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 26 days ago
Similar jobs that could be interesting for youBased on the Revenue Integrity Specialist - Healthcare in San Francisco, CA vacancy
- ...We are on a mission to revolutionize healthcare with cutting‑edge, AI‑powered software... .... We are looking for an experienced Revenue Cycle Specialist to help us set‑up our RCM... ...hospital partner, ensuring seamless integration of their unique configurations into Lunar...SuggestedRemote workFlexible hours3 days per week
- Synthires in San Francisco, CA is seeking experienced Healthcare Administrative and Operations professionals to support back-office workflows... ...The role covers patient access, prior authorizations, claims, revenue cycle, provider enrollment, payer operations, and health...Suggested
- ...Deployed Generalist who works at the intersection of product, revenue motion, and customer success. You own deployment end-to-end, from... ...with clients, configuring pipelines, data migrations, and integrations; you will drive adoption and surface process pain points to create...Suggested
- The University of California, San Francisco invites applications for an Associate Specialist who will lead computational efforts to develop and apply methods for integrating proteomics and genetics data collected in situ for integrative structure modeling. The role emphasizes...Suggested
$125k - $135k
...patients’ lives? Do you have Electronic Healthcare Record (EHR) experience and are looking... ...for Health Information Technology Specialists to support an IQVIA pharmaceutical client... ...focus of this role will be to support integration of the brand into EHR systems across priority...SuggestedFull timePart timeImmediate startWorldwideNight shift$120k - $130k
Portage Ventures GP Inc. is looking for a Revenue Accountant to join their team in San Francisco. You will be pivotal in ensuring the financial integrity of the company's revenues and compliance with revenue recognition standards. The ideal candidate has over 2 years of...- ...world.PQS by Innovaccer connects major healthcare payers with 95% of pharmacies to support... ...a patient’s quality of life.As Payment Specialist, you will report to the Director, Clinical... ...payment operations—from invoice review and revenue tracking to disbursement coordination...Full timeTemporary work
$98k - $107k
SmithGroup is an integrated design firm with a reputation for cultivating a top-ranked culture... ...exceptional design solutions for healthcare, science and technology, workplace, mixed... ...is looking for a Senior Proposal Specialist to join our team. Working with us, you...Work experience placementWork at officeLocal area$28 - $31 per hour
...foundation, and an associated clinically integrated network. Our primary goal is to foster... ...: Responsible for varying facets of the revenue cycle processes. These processes can include... ...compliance Experience: 5+ years of healthcare accounts receivable experience with expertise...Work at officeLocal areaVALID8 Financial
Emeryville, CA1 day ago$100k - $138k
About the TeamThe New Verticals Partner Integrations team develops innovative technological solutions to help merchants seamlessly expand... ...providing comprehensive benefits and perks including premium healthcare, wellness expense reimbursement, paid parental leave and more...Hourly payWork at officeLocal areaRemote workFlexible hours$110k - $170k
...Brex, Rippling, Navan, Qantas, SHEIN and many more - with fully integrated solutions to manage everything from business accounts,... ...that sounds like you, let’s build what’s next.About the teamThe Revenue Strategy & Enablement team at Airwallex sits at the heart of our...Temporary workLocal areaWorldwide$100k - $160k
...Brex, Rippling, Navan, Qantas, SHEIN and many more - with fully integrated solutions to manage everything from business accounts,... ...and effectively at scale.What You'll DoAs a Senior Associate, Revenue Operations, you will serve as a generalist on the Revenue Operations...Temporary workLocal areaWorldwide- .... Experience with population health quality metrics including healthcare outcomes, health plans and provider networks is a plusAbility... ..., all while upholding our unwavering commitment to ethics and integrity. We not only encourage diverse perspectives, but they are critical...ApprenticeshipEasy work
- ...operations to drive pipeline and accelerate revenue. About us: join the team making life‑... ...where every patient can navigate the healthcare system with ease, especially when it matters... ...is the place for you. The role: Growth Specialist Build Neon’s go-to-market engine...Full timeFor contractorsLive inNight shift
- Siteline is a remote-friendly Series A SaaS startup in the construction space, focused on modernizing construction finance. As an Integration Support Engineer, you will lead technical implementations for new customers, resolve complex integration issues, and develop...Remote job
- ...leveraging cutting-edge technology to stay ahead in the evolving healthcare landscape. If you're ready to take your HVAC career to the... ...equipment, and materials. Represent SimonMed with professionalism, integrity, and a customer-first approach. Minimum Qualifications:...For contractorsCasual work
$25 per hour
...build the nation’s largest clinically integrated network supporting high-need patients.... ...future of more equitable, community-driven healthcare. Our Values Lead with integrity: We... ...practitioner and Community Engagement Specialist with delegated tasks Collaborates on care...Remote jobFull timeWork experience placementLocal areaWork from homeFlexible hours- ...Supervisor, the Junior Chemical Management Specialist will work as part of a team to maintain... ...career contributing to improving healthcare worldwide. Pride Values UCSF is a diverse... ...to professionalism, respect, integrity, diversity, and excellence - also known...Work experience placementWorldwide
$75k - $95k
CBIZ is seeking a Technical Consultant to work on ERP customizations and integrations in a hybrid setup. This role requires collaboration with both technical and functional teams to develop solutions that enhance system capabilities and improve client operations. The ideal...- Avenue Healthcare is seeking a Reconciliation Officer to ensure accuracy and timely allocation of debtors’ receipts. The ideal candidate will have a Bachelor's degree in a business-related field, CPA 2, and at least 2 years of experience. Key responsibilities include reconciling...
