What You'll Learn
- Build enterprise revenue integrity programs and governance dashboards
- Negotiate payer contracts; detect underpayments and drive recovery.
- Apply risk adjustment (HCC/RAF), quality, and value-based care levers.
- Lead advanced coding & documentation audits tied to medical records.
- Orchestrate enterprise EDI (837P/837I/835), edits, and clearinghouse rules.
- Engineer denial management at scale using CARC/RARC analytics and appeals.
- Optimize AR management: cash acceleration, worklists, A/R calling, escalation.
- Design automation & analytics for US healthcare RCM (RPA, SQL/BI), including payment posting KPIs.
Requirements
- Solid intermediate background in RCM/medical billing (1–2+ years).
- Working knowledge of CPT/HCPCS, ICD-10-CM, CMS-1500 & CMS-1450 (UB-04).
- Familiarity with prior authorization, claim edits, healthcare claims, and ERA/EOBs.
Who This Course is For
- Senior billers, coding leads, and revenue integrity analysts.
- AR managers and payment posting supervisors driving cash acceleration.
- Denial prevention/appeals specialists and EDI/clearinghouse coordinators.
- Practice managers and RCM leaders seeking operational leadership skills.
- Consultants building payer contracting and underpayment recovery playbooks.
- International professionals targeting advanced US healthcare operations.
Your Instructor
RCM Academy
Master Healthcare RCM & Medical Billing with RCM Academy
4.4 Instructor Rating
905 Reviews
12,961 Students
31 Courses
Related Courses
More free Business courses you might be interested in
Free 100% Off
Today
Expires in 3 days
The Certified Global CEO Masterclass: Leading at the Top
Master strategy, innovation, digital transformation, and global leadership with this 52-week execut…
![[Non-Technical] AI Product Manager Explorer Certificate](https://img-c.udemycdn.com/course/750x422/6731869_7a3f_2.jpg)
Free 100% Off
Today
Expires in 3 days
[Non-Technical] AI Product Manager Explorer Certificate
A 7-day certificate to help product managers lead AI initiatives, define strategy, and align stakeh…
Free 100% Off
Today
Expires in 3 days
Ultimate EKS Bootcamp by School of Devops
Build EKS Cluster with eksctl. Manage Node Groups, Ingress with LBC, Storage with CSI, Cluster Auto…
Free 100% Off
Today
Expires in 3 days
Bootcamp Definitivo de EKS por School of DevOps
Construye un clúster de EKS con eksctl. Ingress con LBC, almacenamiento con CSI, Cluster Autoscaler…
Never Miss a Coupon!
Subscribe to our newsletter to get daily updates on the latest free courses.