R1 RCM

Associate

• Deliver exceptional customer service to patients, healthcare professionals, and payors while maintaining patient confidentiality
• Prepare, scan, index, organize, and quality-check medical records
• Check in charts, reconcile records, and follow up on missing documentation
• Ensure resolution of health record deficiencies complies with regulatory, legal, and reimbursement standards
• Assist with physician relinquishment, faxing, reporting, and auditing
• Assist with DNFB functions to obtain documentation needed for coding and billing
• Perform daily medical-record prepping and scanning while meeting productivity and quality standards
• Conduct quality audits to verify accuracy and completeness of legal medical records across multiple medical systems
• Perform general office duties including filing, printing, faxing, answering calls, and assisting customers

HIM Associate

Full-stack Engineer

• Build full-stack applications using React, Node.js, and Python
• Bring AI outputs to life for users through product-focused engineering
• Partner with customers, design, and research to understand real workflows
• Ship products that make complex automation simple, clear, and trustworthy
• Shape how healthcare teams interact with intelligent systems
• Lead delivery of larger projects and own features from scoping and design through deployment

Product Engineer III

• Build primarily full-stack applications using React, Node, and Python
• Bring AI outputs to life for users through thoughtful product design
• Partner with customers, design, and research to understand real workflows
• Ship products that make complex automation feel simple, clear, and trustworthy
• Shape how healthcare teams interact with intelligent systems
• Own design, implementation, and delivery of scoped end-to-end projects
• Own features from scoping and design through deployment

Product Engineer II

Reviewer

• Review outpatient coded cases for coding completeness and accuracy
• Identify potential coding and APC/payment opportunities
• Research appropriate guidelines to support recommended changes
• Communicate coding changes to coders or quality reviewers in a timely manner
• Provide expert coding advice to coding staff and global quality reviewers
• Relay needed coding education topics to the Manager of Outpatient Coding Quality
• Conduct quality reviews of outpatient records and validate CPT®, HCPCS, ICD-10-CM, modifier, and APC code assignments
• Provide audit feedback, coaching, and guidance
• Analyze audit results and identify trends for education, process improvement, and quality enhancement
• Partner with Quality, Education, Denials, and Coding Operations teams to resolve coding issues and support revenue integrity initiatives
• Stay current on industry regulations and coding guidelines
• Drive continuous improvement through collaboration, training, and process optimization while maintaining accuracy, productivity, and performance in a remote environment

Outpatient Quality Reviewer

Analyst

• Research accounts using the client’s Patient Accounting system, payer portals and/or websites, and R1’s proprietary software
• Review opportunities and evaluate expected reimbursement calculations
• Determine whether opportunities should be pursued with payers and identify required resolution actions
• Document accounts to support appeal and resolution efforts
• Diagnose underpayment causes and identify prevention opportunities for clients
• Support opportunity creation through execution of rules in R1 software
• Lead and support teams to drive revenue opportunities
• Train and mentor domestic and global teams
• Meet production, accuracy, and efficiency benchmarks
• Complete required training courses
• Promote a supportive and positive team culture aligned with R1’s values
• Conduct quality assurance reviews and coordinate with global teams
• Provide constructive feedback and foster open communication
• Coordinate with HBUP Partners, including Audit Strategy Team, Client Delivery, and Centers of Excellence
• Respond to requests timely and inform cross-team strategic prioritization

Senior Revenue Cycle Analyst – Underpayments

Support Engineer

• Collect, reconcile, organize, validate, and analyze healthcare data used in data-processing workflows
• Monitor and maintain data imported to and exported from R1 workflow systems
• Support the associated database platform
• Monitor workflows, schedules, and metrics governing data movement across multiple R1 workflow systems
• Perform daily file and account maintenance, monitoring, and backup coordination
• Monitor and troubleshoot database workflow systems and escalate issues when appropriate
• Validate and process source data files and support data input and output across systems and applications
• Assist with month-end closing processes
• Identify, research, and help resolve data variances between client systems and R1 systems
• Audit client data, data processes, and client statements; document findings and provide feedback
• Troubleshoot data irregularities and direct resolution efforts
• Communicate data variances, impacts, status, and resolution to appropriate partners
• Create and support operational reports, statistics, and metrics
• Create and maintain standard operating procedures as workflows change
• Participate in team meetings, new initiatives, and development of efficient, standardized workflows
• Follow company, client, and industry data-handling policies and best practices
• Communicate with team members and leadership
• Perform other projects and duties as assigned

Product Support Analyst

Account Manager

• Manage key client relationships through consistent communication of revenue cycle performance, priorities, and strategic updates
• Partner with Service Delivery and functional leaders to align operational objectives, address risks, and execute remediation plans
• Translate performance metrics, drivers, barriers, and opportunities into actionable plans that improve outcomes, KLAS, and NPS performance
• Serve as a customer expert and change agent, promoting best practices, cross-functional alignment, and revenue cycle transformation
• Identify initiatives that enhance operational performance while supporting the development, performance, and growth of the Revenue Cycle team
• Perform additional duties and responsibilities as assigned

Customer Partner Manager

Data Analyst

• Design and deliver recurring Power BI and ad-hoc Excel reports to stakeholders
• Acquire and manage data from internal and external sources
• Ensure timely delivery of insights for business-critical decisions
• Analyze complex datasets to identify trends, patterns, and anomalies
• Translate findings into clear, concise summaries for leadership and operations
• Support strategic initiatives with data-driven recommendations
• Use SQL Server, Snowflake, Databricks, and Git for automation and process improvement
• Identify and implement process enhancements to improve quality, efficiency, and accuracy
• Design and develop AI-powered agents to automate insight generation and reporting workflows
• Integrate AI models to enhance analytics capabilities and enable intelligent decision support
• Evaluate and implement AI tools to improve efficiency and accuracy in data-driven processes
• Design and optimize large-scale data models for complex analytics and reporting requirements
• Implement dimensional modeling and star schema architectures
• Collaborate with data engineers to ensure scalable and maintainable data structures
• Establish and enforce validation standards for data integrity and report accuracy
• Conduct thorough QA checks on deliverables and reporting outputs
• Document and maintain quality protocols for consistency

Senior Analytics Analyst

Counselor

• Provide financial counseling support by helping patients understand insurance benefits and out-of-pocket costs
• Meet with patients to discuss payment options and financial assistance programs
• Verify insurance eligibility and explain benefits
• Assist with Medicaid and financial assistance applications
• Build trust with patients during stressful financial situations
• Collaborate with care teams and revenue cycle departments
• Maintain accurate documentation across multiple systems
• Navigate insurance programs, financial assistance options, and patient account needs in a fast-paced hospital environment
• Move between systems, phone calls, and in-person interactions while working alongside clinicians and emergency staff

Financial Counseling Representative

Operations

• Support day-to-day management of end-to-end or co-managed revenue cycle engagements
• Manage relationships with key client counterparts
• Communicate revenue cycle performance and provide client executives with pertinent updates
• Support internal efforts to improve KLAS and NPS scores
• Oversee and manage billing staff performance to meet KPI metrics
• Ensure adequate staffing levels and audit inventory processes
• Collaborate with service teams across coding, billing, follow-up, denials, clinical denials, credit balance, cash posting, document management, and quality assurance
• Develop action plans and handle client escalations
• Maintain internal trackers with issue escalations as needed
• Build, oversee, and analyze operational and client-facing reports
• Provide actionable insights and ensure alignment with client expectations and organizational goals
• Approve direct associates' expenses and timecards, including revisions
• Maintain an in-depth understanding of client systems and payer portals
• Ensure accurate documentation is available and used effectively

Senior Operations Lead, Customer Partner

Payroll

• Support biweekly hourly and semi-monthly salaried payroll cycles for 10,000+ employees
• Validate payroll inputs, troubleshoot exceptions, and meet payroll deadlines
• Assist with payroll testing, implementations, system changes, and process improvements
• Monitor payroll readiness, audit data, and resolve payroll-impacting issues in Workday
• Ensure Payroll and Leave of Absence integrations process successfully in the HRIS
• Research and resolve inbound, outbound, and external integration errors and warnings
• Monitor timekeeping deadlines and escalate non-compliance trends
• Provide first-level payroll support through ServiceNow or a similar ticketing system
• Analyze income tax wages and liabilities and reconcile payroll results to financial records
• Research work-state, resident-state, and local tax discrepancies
• Administer ADP SmartCompliance and support payroll tax filings and payments
• Reconcile federal, state, and local payroll tax liabilities between Workday and ADP SmartCompliance
• Research rejected filings and system integration issues with HRIS, Payroll, and ADP support
• Maintain compliance with internal controls, SOX, and payroll laws
• Maintain accurate payroll files and documentation
• Validate and audit garnishment orders
• Develop and continuously improve payroll Standard Operating Procedures

Senior Payroll Administrator

Attorney

• Work in an evolving healthcare setting
• Apply shared expertise to deliver innovative solutions
• Contribute to, innovate, and create meaningful work impacting communities served around the world
• Support customer success and improved patient care
• Collaborate with colleagues and engage in professional growth

Senior Specialist – Legal

Medical writer

• Conduct clinically based concurrent and retrospective reviews of inpatient medical records
• Evaluate clinical-service documentation and identify opportunities to improve medical record quality
• Conduct mortality reviews, PSI reviews, and other focused reviews identified by CDI leadership
• Facilitate and obtain physician documentation supporting severity of illness, expected risk of mortality, and complexity of care
• Initiate physician interaction through the query process and/or participation in physician rounding
• Educate physicians and staff on documentation requirements, coding guidelines, and reimbursement policies
• Assign working DRGs and review patient records throughout hospitalization for coding specificity
• Collaborate with coders, auditors, quality improvement teams, and other stakeholders to resolve documentation issues
• Participate in documentation improvement initiatives and formal and informal education plans
• Stay current on clinical documentation standards, coding rules, and regulatory requirements

RN Clinical Documentation Improvement Specialist

• Design, code, test, deploy, and operate frontend applications, backend services, data pipelines, and AI systems
• Build systems powering models, specialized reasoning and resolution agents, and human-in-the-loop AI features
• Run A/B tests and ship production features tied to business outcomes
• Partner with product managers and operators to turn manual workflows into agentic and AI-driven automations
• Work with AI and ML engineers to build AI-native systems combining deterministic logic, traditional ML models, and LLMs
• Design and build secure, compliant, and reliable systems at scale
• Own features or services end-to-end in production
• Collaborate directly with users and product partners to understand needs and design solutions

Software Engineer III

Educator

• Audit, educate, and monitor coders for E/M levels, procedures, and diagnosis coding, including CPT/ICD-10 and HCPCS
• Provide support to provider education as needed
• Work with Coding Leadership to identify areas where focused education may be needed for production coders
• Develop, administer, implement, and update focused and continuing coding education programs and materials for coding associates
• Ensure Auditor production standards, QA requirements, and compliance with Auditing philosophies and guidelines are met
• Provide constructive review and feedback to assist in developing instructional materials, including course plans, objectives, and evaluation tools
• Plan, organize, direct, and coordinate education and training for coding teams