Talent.com
Remote Utility Management Nurses (Insurance Coding & Revenue Management) - AI Trainer ($45-$75 per hour)
Remote Utility Management Nurses (Insurance Coding & Revenue Management) - AI Trainer ($45-$75 per hour)Mercor • Santa Clarita, California, US
Remote Utility Management Nurses (Insurance Coding & Revenue Management) - AI Trainer ($45-$75 per hour)

Remote Utility Management Nurses (Insurance Coding & Revenue Management) - AI Trainer ($45-$75 per hour)

Mercor • Santa Clarita, California, US
job_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.part_time
  • serp_jobs.filters.remote
job_description.job_card.job_description

###

  • Role Overview

We’re seeking experienced

  • Utility Management Nurses
  • to support a client’s healthcare product development by leveraging expertise in
  • insurance coding and hospital revenue management workflows
  • . This role involves collaborating with hospital systems to align medical documentation with insurance policies, ensuring accurate coding and optimal reimbursement outcomes. ###
  • Key Responsibilities
  • Insurance Coding & Revenue Cycle Alignment :
  • Review, audit, and optimize insurance coding practices across hospital systems to ensure compliance and maximize reimbursement accuracy. -
  • Workflow Analysis :
  • Evaluate existing revenue management workflows and recommend improvements tailored to client’s AI-driven documentation tools. -
  • Clinical Data Interpretation :
  • Translate complex clinical notes into standardized coding formats (ICD-10, CPT, HCPCS) aligned with payer policies. -
  • Policy Matching :
  • Assess coding accuracy against insurance guidelines and payer documentation requirements. -
  • Product Development Collaboration :
  • Work closely with client’s engineering and product teams to refine AI models that automate or assist with medical coding and documentation. -
  • Compliance & Quality Assurance :
  • Ensure alignment with HIPAA, CMS, and payer-specific coding regulations. ###
  • Required Qualifications
  • Licensure :
  • Registered Nurse (RN) or equivalent clinical background. -
  • Experience :
  • Minimum 3–5 years in
  • medical coding
  • clinical documentation improvement (CDI)
  • , or
  • revenue cycle management
  • . -
  • Certifications :
  • CPC, CCS, or CRC certification preferred. -
  • Domain Expertise :
  • Familiarity with
  • hospital billing systems
  • payer policy interpretation
  • , and
  • coding audit procedures
  • . -
  • Analytical Skills :
  • Strong understanding of clinical documentation standards and payer logic. -
  • Tech Savvy :
  • Comfortable working with EHR systems (Epic, Cerner, Meditech) and documentation review software. ###
  • Preferred Qualifications
  • Experience working within
  • hospital revenue integrity teams
  • or
  • insurance utilization management
  • . - Exposure to
  • AI-powered healthcare documentation tools
  • or
  • automated coding systems
  • . - Ability to identify and flag edge cases or policy exceptions in automated workflows. - Strong collaboration skills with cross-functional (engineering, compliance, and data) teams. ###
  • Engagement Model
  • Contract / Part-time (Remote / In person)
  • — Flexible hours with collaboration during U.S. business hours. In person in San Francisco is a plus
    • serp_jobs.job_alerts.create_a_job

    Insurance Management • Santa Clarita, California, US

    Job_description.internal_linking.related_jobs
    Travel Nurse RN - Telemetry - $2,047 per week

    Travel Nurse RN - Telemetry - $2,047 per week

    Aureus Medical Group - Nursing • West Hills, CA, USA
    serp_jobs.job_card.full_time
    Travel Nurse RN - Telemetry - $2,047 per week at Aureus Medical Group - Nursing summary : .Aureus Medical Group is seeking a Travel Nurse RN with a specialization in Telemetry for a 17-week assignmen...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,118 per week

    Travel Nurse RN - Telemetry - $2,118 per week

    TotalMed Staffing • West Hills, CA, USA
    serp_jobs.job_card.permanent
    Travel Nurse RN - Telemetry - $2,118 per week at TotalMed Staffing summary : .A Travel Nurse RN specializing in Telemetry is needed for a 13-week assignment in West Hills, California.The role involve...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,005 per week

    Travel Nurse RN - Telemetry - $2,005 per week

    Assured Nursing • West Hills, CA, USA
    serp_jobs.job_card.full_time
    Travel Nurse RN - Telemetry - $2,005 per week at Assured Nursing summary : .Assured Nursing is seeking a Travel Nurse RN specializing in Telemetry for a contract position in West Hills, California, s...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,104 per week

    Travel Nurse RN - Telemetry - $2,104 per week

    Triage Staffing • West Hills, CA, USA
    serp_jobs.job_card.full_time
    Travel Nurse RN - Telemetry - $2,104 per week at Triage Staffing summary : .As a Travel Nurse RN specializing in Telemetry, the position entails providing high-quality medical care to patients while ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,293 per week

