Denials Standardization Lead Analyst

R1 RCM

1d•Onsite

About The Position

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.

Requirements

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
Hands-on experience in a denials or revenue cycle environment
Strong critical-thinking skills
Ability to clearly communicate clinical and operational issues to stakeholders

Responsibilities

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 with 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.