Internship R1 Rcm Medical Coding Jobs in Nashville, TN

The Director, RCM Analytics and Insights is a newly created position responsible for leading the development, communication and insights surrounding advanced RCM KPIs, analytics and other metrics that identify actionable opportunities to optimize all aspects of RCM performance.

This role will report to the Sr Director – Revenue and will be embedded with the RCM team with a dotted line reporting to the Chief Revenue Officer.

• Serve as the primary RCM analytics and insights leader for the organization, advising the Chief Revenue Officer, RCM leaders and the Sr Director – Revenue.
• Lead enterprise‑wide analysis and trend assessments of registration, billing, denial, underpayment, and accounts receivable performance across multiple oncology practices to identify systemic root causes and revenue optimization opportunities.
• Work with the overall analytics team to establish proactive monitoring and early‑warning capabilities to detect adverse payer behaviors, denial trends, contract variances and AR deterioration before financial impact occurs.
• Partner with RCM executive leadership to translate analysis and metrics into actionable strategies, operational priorities and payer or practice‑level escalations.
• Collaborate closely with the payer relations contracting team on complex, high‑impact payer issues, providing data‑driven escalation, negotiation support and resolution strategies.
• Develop and drive adoption of advanced analytics and AI use cases within the RCM team (e.g., predictive denial risk, automation opportunities, root‑cause clustering) to reduce preventable denials and manual rework.
• Develop standardized processes to drive efficiency in analyzing and reporting data and trends in a repeatable, consistent reporting format.
• Partner with RCM Operations, Revenue Integrity, IT and vendors to develop system enhancements, configuration changes, workflow redesign and process standardization based on insight findings.
• Support denial prevention strategies through detailed analysis of payer policies, contract terms, billing requirements and coding behaviors, ensuring corrective actions are embedded upstream.
• Develop and provide RCM reporting, dashboards and KPIs, ensuring data accuracy, consistency and alignment with enterprise performance and financial goals.
• Champion data‑driven decision making and insight maturity across the RCM organization in support of scalable growth and long‑term financial sustainability.
• Perform additional responsibilities as assigned to support the organization’s mission of improving the lives of everyone living with cancer.

• Bachelor’s degree required; degree in Healthcare Administration, Finance, Analytics, Informatics or a related field strongly preferred.
• Master’s degree is a plus.
• 7‑10 years of progressive experience in finance and healthcare data analytics, revenue cycle management operations or reimbursement oversight, preferably within an oncology or complex, multi‑site healthcare environment.
• Prior experience in Radiation Oncology and/or Medical Oncology is a plus.
• Prior experience with HCPCS, ICD‑10 and CPT coding, including their downstream impact on denials, underpayments and AR performance.
• Demonstrated leadership experience, including guiding, mentoring or managing analytics, insights or operational RCM teams.
• High proficiency with enterprise reporting and analytics tools, including Microsoft Excel and related data analysis capabilities, as well as patient accounting, billing and medical information systems.

• Proven ability to analyze and proactively identify enterprise‑level systemic trends and root causes in the RCM space to support corrective actions with measurable financial and operational impact.
• Experience partnering with executive leadership, practice leadership, analytics, finance, contracting, payer engagement, billing vendors and IT to resolve complex reimbursement challenges.
• Detail‑oriented, organized and self‑starter with strong analytical and strategic thinking skills.
• Strong analytical and strategic thinking skills, with experience leveraging advanced analytics, automation and/or AI‑driven insights to improve revenue cycle performance.
• Solid understanding of payer policies, reimbursement methodologies and regulatory requirements related to medical billing, including Medicare, Medicaid and commercial payers.
• Excellent communication skills with the ability to translate complex data and technical findings into clear, actionable insights for diverse stakeholders.
• Demonstrated professionalism, adaptability and accountability, able to operate independently and lead effectively in a geographically distributed work environment.
• Ability to operate effectively in a matrixed environment, managing multiple priorities across regions, practices and functional teams.
• Enjoy working in a fast‑paced environment with ever‑changing priorities.