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 **Peer-to-Peer Nurse Author** , you will help our clients by reviewing cases for which the authorization has been denied and evaluating if the proper documentation was available to support the admission status, procedure, and care setting that was requested. Every day you will advise our clients regarding the appropriateness of the request based on available documentation to ensure proper billing and authorization level; thereby increasing clean claims submission and reducing accounts receivable days. To thrive in this role, you must have strong clini...