About this role
Help evaluate advanced AI tools that strengthen healthcare revenue integrity by identifying revenue leakage, improving charge accuracy, and supporting compliant coding and billing practices.
Role Overview
This remote, hourly role applies expertise in charge capture, charge integrity, revenue integrity analysis, charge-capture workflows, and charge description master management to assess AI-generated outputs and provide structured feedback for AI training datasets.
Key Responsibilities
- Oversee charge capture, charge integrity, and revenue integrity activities to support accurate, compliant charge submission.
- Review AI-generated charge-review outputs, coding recommendations, and revenue-integrity alerts for accuracy and compliance.
- Perform charge audits across clinical departments to identify missed charges, duplicate charges, and charge-capture errors.
- Manage and maintain the charge description master, including charge codes, revenue codes, and pricing accuracy.
- Analyze charge patterns, identify revenue-leakage opportunities, and implement corrective action plans.
- Partner with clinical, coding, and billing teams to resolve charge-capture discrepancies.
- Monitor charge lag times, charge-capture accuracy rates, and revenue-integrity findings.
- Maintain compliance with CMS billing guidance, OIG Work Plan priorities, and payer-specific requirements.
- Annotate AI outputs and deliver structured feedback that supports training data development.
Qualifications
- At least 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 guidance, Medicare Part A and Part B billing rules, and OIG compliance requirements.
- Proficiency with charge-capture systems, EHR platforms, and revenue-integrity tools.
- Experience conducting charge audits and creating corrective action plans.
- Exceptional written and verbal English communication skills.
- Careful attention to detail and 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.
- Experience 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.
Work Terms
- Remote hourly engagement.
Compensation
- $88 per hour.
Opportunity
- Contribute to high-impact healthcare AI work, collaborate with an AI research organization, and gain exposure to advanced AI workflows in revenue integrity.