Medical Revenue Manager

$88/hrrate as listed

Review AI-generated charge audits, CDM recommendations, and revenue-integrity alerts for coding accuracy and CMS compliance, then document why each output holds up or fails. Mercor lists this engagement at an observed $88/hr, contractor, remote and largely asynchronous.

Summary, eligibility guidance and screening preparation are prepared by Sidequest from the platform's posting. Check the source listing before applying.

What the work involves

You will be handed AI outputs that look like the work product of a revenue integrity analyst: a flagged missed charge on an OR case, a proposed CDM line change, a duplicate-charge alert, a modifier recommendation, a narrative explaining suspected revenue leakage in an infusion department. Your job is to decide whether each output is defensible against CMS billing guidance, Medicare Part A/B rules, NCCI edits, and payer-specific policy — and then to write the reasoning down in a form a model can learn from. "Wrong" is not enough; the platform wants the citation, the correct alternative, and the compliance exposure created by the error.

Typical task types include scoring paired responses against a rubric, correcting AI-drafted audit findings, writing gold-standard charge review examples from de-identified scenarios, and stress-testing outputs where the model produces plausible-sounding but non-compliant guidance — unbundling, upcoding by implication, or CDM pricing logic that ignores charge-to-cost relationships.

What the screen looks for

Verifiable operational history. Five-plus years actually running charge capture, charge integrity, or revenue integrity work — not adjacent RCM exposure. Expect follow-ups on the specific systems you used (Epic Resolute, Cerner, Craneware, nThrive, Optum) and the size of the CDM you owned.
Depth under pressure. Questions about revenue code and CPT pairing, charge lag benchmarks, 340B accumulation, and how you documented a corrective action plan that survived audit.
Evaluation judgment. Can you separate a factual coding error from a stylistic preference, and can you rank two flawed outputs consistently?
Writing. Feedback that a research team can act on, in clear English, without hedging.

Credentials such as CPC, CCS, CHFP, or CRCS help but do not substitute for hands-on audit experience.

Logistics

Remote and contractor-based, typically 10–20 hours per week with some engagements scaling higher during active data collection. Work is mostly asynchronous through Mercor's task platform, with occasional calibration calls with the research team. Pay is reported at $88/hr for this listing; rates on Mercor vary by project, seniority, and assessed quality tier, and engagement length is not guaranteed.

What they look for

5+ years in charge capture, charge integrity, or revenue integrity operations
Charge description master (CDM) management, including revenue codes and pricing logic
Working command of CMS billing guidelines, Medicare Part A/B rules, and OIG work plan priorities
Charge audit experience with documented corrective action plans
CPC, CCS, CHFP, or CRCS credential (preferred)
Clear written English for structured evaluation feedback

Before you apply

Would you pass this screen?

Drawn from what this listing actually requires. Answered in your browser — nothing is sent to us, and we do not store your answers.

Do you have at least 5 years of professional experience in charge capture, charge integrity, revenue integrity, or healthcare billing compliance?
Healthcare Revenue Integrity Experience · required
Do you have working knowledge of charge description master (CDM) management, revenue codes, and billing compliance systems?
CDM and Billing Systems Knowledge · required
Do you have demonstrated understanding of CMS billing guidelines, Medicare Part A/B billing rules, and OIG compliance requirements?
CMS and Regulatory Compliance · required
Have you conducted or led charge audits to identify missed, duplicate, or erroneous charges?
Charge Audit Conduct · preferred
Do you hold or are you actively pursuing a current CPC, CCS, CHFP, or CRCS credential?
Coding or Compliance Credential · preferred

0 of 5 answered

Included with this listing

Interview prep — 12 questions

Matched to what this platform's screening actually measures. Answer each out loud in 60–90 seconds: claim → concrete example → implication.

What it tests: Whether the candidate has hands-on audit experience and can connect findings to dollar outcomes—not just process familiarity.
A strong answer: They describe a specific audit (department, timeframe, charge type), identify a concrete leakage category (missed charges, unbundling errors, incorrect modifiers), quantify the financial or accuracy impact, and explain what corrective action they implemented or recommended.
Where people lose it: Answering in generalities ('we audited charges and found errors') without naming a leakage type, a number, or a result—or claiming audit experience that was really just spot-checking.