Denials Standardization Lead Analyst

R1-Rc; United States; Remote; USD 48,000 - 81,000; Full time

Job summary

R1 RCM Inc. is seeking a Performance Management Denials Analyst Standardization Lead in the United States. You will analyze denied claims, define problem statements, and identify root causes to improve reimbursement and revenue cycle performance.

You will collaborate with coding and operational teams, validate terminology, and quantify financial impact to drive corrective action and prevent future denials.

Qualifications

• Minimum 2 years of experience in revenue cycle management with a focus on denials and performance management.
• Hands-on experience in denials/denial root-cause analysis and communication of findings.
• Experience collaborating with coding teams and stakeholders to drive improvement.
• Bachelor’s degree or equivalent experience in a related field.

Responsibilities

• Analyze denied claims to develop and write clear problem statements with objectives and failure points.
• Partner with operations to validate medical terminology, coding accuracy and front-end processes.
• Assess the financial impact of denials and support initiatives to reduce revenue loss.

Skills

Revenue cycle

Denials analysis

Stakeholder communication

Critical thinking

Education

Bachelor's degree or equivalent

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 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'll 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.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.Here’s what you will experience working as a Denials Analyst:A denials‑focused, performance‑driven environment with clear expectationsDirect collaboration with coding and revenue cycle teamsOwnership of denial analysis with measurable financial impactAutonomy to identify issues and drive corrective actionRequired Skills:Minimum 2 years of experience in revenue cycle management with a focus on denials and performance managementWorking knowledge of medical terminology related to denied claimsExperience collaborating with coding teams and stakeholders analyzing denial root causesEducation LevelBachelors - Equivalent experience will be considered in lieu of a degreeExperience LevelMinimum of 2 years experienceFor this US-based position, the base pay range is $48,131.00 - $81,225.49 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.This job is eligible to participate in our annual bonus plan at a target of 5.00%The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep 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 beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.R1 RCM 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, color, national origin, 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 resident job applicants can learn more about their privacy rights California ConsentTo learn more, visit: R1RCM.comVisit us on Facebook