Managing Consultant - Revenue Integrity (Healthcare)

Location: Remote - USA; willingness to travel 50%–75% is required depending on project needs.

Salary: $120,000–$165,000 per year for the Managing Consultant level. Final title and compensation depend on qualifications and experience.

Company

hirify.global provides consulting, performance improvement, corporate finance, economics, disputes, investigations, and technology-enabled advisory services.

What you will do

• Plan and manage Revenue Integrity engagements and workstreams covering charge description master governance, charge capture, reconciliation, compliance, denials prevention, and revenue recovery.
• Assess current-state operations, quantify financial and compliance opportunities, identify root causes, and develop implementation roadmaps.
• Analyze charge-generation and charge-capture workflows, transactional data, financial data, and client-provided information to identify revenue leakage and compliance risks.
• Design and implement future-state processes, governance structures, controls, policies, monitoring tools, and benefit realization models.
• Lead project teams, manage work plans, budgets, staffing, timelines, risks, deliverables, and engagement profitability.
• Develop, review, and present findings and recommendations to executive, operational, clinical, compliance, and financial stakeholders.

Requirements

• Bachelor’s or Master’s degree in management, accounting, finance, healthcare administration, business administration, health information management, or a related discipline.
• At least 5 years of consulting or industry experience in Revenue Integrity, Charge Integrity, or related revenue cycle functions, including performance improvement, process redesign, reimbursement, or revenue recovery.
• Operational expertise in areas such as charge description master governance, charge capture, charge reconciliation, Revenue Integrity, denials prevention, HIM/coding, clinical documentation improvement, pricing, reimbursement, or charging compliance.
• Working knowledge of Medicare IPPS, OPPS, and ASC payment systems, as well as clinical documentation, charge-generation, charge-capture, and charge-reconciliation processes.
• Strong written, verbal, presentation, analytical, organizational, project management, and client relationship skills.
• Proficiency in Microsoft Word, PowerPoint, Excel, and Outlook; familiarity with EMRs including Epic, Oracle Health/Cerner, Altera/Allscripts, MEDITECH, and athenahealth/IDX.

Nice to have

• Applicable certification such as RHIA, RHIT, CPC, COC, CCS, CRIP, or another AHIMA, AAPC, or AAHAM certification.
• Preferred academic focus in management, accounting, finance, healthcare administration, business administration, or health information management.

Culture & Benefits

• Work in an interdisciplinary consulting environment combining academic expertise, industry experience, data, and emerging technologies.
• Collaborate across performance improvement, healthcare, corporate finance, economics, disputes, investigations, and technology-enabled services.
• Engage with healthcare providers, payers, investors, executives, clinicians, and operational leaders.
• Remote work arrangement with substantial client travel based on engagement requirements.

Hiring process

• Job title and compensation are determined based on qualifications and experience.
• Verification of legal authorization to work in the United States without company sponsorship is required.