Medical Revenue Manager

Hourly contract remote position in the United States.

About The Role

We are seeking experienced Charge Capture, Charge Integrity, and Revenue Integrity professionals to evaluate AI tools designed to identify revenue leakage, improve charge accuracy, and support coding and billing compliance. The role requires expertise in charge capture workflows, Charge Description Master (CDM) management, and revenue integrity analysis.

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.
• Conduct charge audits to identify missed charges, duplicate charges, and charge capture errors across clinical departments.
• Manage and maintain the Charge Description Master (CDM), including 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.
• 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.

Requirements

• 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.
• Strong attention to detail with the ability to identify billing errors and compliance risks in AI-generated outputs.

Preferred Qualifications

• 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 AI-generated charge and billing content.
• Experience with revenue integrity software platforms and analytics tools.

Why Participate?

• Contribute to the development of AI systems in healthcare.
• Gain exposure to AI workflows in healthcare revenue integrity.
• Work on projects focused on improving revenue performance, coding accuracy, and healthcare AI.

Pay

$88/hour

Schedule

Flexible

Position is an independent contractor role. Projects may be extended, shortened, or concluded early based on needs and performance.