    Travel Nurse RN - Telemetry - $2,293 per week

    Aureus Medical Group - Nursing • Northridge, CA, USA
    serp_jobs.job_card.full_time
    Aureus Medical Group - Nursing is seeking a travel nurse RN Telemetry for a travel nursing job in Northridge, California. Job Description & Requirements.Estimate assumes an 12 hour shift.Hourly rate...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,130 per week

    Travel Nurse RN - Telemetry - $2,130 per week

    Cross Country Nurses • Tarzana, CA, USA
    serp_jobs.job_card.full_time
    Travel Nurse RN - Telemetry - $2,130 per week at Cross Country Nurses summary : .As a Travel Nurse RN specializing in Telemetry, you will provide essential care to patients requiring cardiac monitori...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Remote M&A Associate - AI Trainer ($50-$60 / hour)

    Remote M&A Associate - AI Trainer ($50-$60 / hour)

    Data Annotation • Santa Clarita, California
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Remote Medical and Health Services Managers - AI Trainer ($80-$110 per hour)

    Remote Medical and Health Services Managers - AI Trainer ($80-$110 per hour)

    Mercor • Santa Clarita, California, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    About the Role • • Mercor is seeking experienced • •medical and health services managers • • to support a leading AI lab in advancing research and infrastructure for next-generation machine learning sys...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,155 per week

    Travel Nurse RN - Telemetry - $2,155 per week

    LanceSoft • West Hills, CA, USA
    serp_jobs.job_card.permanent
    Travel Nurse RN - Telemetry - $2,155 per week at LanceSoft summary : .LanceSoft is looking for a Travel Nurse RN specializing in Telemetry for a 13-week assignment in West Hills, California, offering...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,155 per week

    Travel Nurse RN - Telemetry - $2,155 per week

    Access Healthcare • West Hills, CA, USA
    serp_jobs.job_card.full_time
    Travel Nurse RN - Telemetry - $2,155 per week at Access Healthcare summary : .Access Healthcare is seeking a Travel Nurse RN specializing in Telemetry for a 13-week assignment in West Hills, Californ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,520 per week

    Travel Nurse RN - Telemetry - $2,520 per week

    Registry Network Inc. • West Hills, CA, USA
    serp_jobs.job_card.full_time
    RN Telemetry for a travel nursing job in West Hills, California.Job Description & Requirements.Must have MediTech exp + CA RN License and 2 yrs experience. Pay package is based on 12 hour shifts and...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,396 per week

    Travel Nurse RN - Telemetry - $2,396 per week

    OneStaff Medical • Valencia, CA, USA
    serp_jobs.job_card.full_time
    Travel Nurse RN - Telemetry - $2,396 per week at OneStaff Medical summary : .The Travel Nurse RN - Telemetry position involves monitoring patients' vital signs using advanced devices, primarily worki...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Remote FP&A Manager – AI Trainer ($50-$60 / hour)

    Remote FP&A Manager – AI Trainer ($50-$60 / hour)

    Data Annotation • Simi Valley, California
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time +1
    We are looking for a finance professional to join our team to train AI models.You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse - Telemetry in Potomac Park, CA - $10478 / month

    Travel Nurse - Telemetry in Potomac Park, CA - $10478 / month

    Vetted Health • Oak Park, CA, United States
    serp_jobs.job_card.temporary
    Job Opportunity : RN - Telemetry\n\nPosition Details\nSpecialty : RN - Telemetry\nLocation : Bakersfield, California\nFacility : Triage\nEmployment Type : Temporary\nContract Length : 16 weeks\n\nJob Des...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,106 per week

    Travel Nurse RN - Telemetry - $2,106 per week

    LanceSoft • West Hills, CA, USA
    serp_jobs.job_card.permanent
    Travel Nurse RN - Telemetry - $2,106 per week at LanceSoft summary : .LanceSoft is seeking a Telemetry Travel Nurse RN in West Hills, California, with a requirement for a BSN and an active CA RN lice...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,379 per week

    Travel Nurse RN - Telemetry - $2,379 per week

    Host Healthcare • Valencia, CA, USA
    serp_jobs.job_card.full_time
    Travel Nurse RN - Telemetry - $2,379 per week at Host Healthcare summary : .As a Travel Nurse RN specializing in Telemetry, you will provide critical care for patients monitoring vital signs and mana...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,988 per week

    Travel Nurse RN - Telemetry - $1,988 per week

    OneStaff Medical • West Hills, CA, USA
    serp_jobs.job_card.full_time
    Travel Nurse RN - Telemetry - $1,988 per week at OneStaff Medical summary : .The job position is for a Travel Nurse RN specializing in Telemetry, with a pay rate of $1,988 per week for a 13-week assi...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,025 per week

    Travel Nurse RN - Telemetry - $2,025 per week

    PRN Healthcare • West Hills, CA, USA
    serp_jobs.job_card.full_time
    Travel Nurse RN - Telemetry - $2,025 per week at PRN Healthcare summary : .As a Travel Nurse RN specializing in Telemetry, I provide critical care to patients experiencing health issues related to th...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted