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Managing Consultant – Revenue Integrity, Healthcare
Berkeley Research Group (BRG)Posted 10/20/2026full-timeRemote • United StatesMid-LevelSenior💰 $120,000 - $165,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Revenue Integrity management, including Charge Description Master governance, charge capture, and compliance processes. Proven ability to lead performance improvement initiatives and develop data-driven financial models to enhance operational efficiency.
Highest-signal resume keywords
Revenue Integrity ManagementCharge Description Master GovernancePerformance Improvement InitiativesFinancial ModelingConsulting Experience
Tech Stack
Tools & technologiesOracle
About the role
Key responsibilities & impact- Plan and manage small- to medium-sized Revenue Integrity engagements and discrete workstreams within larger, multidisciplinary engagements
- Lead initiatives across the Revenue Integrity continuum, including Charge Description Master governance, charge capture, charge reconciliation, charging compliance, revenue integrity-related denials prevention, and financial opportunity realization
- Lead current-state assessments of Revenue Integrity operations, quantify financial and compliance opportunities, identify root causes, and develop prioritized recommendations and implementation roadmaps
- Assess and analyze charge-generation and charge-capture workflows to identify potential revenue leakage and compliance risks
- Review and draft Revenue Integrity-related policies and procedures and recommend opportunities for improvement
- Develop and maintain relationships with client executives, operational leaders, and other key stakeholders throughout the engagement lifecycle
- Apply relevant technology, analytical methods, and financial models to develop practical, data-driven solutions
- Develop analyses and financial models using transactional, financial, and client-provided data
- Develop and manage project charters, work plans, budgets, staffing plans, timelines, risks, deliverables, and benefit realization models and schedules
- Monitor performance against financial, operational, and compliance targets to support project execution and engagement profitability
- Lead the design and implementation of future-state Revenue Integrity processes, governance structures, controls, policies, and monitoring tools
- Lead the development, quality review, and presentation of client deliverables, findings, and recommendations
- Lead and collaborate with Revenue Integrity team members to develop methodologies, analytical tools, implementation playbooks, and supporting documentation
- Lead project teams, delegate responsibilities, monitor progress, facilitate internal and client meetings, and review work products
- Present findings, recommendations, project progress, risks, and financial results to senior client stakeholders, including Revenue Cycle executives, compliance leaders, clinical leaders, CFOs, and other executive leaders
Requirements
What you’ll need- Willing to travel consistently (50%–80%), depending on project requirements and client expectations
- A Bachelor’s or Master’s degree (e.g., BS, BBA, MBA, MHA, M.A., M.S., etc.) with a preferred focus in Management, Accounting, Finance, Healthcare Administration, Business Administration, Health Information Management or related discipline
- 5+ years of consulting and/or industry experience in Revenue Integrity, Charge Integrity, or related revenue cycle functions
- Demonstrated experience leading performance improvement, process redesign, reimbursement, and revenue recovery initiatives
- Operational expertise in Charge Description Master governance and maintenance, charge capture, charge reconciliation, Revenue Integrity, denials prevention, HIM/coding, outpatient clinical documentation improvement, pricing, reimbursement, and charging compliance
- Working knowledge of Medicare IPPS, OPPS, and ASC payment systems
- Working knowledge of clinical documentation, charge-generation, charge-capture, and charge-reconciliation processes across high-volume, revenue-producing hospital departments
- Working knowledge of charging, coding, billing, reimbursement, compliance, and price transparency requirements
- Familiarity with clinical operations and patient financial services workflows
- Strong written, verbal, and presentation skills
- Strong proficiency in Microsoft Office applications, including Word, PowerPoint, Excel, and Outlook
- Familiarity with various EMRs, including Epic, Oracle Health/Cerner, Altera/Allscripts, MEDITECH, and athenahealth/IDX
- Applicable industry certification is preferred (e.g., RHIA, RHIT, CPC, COC, CCS, CRIP or other AHIMA / AAPC / AAHAM certification)
- Must be able to submit verification of legal right to work in the U.S., without company sponsorship
ATS Keywords
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Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Charge CaptureCharge ReconciliationDenials PreventionOperational ExpertiseClinical Documentation ImprovementReimbursement ProcessesCompliance RequirementsData AnalysisProject ManagementProcess Redesign
Soft Skills
Strong Written CommunicationStrong Verbal CommunicationPresentation SkillsRelationship ManagementTeam Collaboration
Tools & Technologies
Microsoft OfficeEpicOracle Health/CernerAltera/AllscriptsMEDITECHAthenahealth/IDX
Certifications & Qualifications
RHIARHITCPCCOCCCSCRIP
Industry Keywords
Revenue Cycle FunctionsHealthcare AdministrationCompliance StandardsMedicare IPPSOPPSASC Payment SystemsPatient Financial ServicesCharge-Generation ProcessesBilling RequirementsPrice Transparency