Remote AI Trainer for Revenue Integrity & Charge Capture

Mercor; Milwaukee (WI); Remote; USD 83,000 - 110,000; Full time

Job summary

Mercor is seeking experienced professionals to optimize charge capture, charge integrity, and revenue integrity workflows. The role focuses on evaluating AI-driven outputs, maintaining CDM accuracy, and ensuring billing compliance across departments.

The candidate will monitor KPIs, conduct audits, and collaborate with clinical and coding teams to reduce revenue leakage and improve accuracy in CMS-related billing. Remote, full-time engagement with competitive hourly pay is offered.

Qualifications

• 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.

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.
• Analyse charge patterns to identify revenue leakage opportunities and implement corrective action plans.
• Collaborate with clinical, coding, and billing teams to resolve charge capture discrepancies.
• Monitor KPIs including charge lag times, charge capture accuracy rates, and revenue integrity findings.
• Ensure compliance with CMS billing guidelines, OIG work plan priorities, and payer-specific requirements.
• Annotate AI outputs and provide structured feedback to support AI training datasets.

Skills

Attention to detail

English communication

Analytical thinking

Education

CPC, CCS, CHFP, or CRCS credential

Tools

EHR platforms

Revenue integrity tools

CDM management tools

Job description

Mercor is seeking experienced professionals to optimize charge capture, charge integrity, and revenue integrity workflows. The role focuses on evaluating AI-driven outputs, maintaining CDM accuracy, and ensuring billing compliance across departments.

The candidate will monitor KPIs, conduct audits, and collaborate with clinical and coding teams to reduce revenue leakage and improve accuracy in CMS-related billing. Remote, full-time engagement with competitive hourly pay is offered.