Charge Integrity Specialist

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

Medical degree (RN or MD) is required., Strong background in revenue integrity strategies and charge capture processes., Experience in leading teams and ensuring quality control in healthcare settings., Interest in healthcare technology and streamlining clinical processes..

Key responsabilities:

  • Review and refine technology-generated Charge Integrity findings for accuracy and compliance.
  • Collaborate with cross-functional teams to develop charge integrity strategies and methodologies.
  • Oversee quality control processes to maintain integrity and consistency of findings.
  • Provide insights and recommendations to influence product development and workflow improvements.

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SmarterDx Information Technology & Services Scaleup https://smarterdx.com/
11 - 50 Employees
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Job description

Role

The Charge Integrity Specialist will play an important role in SmarterDx’s next product launch in the Charge Integrity space. This role will work closely with Product and Data science to refine and and collaborate on strategies that will assist our customers in decreasing missed or incorrect charges before billing. This role will have a creative and clinical view of the product and assist in defining models, rules and workflows that will help serve as best-in-class representation of charge integrity strategies. 

SmarterDx builds clinical AI that empowers hospitals to achieve 100% chart accuracy for revenue integrity. Our solution helps hospitals tell the most accurate and complete story of the patient and the care that was delivered, which helps them recover millions in earned revenue and improve quality of care scores. Become a Smartian and help optimize the way the healthcare system works for everyone. Learn more at smarterdx.com/careers

**This role is fully remote within the US**

What You’ll Do

  • Review and refine technology-generated Charge Integrity findings, ensuring they align with industry best practices and regulatory requirements, and that they are accurate and valuable to our customers
  • Collaborate with cross-functional teams to develop and optimize charge integrity strategies, along with creating and defining methodologies and rules that scale, focusing on missed or incorrect charges.
  • Oversee the quality control process, owning the integrity of charge integrity findings and ensuring consistency across all team outputs.
  • Play a key role in evolving the charge integrity workflow by providing insights and recommendations that influence product development and improvements.
  • Potentially contribute to the product strategy and work closely with the technology team to enhance the charge integrity process.

What You Bring

  • Strong background in revenue integrity strategies, with hands-on experience in creating charge capture and charge integrity rules and processes in inpatient and outpatient settings.
  • A solid understanding of the charge integrity landscape, with experience in leading teams and ensuring quality control in high-stakes environments.
  • Previous experience, or a strong interest, in advising or consulting for healthcare technology companies, with a passion for leveraging technology to streamline clinical processes.

Must Haves

  • Medical degree (RN or MD)
  • Clinical and/or Revenue background, with the ability to grow and contribute across multiple functions as the role evolves.

Nice To Haves

  • Previous advising experience with technology companies
  • Strong leadership abilities, particularly in managing RN/MD teams that review patient charts and draft clinical denial appeals.
Compensation
  • For candidates with RN degree: $100 to $120K + equity incentives
  • For candidates with MD degree: $150 to $180K + equity incentives
Benefits
  • Medical, Dental & Vision – Comprehensive plans with leading insurance providers, covering 90-100% of your premiums and 70-90% for dependents, depending on the plan.
  • One Medical Membership – Free membership included if you enroll in a SmarterDx medical plan.
  • Paid Parental Leave – Up to 12 weeks of paid leave for birth or adoption.
  • Remote-First Team – Work from anywhere in the U.S. with a $400 home office reimbursement stipend.
  • Unlimited PTO & 10 Holidays – 4 of which include floating holidays so you can recognize the days that matter most to you.
  • Learning & Development Budget – $500 per year (prorated) for courses, books, and resources to expand your skills.
  • 401(k) with Traditional & Roth Options – Tax-advantaged retirement savings through Empower.
  • Minimal Bureaucracy – A fast-moving, high-impact environment where you can focus on what matters.
  • Incredible Teammates! – Work alongside smart, supportive, and mission-driven colleagues.

Required profile

Experience

Industry :
Information Technology & Services
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Quality Control
  • Team Management
  • Leadership
  • Creativity
  • Communication
  • Problem Solving

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