Revenue Integrity Specialist - Healthcare

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: https://talent.docs.mercor.com/welcome
• For any help or support, reach out to: [email protected]

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.