Director, RCM Analytics & Insights
Nashville, TN, United States
USD 120K-160K (estimate) Executive-level Full Time
Tasks
- Automate denial prevention and workflow improvements
- Create standardized reporting processes
- Develop RCM KPIs and metrics
- Develop predictive denial risk analytics
- Drive system enhancements and configuration changes
- Implement proactive payer monitoring
- Lead RCM analytics and insights
- Manage RCM analytics team
- Monitor RCM performance trends
- Partner on payer issue escalation and resolution
- Perform root cause analysis for revenue leakage
- Produce RCM reporting dashboards and KPI reporting
- Support denial prevention upstream fixes
- Translate analytics into actionable strategies
Perks/Benefits
- N/A
Skills/Tech-stack
Accounts Receivable | Artificial Intelligence | Automation | CPT | Cause analysis | Cycle management | Data Monitoring | Data Visualization | Data analytics | Denial Management | HCPCS | ICD-10 | Insurance reimbursement | Medical billing | Microsoft Excel | Payer Adjudication | Payer policy | Payer policy interpretation | Policy interpretation | Predictive Analytics | Real Time | Real-time analytics | Reporting dashboards | Revenue Cycle | Revenue Cycle Management | Revenue Recognition | Root Cause Analysis | Root cause
Education
Bachelor of Engineering | Bachelor of Science | Master of Science
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