About this role

Your future role at a glance

- Location: Remote
- Department: Revenue Cycle Administration
- Schedule: Days | Full-Time
- Eligible for an annual bonus incentive

#LI-Remote

#InternalOps

How you’ll make an impact in this role

- Executive Ad Hoc Governance & Policy Dissemination: Facilitate and document ~45 monthly executive sessions with commercial and government payers, maintaining partnership agreements and ensuring all policy updates received are promptly shared with appropriate internal stakeholders.
- Complex Denial Mitigation & High-Dollar Escalations: Serve as the primary escalation lead and senior negotiator for complex, high-dollar claim disputes across five multi-state regions, leveraging revenue integrity tactics to drive rapid variance resolution and maximum reimbursement.
- Log Architecture, Auditing & Vendor Oversight: Direct the continuous auditing, triage, and monthly transmission of six specialized escalation logs, managing vendor streams (including R1 RCM) to ensure systematic inventory clearance and compliance with Ascension revenue standards.
- Team Leadership & Payer Portfolio Analytics: Direct and mentor Senior Analysts across review standards, documentation criteria, and daily task allocation, while conducting monthly aged inventory reviews to determine Legal or R1 escalations alongside monitoring payer contract provisions.

What minimum requirements you’ll need

Licensure / Certification / Registration:

- Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) preferred. Licensure required relevant to the state in which work is performed.

Education:

- High School diploma equivalency with 3 years of cumulative experience OR Associate's degree/Bachelor's degree with 2 years of cumulative experience OR 7 years of applicable cumulative job specific experience required.
- 3 years of leadership or management experience preferred.

Additional Preferences:

- Certifications & Payer Alignment Frameworks: Advanced revenue cycle certification (e.g., CRCR, CSPR, or CSPPM preferred) paired with direct experience structuring and facilitating strategic Ad Hoc or payer-provider alignment frameworks.
- Payer & Vendor Domain Expertise: Deep subject-matter expertise with major national and regional payer environments (e.g., UHC, BCBS, Cigna, Aetna, Humana) alongside practical integration experience with vendor ecosystems like R1 RCM.

Benefits that help you thrive

- Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options

- Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance

- Time to recharge: pro-rated paid time off (PTO) and holidays

- Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning

- Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources

- Family support: parental leave, adoption assistance and family benefits

- Other benefits: optional legal and pet insurance, transportation savings and more

*Benefit options and eligibility vary by position, scheduled hours and location. Benefits are subject to change at any time. Your recruiter will provide the most up-to-date details during the hiring process.

Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, youâll find an inclusive and supportive environment where your contributions truly matter.

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process, our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

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