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 2 days
Business
English
Executive Diploma in Technology Management
Executive Diploma in Technology Management by MTF Institute
Free 100% Off
Today
Expires in 2 days
Business
English
Advanced Program in Product & CX Management and Development
Certificate in Product and Customer Experience Management and Development by MTF Institute
Free 100% Off
Today
Expires in 2 days
Business
English
Executive Diploma in Sales and Service Management
Executive Diploma in Sales and Service Management by MTF Institute
Free 100% Off
Today
Expires in 21 hours
Business
English
Revenue Cycle Management and Medical Billing for Beginners
Master Revenue Cycle Management (RCM), Medical Billing, Insurance, AR, Denial Management, and Payme…
Never Miss a Coupon!
Subscribe to our newsletter to get daily updates on the latest free courses.