Seeking experienced patient financial services leaders to evaluate healthcare AI systems, improve self-pay collections, optimize patient payment plans, enhance financial engagement, and maximize revenue recovery while maintaining compliance and patient satisfaction.
Medical Revenue Manager
Job description
Role Overview
Mercor is partnering with a leading AI research laboratory to improve next-generation AI systems used in healthcare revenue integrity, charge capture, and billing compliance.
The organization is seeking experienced Medical Revenue Managers and Revenue Integrity professionals to evaluate and improve AI tools designed to identify revenue leakage, improve charge accuracy, strengthen billing compliance, and optimize revenue cycle performance.
Responsibilities
Revenue Integrity Leadership
- Oversee charge capture, charge integrity, and revenue integrity operations
- Ensure accurate and compliant charge submission across clinical departments
AI Evaluation & Quality Review
- Evaluate AI-generated charge review findings, coding recommendations, revenue integrity alerts, and billing compliance assessments
- Annotate AI outputs and provide structured feedback for AI training datasets
Charge Auditing
- Conduct charge audits to identify missed charges, duplicate charges, and revenue leakage opportunities
Charge Description Master (CDM) Management
- Manage and maintain the CDM, ensuring accuracy of charge codes, revenue codes, pricing structures, and billing mappings
Compliance
- Ensure compliance with CMS billing guidelines, Medicare Part A/B requirements, and OIG Work Plan priorities
Requirements
- 5+ years of experience in Charge Capture, Charge Integrity, Revenue Integrity, or Healthcare Compliance
- Strong knowledge of CDM management, revenue codes, and billing compliance
- Deep understanding of CMS billing guidelines and Medicare billing
Preferred Qualifications
- CPC, CCS, CHFP, or CRCS certification
- Experience with 340B program compliance or hospital revenue integrity operations
Contract & Payment Terms
- Independent contractor engagement · Fully remote · Flexible schedule
- Weekly payments through Stripe or Wise
- US work authorization required · No visa sponsorship
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