REVENUE CYCLE CONSULTANT (REMOTE)

Job Title:	Revenue Cycle Consultant
Location:	Remote
Travel Requirements:	Up to 10%
Contact:	info@integratedri.com
Date Posted:	5/18/2026
Company Address:	120 Charlton Road, STE 2 #1032, Sturbridge, MA 01566
Company Website:	www.integratedri.com

 

Summary

Integrated Revenue Integrity is seeking a highly skilled Consultant to support client engagements by delivering revenue integrity, chargemaster, coding, and reimbursement consulting services designed to improve compliance, optimize reimbursement, and strengthen operational performance.

Join a collaborative and innovative team dedicated to improving healthcare revenue integrity nationwide.

This remote position may require up to 10% travel.

Core Responsibilities

1. Client Engagement Support
   1. Support and manage components of client engagements, ensuring completion within established timelines and quality expectations
   2. Develop and maintain effective working relationships with clients and internal stakeholders
   3. Communicate findings, recommendations, and project updates clearly and professionally
2. Chargemaster and Revenue Integrity Consulting
   1. Conduct chargemaster (CDM) reviews to evaluate coding, billing, and reimbursement accuracy
   2. Identify opportunities to improve charge capture, reimbursement, and regulatory compliance
   3. Assist with development, implementation, and maintenance of CDM updates
   4. Analyze charge build workflows and operational practices for process improvement opportunities
3. Coding, Billing, and Reimbursement Analysis
   1. Utilize knowledge of CPT, HCPCS, modifiers, revenue codes, and payer methodologies to support compliant billing practices
   2. Evaluate Medicare OPPS/APC reimbursement and third-party payer methodologies
   3. Research and resolve coding, billing, reimbursement, and edit-related issues
   4. Support resolution of claim denials, payment variances, and billing edits
4. Reporting and Deliverables
   1. Conduct research, analyze findings, and prepare reports and client deliverables
   2. Translate complex technical findings into clear, actionable recommendations
   3. Track trends, risks, and financial impact related to revenue integrity initiatives
5. Education and Client Support
   1. Respond to client inquiries related to coding, billing, reimbursement, and compliance
   2. Support client education and training initiatives
   3. Present findings and recommendations in written and verbal formats
6. Business Development Support
   1. Support business development initiatives through delivery of high-quality client service and subject matter expertise
   2. Identify and communicate opportunities for additional client support or operational improvement
   3. Contribute to proposal development, research, or engagement planning as requested
7. Professional Development and Team Collaboration
   1. Maintain current knowledge of coding, billing, reimbursement, and regulatory updates
   2. Participate in ongoing professional education and certification maintenance
   3. Collaborate effectively with team members to support engagement success

 

Requirements

Education

1. Bachelor’s degree in healthcare, business, finance, health information management, or related field required.
2. Equivalent combinations of education, certification, and directly related experience may be considered.

Certification

1. Active healthcare coding, revenue cycle, or finance certification required, such as:
   1. CPC (Certified Professional Coder)
   2. COC (Certified Outpatient Coder)
   3. CCS (Certified Coding Specialist)
   4. CCS-P (Certified Coding Specialist – Physician-based)
   5. CHFP (Certified Healthcare Finance Professional)
   6. CRCR (Certified Revenue Cycle Representative)
   7. CHRI (Certified Healthcare Revenue Integrity)
2. Additional certifications may be required as pertinent to the position.
3. Continuing education (CEUs) must be maintained in accordance with certifying body requirements to ensure ongoing competency in coding, reimbursement, compliance, and regulatory updates.

Experience

1. Minimum of seven (7) years of healthcare revenue cycle, revenue integrity, coding, chargemaster, reimbursement, or related operational experience.
2. Experience performing chargemaster reviews and/or maintaining hospital CDMs preferred
3. Experience with hospital billing, reimbursement methodologies, and revenue integrity workflows
4. Prior consulting, project, or client interaction experience preferred
5. Experience with EHR systems such as Epic, Cerner, Meditech, or CPSI preferred

Core Skills and Knowledge

1. Revenue Integrity and Chargemaster Knowledge
   1. Strong understanding of hospital chargemaster structure, maintenance, and regulatory requirements
   2. Knowledge of Medicare reimbursement methodologies
   3. Understanding of third-party payer reimbursement methodologies and billing requirements
2. Coding & Regulatory Knowledge
   1. CPT, HCPCS, ICD-10-CM/PCS, modifiers, and revenue codes
   2. NCCI edits, MUEs, LCD/NCD policies, and payer guidelines
   3. CMS and OIG compliance expectations
3. Analytical and Problem-Solving Skills
   1. Ability to analyze complex billing, coding, and reimbursement scenarios
   2. Strong root cause analysis and critical thinking skills
   3. Ability to identify operational and financial impact
4. Communication Skills
   1. Strong written and verbal communication skills
   2. Ability to present findings to clients and stakeholders professionally
   3. Ability to explain complex technical concepts clearly
5. Organization and Time Management
   1. Ability to manage multiple priorities and deadlines
   2. Ability to work independently in a remote consulting environment
   3. Strong attention to detail and accountability