Revenue Integrity Consultant

A leading healthcare consulting firm is seeking a Revenue Integrity Consultant to join its growing Revenue Integrity practice. This role offers the opportunity to work directly with hospitals, health systems, and healthcare organizations on high-impact revenue cycle and performance improvement initiatives. The position combines strategic consulting, operational transformation, financial analysis, and client leadership, making it an excellent opportunity for professionals looking to expand their influence across complex healthcare environments.LocationRemote with travel required based on client needsApproximately 50% travelQualifications5+ years of consulting experience within Revenue Integrity, Charge Integrity, Revenue Cycle, or related functionsExperience leading performance improvement, process redesign, reimbursement optimization, and revenue recovery initiativesStrong knowledge of Revenue Integrity operations, including charge capture, charge reconciliation, charging compliance, denials prevention, pricing, reimbursement, and Charge Description Master (CDM) managementUnderstanding of healthcare charging, coding, billing, reimbursement, and compliance requirementsExperience evaluating clinical documentation, charge capture, and revenue cycle workflowsStrong analytical, financial modeling, project management, and client-facing communication skillsExperience presenting findings and recommendations to executive stakeholders, including CFOs, Revenue Cycle leaders, Compliance leaders, and operational executivesResponsibilitiesLead Revenue Integrity engagements focused on revenue optimization, compliance improvement, and operational transformationAssess charge capture, charge generation, and revenue cycle workflows to identify financial and operational opportunitiesConduct current-state assessments and develop actionable recommendations and implementation roadmapsAnalyze financial, operational, and transactional data to identify revenue leakage and performance improvement opportunitiesDevelop financial models, business cases, and executive-level recommendations for healthcare clientsDesign and implement future-state Revenue Integrity processes, governance structures, controls, and monitoring programsLead project teams, manage engagement timelines, budgets, and deliverables, and ensure successful project executionDevelop and maintain relationships with client executives and key stakeholders throughout engagementsPresent findings, recommendations, and project results to senior healthcare leadershipSupport business development initiatives and contribute to the continued growth of the consulting practiceCollaborate with multidisciplinary teams across revenue cycle, operational improvement, managed care, and healthcare transformation projectsThis is an excellent opportunity for a Revenue Integrity professional who enjoys solving complex healthcare challenges, leading client engagements, and driving measurable financial and operational improvements across provider organizations.