R1 RCM 10-Q 2011 Q2 Quarterly report

Exhibit 32.2

Certification of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted
pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

In connection with this Quarterly Report onForm 10-Q of Accretive Health, Inc (the “Company”) for the period ended June 30, 2011 (the “Report”), the undersigned, John T. Staton, Chief Financial Officer and Treasurer of the Company, hereby certifies, pursuant to 18 U.S.C. Section 1350, that, to his knowledge:

(1) the Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

/s/  John T. Staton

John T. Staton

Chief Financial Officer and Treasurer

Date: August 12, 2011