Remote Revenue Integrity Specialist — Charge Capture

mercor; United States; A distancia; USD 103.000 - 139.000; Jornada completa

Descripción de la vacante

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.

Formación

• 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.

Responsabilidades

• 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.

Conocimientos

Charge capture

Revenue integrity

Healthcare compliance

CMS billing guidelines

EHR proficiency

Attention to detail

English communication

Educación

CPC, CCS, CHFP, or CRCS

Herramientas

Charge capture systems

EHR platforms

Revenue integrity tools

Descripción del empleo

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.