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 • Concord, North Carolina, 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 • Concord, North Carolina, 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 • Concord, North Carolina, US

    Job_description.internal_linking.related_jobs
    Travel Nurse RN - Telemetry

    Travel Nurse RN - Telemetry

    AMN Healthcare Nursing • Concord, NC, US
    serp_jobs.job_card.full_time
    AMN Healthcare Nursing is seeking a travel nurse RN Telemetry for a travel nursing job in CONCORD, North Carolina.Job Description & Requirements. Job Description & Requirements.Registered Nu...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Medical-Surgical Telemetry RN

    Travel Medical-Surgical Telemetry RN

    Olaro • Concord, NC, US
    serp_jobs.job_card.full_time
    Olaro is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Concord, North Carolina.Job Description & Requirements. Pay package is based on 12 hour shifts and 36 hours pe...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Med Surg / Telemetry

    Travel Nurse RN - Med Surg / Telemetry

    CrossMed • Concord, NC, US
    serp_jobs.job_card.full_time
    CrossMed is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Concord, North Carolina.Job Description & Requirements. At CrossMed Healthcare Staffing, we aim to create l...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Outpatient Med Surg

    Travel Nurse RN - Outpatient Med Surg

    American Medical Staffing • Mooresville, NC, US
    serp_jobs.job_card.full_time
    American Medical Staffing is seeking a travel nurse RN Outpatient Med Surg for a travel nursing job in Mooresville, North Carolina. Job Description & Requirements.We’re living in the new n...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Outpatient Clinic RN

    Travel Outpatient Clinic RN

    Anders Group • Mooresville, NC, US
    serp_jobs.job_card.full_time
    Anders Group is seeking a travel nurse RN Clinic PreOp / PACU - Post Anesthesia Care for a travel nursing job in Mooresville, North Carolina. Job Description & Requirements.PreOp / PACU - Post A...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Med Surg / Telemetry

    Travel Nurse RN - Med Surg / Telemetry

    Talent4Health • Concord, NC, US
    serp_jobs.job_card.full_time
    Talent4Health is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Concord, North Carolina.Job Description & Requirements. URGENT POSITION | URGENT POSITION |.A leader a...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Clinic

    Travel Nurse RN - Clinic

    HPA Healthcare • Mooresville, NC, US
    serp_jobs.job_card.full_time
    HPA Healthcare is seeking a travel nurse RN Clinic for a travel nursing job in Mooresville, North Carolina.Job Description & Requirements. Week Travel Contract - Joint Commission Certified Agenc...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Labor and Delivery

    Travel Nurse RN - Labor and Delivery

    AMN Healthcare Nursing • Matthews, NC, US
    serp_jobs.job_card.full_time
    AMN Healthcare Nursing is seeking a travel nurse RN Labor and Delivery for a travel nursing job in MATTHEWS, North Carolina. Job Description & Requirements.Job Description & Requirements.Reg...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Labor and Delivery

    Travel Nurse RN - Labor and Delivery

    GHR Healthcare - PH Division • Mooresville, NC, US
    serp_jobs.job_card.full_time
    GHR Healthcare - PH Division is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Mooresville, North Carolina. Job Description & Requirements.Travel Labor & Delivery R...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Case Management

    Travel Nurse RN - Case Management

    AMN Healthcare Nursing • Concord, NC, US
    serp_jobs.job_card.full_time
    AMN Healthcare Nursing is seeking a travel nurse RN Case Management for a travel nursing job in CONCORD, North Carolina.Job Description & Requirements. Job Description & Requirements.Registe...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Oncology

    Travel Nurse RN - Oncology

    Bestica • Mooresville, NC, US
    serp_jobs.job_card.full_time
    Bestica is seeking a travel nurse RN Oncology for a travel nursing job in Mooresville, North Carolina.Job Description & Requirements. We are a trusted provider of solutions in Information Techno...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Med Surg / Telemetry

    Travel Nurse RN - Med Surg / Telemetry

    LRS Healthcare - Travel Nursing • Concord, NC, US
    serp_jobs.job_card.permanent
    LRS Healthcare - Travel Nursing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Concord, North Carolina. Job Description & Requirements.LRS Healthcare - Travel Nurs...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Outpatient Medical Oncology RN

    Travel Outpatient Medical Oncology RN

    PRIDE Health • Mooresville, NC, US
    serp_jobs.job_card.full_time
    PRIDE Health is seeking a travel nurse RN Oncology for a travel nursing job in Mooresville, North Carolina.Job Description & Requirements. Pay package is based on 8 hour shifts and 40.PRIDE Heal...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • 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 • Kannapolis, North Carolina
    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 RN - Telemetry PCU - Progressive Care Unit

    Travel Nurse RN - Telemetry PCU - Progressive Care Unit

    Connected Health Care • Concord, NC, US
    serp_jobs.job_card.permanent +1
    Connected Health Care is seeking a travel nurse RN Telemetry PCU - Progressive Care Unit for a travel nursing job in Concord, North Carolina. Job Description & Requirements.Telemetry PCU - Progr...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    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 • Kannapolis, North Carolina, US
    serp_jobs.filters.remote
    serp_jobs.job_card.part_time
    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 manag...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • 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 • Concord, North Carolina
    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
    Travel Nurse RN - Telemetry

    Travel Nurse RN - Telemetry

    PRN Healthcare • Concord, NC, US
    serp_jobs.job_card.full_time
    PRN Healthcare is seeking a travel nurse RN Telemetry for a travel nursing job in Concord, North Carolina.Job Description & Requirements. PRN Healthcare Job ID #1476310.Pay package is based on 1...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted