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 • Columbus, Georgia, 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 • Columbus, Georgia, 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 • Columbus, Georgia, US

    Job_description.internal_linking.related_jobs
    Travel Nurse RN - Telemetry - $1,858 per week in Macon, GA

    Travel Nurse RN - Telemetry - $1,858 per week in Macon, GA

    TravelNurseSource • Columbus, Georgia, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Medical Solutions to find a qualified Telemetry RN in Macon, Georgia, 31201!.A facility in Macon, GA is seeking its next amazing RN (Registered Nurse) to work in T...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,638 to $1,743 per week in Augusta, GA

    Travel Nurse RN - Telemetry - $1,638 to $1,743 per week in Augusta, GA

    TravelNurseSource • Columbus, Georgia, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Fusion Medical Staffing to find a qualified Telemetry RN in Augusta, Georgia, 30901!.Fusion Medical Staffing is seeking a skilled Telemetry RN for a 13-week travel...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,507 per week in Augusta, GA

    Travel Nurse RN - Telemetry - $1,507 per week in Augusta, GA

    TravelNurseSource • Columbus, Georgia, US
    serp_jobs.job_card.full_time +1
    TravelNurseSource is working with Focus Staff to find a qualified Telemetry RN in Augusta, Georgia, 30805!.The ideal candidate will have at least 1 year of experience in a Telemetry setting.Benefit...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,501 to $1,597 per week in Augusta, GA

    Travel Nurse RN - Telemetry - $1,501 to $1,597 per week in Augusta, GA

    TravelNurseSource • Columbus, Georgia, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Fusion Medical Staffing to find a qualified Telemetry RN in Augusta, Georgia, 30901!.Fusion Medical Staffing is seeking a skilled Telemetry RN for a 7-week travel ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,784 per week in Augusta, GA

    Travel Nurse RN - Telemetry - $1,784 per week in Augusta, GA

    TravelNurseSource • Columbus, Georgia, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Advantis Medical Staffing to find a qualified Telemetry RN in Augusta, Georgia, 30901!. Advantis Medical, the #1 rated travel nurse agency, is currently seeking an ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,712 per week in Augusta, GA

    Travel Nurse RN - Telemetry - $1,712 per week in Augusta, GA

    TravelNurseSource • Columbus, Georgia, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Triage Staffing to find a qualified Telemetry RN in Augusta, Georgia, 30901!.Travel Nursing : Telemetry Augusta. Shift Details : 12H Nights (7 : 00 PM-7 : 00 AM).Length...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,535 per week in Macon, GA

    Travel Nurse RN - Telemetry - $1,535 per week in Macon, GA

    TravelNurseSource • Columbus, Georgia, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Medical Solutions to find a qualified Telemetry RN in Macon, Georgia, 31201!.A facility in Macon, GA is seeking its next amazing RN (Registered Nurse) to work in T...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,775 per week in Macon, GA

    Travel Nurse RN - Telemetry - $1,775 per week in Macon, GA

    TravelNurseSource • Columbus, Georgia, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Triage Staffing to find a qualified Telemetry RN in Macon, Georgia, 31201!.Travel Nursing : Telemetry Macon. Shift Details : 12H Days (12 : 00 AM-12 : 00 PM).Length : ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,755 per week in Macon, GA

    Travel Nurse RN - Telemetry - $1,755 per week in Macon, GA

    TravelNurseSource • Columbus, Georgia, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Medical Solutions to find a qualified Telemetry RN in Macon, Georgia, 31201!.A facility in Macon, GA is seeking its next amazing RN (Registered Nurse) to work in T...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,555 per week in Augusta, GA

    Travel Nurse RN - Telemetry - $1,555 per week in Augusta, GA

    TravelNurseSource • Columbus, Georgia, US
    serp_jobs.job_card.full_time +1
    TravelNurseSource is working with Focus Staff to find a qualified Telemetry RN in Augusta, Georgia, 30805!.The ideal candidate will have at least 1 year of experience in a Telemetry setting.Benefit...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,880 per week in Macon, GA

    Travel Nurse RN - Telemetry - $1,880 per week in Macon, GA

    TravelNurseSource • Columbus, Georgia, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Medical Solutions to find a qualified Telemetry RN in Macon, Georgia, 31201!.A facility in Macon, GA is seeking its next amazing RN (Registered Nurse) to work in T...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,558 per week in Macon, GA

    Travel Nurse RN - Telemetry - $1,558 per week in Macon, GA

    TravelNurseSource • Columbus, Georgia, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Medical Solutions to find a qualified Telemetry RN in Macon, Georgia, 31201!.A facility in Macon, GA is seeking its next amazing RN (Registered Nurse) to work in T...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,882 per week in Macon, GA

    Travel Nurse RN - Telemetry - $1,882 per week in Macon, GA

    TravelNurseSource • Columbus, Georgia, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Medical Solutions to find a qualified Telemetry RN in Macon, Georgia, 31201!.A facility in Macon, GA is seeking its next amazing RN (Registered Nurse) to work in T...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,530 per week in Macon, GA

    Travel Nurse RN - Telemetry - $1,530 per week in Macon, GA

    TravelNurseSource • Columbus, Georgia, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Medical Solutions to find a qualified Telemetry RN in Macon, Georgia, 31201!.A facility in Macon, GA is seeking its next amazing RN (Registered Nurse) to work in T...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,708 per week in Augusta, GA

    Travel Nurse RN - Telemetry - $1,708 per week in Augusta, GA

    TravelNurseSource • Columbus, Georgia, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with THP Healthcare Staffing to find a qualified Telemetry RN in Augusta, Georgia, 30901!.Our Client is currently seeking RN - Telemetry positions in Augusta, GA for a ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,681 per week in Augusta, GA

    Travel Nurse RN - Telemetry - $1,681 per week in Augusta, GA

    TravelNurseSource • Columbus, Georgia, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Triage Staffing to find a qualified Telemetry RN in Augusta, Georgia, 30901!.Travel Nursing : Telemetry Augusta. Shift Details : 12H Days (7 : 00 AM-7 : 00 PM).Length : ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,867 to $1,986 per week in Atlanta, GA

    Travel Nurse RN - Telemetry - $1,867 to $1,986 per week in Atlanta, GA

    TravelNurseSource • Columbus, Georgia, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Fusion Medical Staffing to find a qualified Telemetry RN in Atlanta, Georgia, 30322!.Fusion Medical Staffing is seeking a skilled Telemetry RN for a 13-week travel...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $1,811 per week in Augusta, GA

    Travel Nurse RN - Telemetry - $1,811 per week in Augusta, GA

    TravelNurseSource • Columbus, Georgia, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with THP Healthcare Staffing to find a qualified Telemetry RN in Augusta, Georgia, 30901!.Our Client is currently seeking RN - Telemetry positions in Augusta, GA for a ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted