Charge Capture Expert - Fully Remote | Upto $88/hr

mercor; United States; À distance; USD 103 000 - 139 000; Plein temps

Résumé du poste

Mercor, headquartered in San Francisco, connects elite creative and technical talent with leading AI research labs, and is seeking a Medical Revenue Manager on a contract basis. The role focuses on accurate charge submission and ensuring compliance across revenue cycles.

You will oversee the CDM, charge capture workflows, and audits, collaborating with clinical, coding, and billing teams to resolve discrepancies and improve revenue integrity.

Qualifications

• 5+ years of experience in charge capture, revenue integrity, or healthcare compliance.
• Deep knowledge of CDM management and billing coding.
• Strong understanding of CMS Part A/B rules and OIG compliance.
• Proficiency with charge capture systems and EHR platforms.
• Excellent written and verbal English communication.
• Ability to identify billing errors and compliance risks in AI outputs.

Responsabilités

• 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.

Connaissances

Charge capture

Revenue integrity

Healthcare compliance

CMS billing guidelines

EHR proficiency

Attention to detail

English communication

Formation

CPC, CCS, CHFP, or CRCS

Outils

Charge capture systems

EHR platforms

Revenue integrity tools

Description du poste

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

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.