Revenue Integrity Specialist - Healthcare
$88 per hourMercor
Job Description
Job Description
About the job
Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey .
Position: Medical Revenue Manager
Type: Contract
Compensation: $88/hour
Location: Remote
Role Responsibilities
- Oversee charge capture , charge integrity , and revenue integrity functions to ensure accurate and compliant charge submission.
- Evaluate AI-generated charge review outputs , coding recommendations, and revenue integrity alerts for accuracy and compliance.
- Conduct charge audits to identify missed charges, duplicate charges, and charge capture errors across clinical departments.
- Manage and maintain the charge description master (CDM) , ensuring accuracy of charge codes, revenue codes, and pricing.
- Analyze charge patterns to identify revenue leakage opportunities and implement corrective action plans.
- Collaborate with clinical, coding, and billing teams to resolve charge capture discrepancies.
Qualifications
Must-Have
- 5+ years of experience in charge capture , charge integrity , revenue integrity , or healthcare compliance.
- Deep knowledge of CDM management , revenue codes, charge capture workflows, and billing compliance.
- Strong understanding of CMS billing guidelines , Medicare Part A/B billing rules, and OIG compliance requirements.
- Proficiency with charge capture systems , EHR platforms , and revenue integrity tools .
- Experience conducting charge audits and developing corrective action plans.
- Exceptional written and verbal English communication skills.
- High attention to detail with the ability to identify billing errors and compliance risks in AI-generated outputs .
Preferred
- CPC , CCS , CHFP , or CRCS credential.
- Experience with 340B drug program charge capture and compliance.
- Background in hospital, health system, or physician group revenue integrity operations.
- Familiarity with AI tools and comfort evaluating AI-generated charge and billing content.
- Experience with revenue integrity software platforms and analytics tools .
Application Process (Takes 20–30 mins to complete)
- Upload resume
- AI interview based on your resume
- Submit form
Resources & Support
- For details about the interview process and platform information, please check:
- For any help or support, reach out to: View email address on ziprecruiter.com
PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.
Vacancy posted 4 days ago
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