Denials Standardization Lead Analyst

r1rcm; United States; On-site; USD 48,000 - 81,000; Full time

Benefits offered by this job

Annual bonus as a % of salary

Competitive benefits package

Job summary

R1 RCM Inc. in the United States is seeking a Performance Management Denials Analyst Standardization Lead to reduce preventable claim denials by identifying root causes in clinical, coding, and processes that affect reimbursement.

You will analyze denied claims daily, write clear problem statements, partner with coding and revenue cycle teams, and assess the financial impact of denials to drive corrective actions and protect revenue across internal and external clients.

Qualifications

• 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.

Responsibilities

• Analyze denied claims to develop and write clear problem statements defining objectives and failure points.
• Partner 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 to support initiatives reducing revenue loss and improving bottom line.
• Own denial analysis with measurable financial impact and drive corrective action.

Skills

Revenue cycle management

Denials analysis

Coding collaboration

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 expectations
• Direct collaboration with coding and revenue cycle teams
• Ownership of denial analysis with measurable financial impact
• Autonomy to identify issues and drive corrective action

Required Skills:

• 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

Education Level

Bachelors - Equivalent experience will be considered in lieu of a degree

Experience Level

Minimum of 2 years experience

For 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.

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To learn more, visit: R1RCM.com

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