Revenue Integrity Consultant

Accountabilities:

• • Partner with healthcare client teams to assess revenue integrity processes, identify improvement opportunities, and develop actionable recommendations.
  • Provide comprehensive Chargemaster expertise across Hospital Billing (HB) and Professional Billing (PB), including CDM consolidation for new installations or Epic Refuels.
  • Review CDM structures, maintenance processes, charging workflows, and revenue codes to identify revenue leakage, charge capture issues, compliance risks, and optimization opportunities.
  • Evaluate hard-coded and soft-coded charging requirements and recommend improvements that support billing accuracy and revenue integrity.
  • Support assessments, implementations, optimization initiatives, and post-live stabilization activities involving Epic and revenue cycle operations.
  • Apply industry best practices to strengthen charge capture, billing accuracy, denial prevention, and compliance.
  • Collaborate with operational, clinical, financial, IT, and client leadership teams to design and implement practical solutions.
  • Communicate findings, recommendations, project updates, and potential risks clearly to stakeholders at multiple organizational levels.
  • Adapt to changing client priorities and contribute across multiple areas of an engagement when required.
  • Share knowledge, collaborate with colleagues, and contribute to the continued development of consulting methodologies and expertise.

  Requirements:

  • 10+ years of revenue integrity experience within a hospital or health system environment, with strong hands-on understanding of revenue cycle operations.
  • Deep knowledge of Epic Hospital Billing (HB), with additional familiarity with Professional Billing (PB), particularly charging and charge capture processes.
  • Comprehensive Chargemaster management experience, including CDM consolidation for new installations or Epic Refuels.
  • Working knowledge of CPT coding and its application within revenue integrity operations.
  • Proven ability to identify and resolve charging, billing, revenue leakage, compliance, and denial-prevention opportunities.
  • Experience supporting Epic implementations, optimization initiatives, or post-live stabilization.
  • Strong analytical, problem-solving, project management, and consulting skills, with the ability to translate complex findings into practical recommendations.
  • Excellent written and verbal communication skills, including the ability to work effectively with client stakeholders at different levels.
  • Ability to work independently, manage competing priorities, and remain adaptable in a client-driven environment.
  • Bachelor’s degree or equivalent combination of relevant education and professional experience.
  • Epic certification may be required depending on the specific project, although operational experience is more important for this position.
  • For candidates based in Texas, willingness to work onsite in Houston for the first two weeks and at least one day per week thereafter may be required for a potential contract-to-hire arrangement.
  • Highly experienced candidates may be considered for a fully remote arrangement with approximately 1–3 trips to Houston over a one-year engagement.

  Benefits:

  • Compensation: $60–$65 per hour.
  • Employment: Full-time contracted interim position.
  • Work arrangement: Primarily remote, with potential Houston onsite requirements depending on location, experience, and project structure.
  • Contract-to-hire potential: Texas-based candidates may have the opportunity to transition to a longer-term employment arrangement.
  • Project variety: Exposure to assessments, implementations, optimization programs, post-live stabilization, and strategic revenue integrity initiatives.
  • Professional growth: Opportunity to work with healthcare organizations and expand expertise across revenue cycle, Epic, charging, compliance, and optimization.
  • Collaborative environment: Work alongside operational, clinical, financial, IT, and consulting professionals.
  • Note: The contracted interim position does not include employee benefits.