- RFA Clinical Launch Specialist at Hologic Are you passionate about transforming patient care... ...cutting‑edge technology to the healthcare world? Hologic, a global leader in women... ...solving abilities, ensuring seamless product integration and support. Project management skills...Local area
- Med Clinic X is a healthcare technology company building modern digital health solutions... ...telemedicine solutions, automation tools, and integrated digital health products for clinics,... ...We are seeking a Patient Engagement Specialist to improve how patients interact with healthcare...
$65k - $85k
...construction, industrial distribution, logistics, healthcare, and other operationally intensive industries. The Traction Revenue grew 5x over the past year, and Lily has... ..., Culture, and Code. The Role Integrated Marketing Strategy: Develop and own the quarterly...Live inWork at officeRemote workInstaLILY AI
San Francisco, CA2 days ago- ...advisory services firm focused on the healthcare industry Industry Management Consulting... ...support performance improvement revenue cycle applied analytics data... ...digital marketing strategy, leading brand integration for acquisitions, and measuring brand...
- Stripe is seeking a Global Head of Specialist Solutions Architecture for Revenue based in San Francisco. This full-time onsite role leads a global team responsible for defining technical sales strategy, developing playbooks for billing and revenue recognition, and guiding...Full time
- Midi Health is a fully virtual women's health provider seeking a Revenue Cycle Specialist (Contract) to support end-to-end billing, eligibility verification, and claims resolution in a fast-growing telehealth environment. You will collaborate with clinical, finance, and...Contract work
$75 per hour
...payer portal follow-up, and phone-based resolution. Prioritize A/R queues by aging bucket, payer, and dollar value to maximize revenue recovery. Identify and resolve claim payment discrepancies, payer processing errors, and underpayments. Annotate AI outputs...Remote jobContract workSummer workMercor
San Francisco, CA8 days ago$134.9k - $202.5k
...become the world’s leading integrated design practice. Our architects... ...consultants, sustainability specialists, and technologists are... ...OpportunityThis role is ideal for a Healthcare Mechanical Engineer leader... ....Sustain and grow top‑line revenue in collaboration with...For contractorsWork at office$100k - $170k
...engaging work—guided by A&M's core values of Integrity, Quality, Objectivity, Fun, Personal... ...Management and Transfer; Planning revenue growth and profitability growth initiatives... ...eligible for A&M fringe benefits which include healthcare plans, flexible spending and savings...Full timePart timeInterim roleWork at officeFlexible hours- Mapbox is seeking a revenue accounting specialist to support monthly close, journal entries, AR activity, and invoicing for assigned areas. You will help ensure accurate revenue recognition and compliance across Netsuite and related systems. Ideal candidates have 3+ years...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Revenue Integrity Specialist - Healthcare. Be the first to apply!
Related searches
- cost specialist San Francisco, CA
- strategic sourcing specialist San Francisco, CA
- absence management specialist San Francisco, CA
- authorization specialist San Francisco, CA
- treasury specialist San Francisco, CA
- print production specialist San Francisco, CA
- workforce management specialist San Francisco, CA
- wellness specialist San Francisco, CA
- helpdesk specialist San Francisco, CA
- program eligibility specialist San Francisco, CA