assurance for revenue cycle operations. Creates Power BI and Excel reports, analyzes complex healthcare and operational datasets, develops scalable warehouse models, and delivers actionable insights to leadership. Uses SQL, cloud data platforms, Git, Python, and AI-assisted tools to improve reporting efficiency, accuracy, and decision support.

Monitors healthcare data workflows, validates and reconciles files, troubleshoots database and data-integration issues, performs quality audits, maintains backups, and supports operational reporting. The analyst documents procedures, communicates data discrepancies and resolutions, assists with month-end processes, and helps improve standardized workflows while protecting confidential client information.

Manages key healthcare provider client relationships for revenue cycle management services. Communicates performance and strategic priorities, partners with internal service delivery leaders, addresses risks, and develops remediation plans. Uses performance metrics and data-driven insights to improve revenue cycle outcomes, client satisfaction, retention, KLAS, and NPS results. Serves as a customer expert and change agent while supporting operational excellence and team growth.

Manage day-to-day revenue cycle engagements, oversee billing staff performance, monitor KPIs and staffing, coordinate coding and billing service teams, resolve client escalations, develop action plans, and analyze operational and client-facing reports. The role also manages client relationships, communicates performance updates, supports customer satisfaction initiatives, approves expenses and timecards, and maintains accurate documentation across client systems and payer portals.

Leads inpatient coding operations, coordinating projects, action plans, staffing, workload distribution, client SLA delivery, performance management, and process improvement. Oversees team development through coaching, mentoring, training, change management, and conflict resolution. Uses data analytics and metrics to improve efficiency, manages resources, drives technology adoption, and maintains strong stakeholder relationships. Requires extensive inpatient DRG coding expertise and professional coding certification.

Leads multi-site workplace and facilities operations, including hard and soft services, transport, cafeteria, maintenance, compliance, EHS, vendor governance, budgets, reporting, and employee access systems. Oversees renovations, refurbishments, and site buildouts from design through handover. Manages IFM partners, facility teams, service levels, audits, cost optimization, and operational technology adoption. Requires extensive travel and readiness to assume broader pan-India workplace leadership responsibilities.

Reviews inpatient medical records concurrently and retrospectively to identify documentation gaps affecting severity, mortality risk, coding accuracy, reimbursement, and quality outcomes. Queries physicians, assigns working DRGs, educates providers and CDI teams, conducts mortality and PSI reviews, and collaborates with coders, auditors, and quality teams. The role requires acute-care CDI experience, an active RN license, and recent clinical experience in medical-surgical, ICU, telemetry, or emergency settings.

Educates, audits, and monitors coding teams on E/M levels, procedures, diagnosis coding, CPT, ICD-10, and HCPCS. Develops and updates coding education programs, training materials, course plans, and evaluations; identifies knowledge gaps with coding leadership; ensures auditing, quality, and compliance standards; and provides constructive feedback to coders and providers. Supports training for onshore and offshore teams across ancillary, surgical, emergency medicine, and E/M specialties.

Manage healthcare revenue cycle operations, with emphasis on accounts receivable and denial management. Lead teams, provide coaching and feedback, analyze operational performance, communicate findings clearly, and support efficient service delivery for hospitals, health systems, and medical groups. Apply healthcare, Medicare, and Medicaid knowledge while collaborating with team members, peers, and senior leaders.

Manages corporate workplace services, electrical infrastructure, HVAC, fire safety, preventive maintenance, compliance, vendors, budgets, events, and employee support. The role oversees technical and administrative facility operations, drives energy efficiency and cost optimization, maintains audit documentation, develops Excel-based MIS dashboards, and coordinates with internal stakeholders to ensure reliable infrastructure, high-quality workplace services, SLA adherence, and employee satisfaction.

Reviews hospital accounts to identify and validate underpayments, confirms expected reimbursement, researches payer and account details, diagnoses root causes, and determines resolution actions. Documents findings to support appeals, collaborates with support teams, and meets production, accuracy, and efficiency benchmarks while using patient accounting systems, payer portals, and proprietary software.

Provide day-to-day support, maintenance and troubleshooting of Genesys (on-premise and PureCloud) voice platforms; handle incidents/requests, install and troubleshoot SIP IP phones, assist migrations, create documentation and monitor platform performance.

Manages healthcare revenue cycle follow-up operations, including accounts receivable, denial management, payment follow-up, reporting, work allocation, and performance management. Leads teams of 80–100 employees, ensures policy compliance, manages productivity and quality metrics, handles escalations, and interacts with U.S. clients. Requires expertise with CMS-1500 and UB-04 claims, federal and commercial payors, Medicare, Medicaid, ICD codes, and CPT codes.

Designs and operates an internal developer platform using Azure, AKS, Kubernetes, Terraform, CI/CD, GitOps, and observability tools. Builds reusable platform services, golden paths, templates, automation, developer portals, and self-service capabilities. Partners with engineering teams to improve developer experience, reliability, security, governance, and software delivery. Supports production platforms through SLOs, incident response, capacity planning, troubleshooting, and root-cause analysis.

Leads cybersecurity governance, risk, and compliance programs, with ownership of third-party cyber risk, customer security assessments, risk exceptions, and the cyber risk register. Manages a geographically distributed team, matures GRC processes, drives automation, partners with internal and external stakeholders, and reports risk trends and recommendations to senior leadership. Requires extensive cybersecurity experience, people leadership, customer-facing skills, and experience building or improving third-party risk capabilities.

Audit inpatient medical records for DRG validation and documentation improvement. Review accounts in proprietary software and client EMR systems, validate DRG assignments, and provide detailed rationale supported by ICD-10 guidelines, AHIMA standards, compliant-query practices, and AHA Coding Clinics.

Leads IT governance, risk, and compliance across application, infrastructure, and security functions. Responsibilities include managing exceptions, policies, risk registers, controls, contingency plans, security KPIs, customer and vendor questionnaires, and ITSM process improvements. The role requires collaboration with operations, management, customers, and technical stakeholders in a large healthcare environment, with strong knowledge of HIPAA, HITRUST, SOC 2, PCI DSS, and IT security compliance.

Oversee workplace and facilities services, including preventive maintenance, housekeeping, cafeteria, security, transport, front office, fleet, vendors, budgeting, AMC negotiations, RFPs, SOPs, helpdesk operations, and reporting. The role supervises transport operations for approximately 750 employees, conducts vendor performance reviews, and supports facility issue resolution and operational improvements.

Manages a 15–20-person revenue cycle team, overseeing billing, cash posting, accounts receivable, credit balances, denial management, correspondence review, KPIs, SLAs, financial controls, reporting, work allocation, and process improvement. Analyzes operational data in Excel, identifies trends, develops corrective actions, supports forecasting and capacity planning, communicates with clients and team managers, and recommends Lean Six Sigma or automation improvements. Requires night-shift and work-from-office availability.

Maintains health record integrity by analyzing records, monitoring deficiencies and delinquencies, supporting legal medical record completion, and retrieving, preparing, scanning, indexing, and quality-reviewing documents. Ensures accurate, complete, and compliant health information to support patient care, reimbursement, regulatory requirements, and legal needs while meeting productivity and quality standards.