Job Description
Please note that this position may appear multiple times throughout the year. Because our work is project-based, new clients and initiatives enter our pipeline regularly, each requiring different skill sets and levels of expertise. If you’ve applied for this role (or a similar one) in the past, please don’t let that deter you from applying again. We encourage you to whenever a posting aligns with your experience and interests. POSITION SUMMARY
The Revenue Integrity Consultant plays a critical role in advancing operational and financial performance for healthcare organizations through data-driven analysis, workflow evaluation, and system optimization.
This position serves as a trusted advisor to clients, leveraging deep knowledge of hospital and professional billing, charge capture, and reimbursement methodologies to identify revenue leakage and implement sustainable solutions. The senior consultant is responsible for conducting detailed assessments of charging and coding workflows, ensuring compliance with CMS and payer regulations, and partnering with Revenue Cycle, IT, and operational leaders to align system configuration with policy and process.
Success in this role requires strong analytical and communication skills, the ability to lead discussions across diverse stakeholder groups, and a proactive approach to problem-solving that delivers measurable client ROI. ESSENTIAL DUTIES AND RESPONSIBILITIES
The essential functions include, but are not limited to the following: • Drive consistent, high-quality execution of client projects, ensuring deliverables are completed on time, within scope, and aligned with engagement objectives. • Translate audit findings and performance data into actionable improvement plans, ensuring operational changes are measurable and sustainable.
• Facilitate cross-functional collaboration by aligning expectations, coordinating communication, and proactively resolving issues between operational, technical, and leadership teams. • Apply structured project and change management practices to guide teams through process redesign, technology adoption, and workflow stabilization. • Serve as the primary point of contact for project execution, maintaining accountability, transparency, and timely escalation of risks or barriers. • Conduct advanced root-cause analysis to identify performance gaps, validate process assumptions, and recommend system or workflow refinements.
• Provide strategic consultation and subject-matter guidance to clients, integrating industry benchmarks and best practices to strengthen decision-making. • Develop and maintain dashboards, reporting tools, and other visual aids to monitor key performance metrics and communicate outcomes effectively. • Support leadership with concise project updates, executive summaries, and recommendations that demonstrate progress and quantifiable ROI. • Contribute to continuous improvement by identifying opportunities to enhance internal methodologies, client engagement practices, and overall service delivery.
MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS, AND ABILITIES) • At least 5 years of experience directly related to the duties and responsibilities specified. • Comprehensive understanding of revenue integrity functions, including charge capture workflows, edit resolution, chargemaster maintenance, and regulatory compliance. • Exceptional analytical and problem-solving skills, with demonstrated ability to interpret data, identify trends, and develop actionable, evidence-based recommendations. • Strong communication and presentation skills, both written and verbal, with the ability to engage effectively across technical, operational, and leadership audiences.
• A strong willingness to take initiative, work autonomously and manage time effectively to meet pressing deadlines. • Exceptional analytical and quantitative problem-solving skills. PREFERRED, NOT REQUIRED • Previous consulting experience is a valuable asset for an applicant to have. • Epic system experience, particularly with professional and hospital billing resolute. • Coding certifications – e.g. RHIT, RHIA, CPC, COC, or CCS. • Outstanding records of academic / professional achievement. • Strong record of leadership in an academic, professional, and/or extracurricular setting.
• Experience with conducting structured qualitative analysis / solving ambiguous problems. • Demonstrated experience making a positive impact in their work and communities. PHYSICAL DEMANDS AND WORK ENVIRONMENT
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk or hear.
The employee frequently is required to use hands or finger, handle, or feel objects, tools or controls. The employee is occasionally required to stand; walk; sit; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus. The noise level in the work environment is usually moderate.
COMPENSATION & BENEFITS Full-time. Competitive pay range commensurate with experience. Generous paid time off policy, and paid holidays. Option to enroll in a company-matching SIMPLE IRA. Quarterly bonus opportunity. REVIGATE is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, sex, marital status, sexual orientation, physical or mental disability, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
NOTE
This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities.
To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an “at will” relationship. Revigate uses E-Verify to confirm your eligibility to work within the United States.
Job Type: Full-time Pay: $120,000.00 - $160,000.00 per year
Benefits: • 401(k) matching • Flexible schedule • Paid time off • Parental leave • Retirement plan
Experience: • Revenue Integrity: 5 years (Preferred) • EPIC charge capture optimization: 1 year (Required) License/Certification: • RHIT, RHIA, CPC, COC, or CCS certification (Preferred) Work Location:
Remote Apply tot his job