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 • Vallejo, 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 • Vallejo, 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 • Vallejo, California, US

    Job_description.internal_linking.related_jobs
    Travel Nurse RN - Home Health - $2,390 per week

    Travel Nurse RN - Home Health - $2,390 per week

    Assured Nursing • Napa, CA, USA
    serp_jobs.job_card.full_time
    Assured Nursing is seeking a travel nurse RN Home Health for a travel nursing job in Napa, California.Job Description & Requirements. Assured Nursing is currently seeking a.The ideal candidate will ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    AI Training & Delivery Lead (Remote)

    AI Training & Delivery Lead (Remote)

    Keywords Studios Plc. • San Francisco, CA, United States
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    A leading game services company is seeking a Lead to manage a 50-person team responsible for AI training and coordination across time zones. The role requires strong people management and collaborat...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $3,300 to $3,400 per week in Richmond, CA

    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $3,300 to $3,400 per week in Richmond, CA

    TravelNurseSource • Richmond, CA, US
    serp_jobs.job_card.full_time +1
    TravelNurseSource is working with Lancesoft Inc to find a qualified ICU / Critical Care RN in Richmond, California, 94801!. Medical & Health Insurance Benefits from First Day for All Clinical ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - ICU - Intensive Care Unit

    Travel Nurse RN - ICU - Intensive Care Unit

    Health Advocates Network - Nursing • Napa, CA, US
    serp_jobs.job_card.full_time
    Health Advocates Network - Nursing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Napa, California. Job Description & Requirements.RN – ICU Registered N...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,758 per week in Napa, CA

    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,758 per week in Napa, CA

    TravelNurseSource • Napa, CA, US
    serp_jobs.job_card.full_time +1
    TravelNurseSource is working with Lancesoft Inc to find a qualified ICU / Critical Care RN in Napa, California, 94558!.References from most recent assignment within skill set.Medical & Health Ins...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,751 per week in Berkeley, CA

    Travel Nurse RN - Telemetry - $2,751 per week in Berkeley, CA

    TravelNurseSource • Berkeley, CA, US
    serp_jobs.job_card.full_time +1
    TravelNurseSource is working with Lancesoft Inc to find a qualified Telemetry RN in Berkeley, California, 94705!.References from most recent assignment within skill set.Medical & Health Insuran...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,500 to $2,734 per week in Berkeley, CA

    Travel Nurse RN - Telemetry - $2,500 to $2,734 per week in Berkeley, CA

    TravelNurseSource • Berkeley, CA, US
    serp_jobs.job_card.full_time +1
    TravelNurseSource is working with Lancesoft Inc to find a qualified Telemetry RN in Berkeley, California, 94705!.Registered Nurse - Telemetry @ Sutter Health Alta Bates Summit Medical Center Ashby....serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Home Health - $2,440 per week

    Travel Nurse RN - Home Health - $2,440 per week

    Host Healthcare • Napa, CA, USA
    serp_jobs.job_card.full_time
    Travel Nurse RN - Home Health - $2,440 per week at Host Healthcare summary : .A Travel Nurse RN in Home Health provides specialized nursing care to patients in their homes, ensuring their health and ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,739 per week

    Travel Nurse RN - Telemetry - $2,739 per week

    LanceSoft • Berkeley, CA, CA, USA
    serp_jobs.job_card.permanent
    Travel Nurse RN - Telemetry - $2,739 per week at LanceSoft summary : .LanceSoft is seeking a travel nurse RN specialized in telemetry for a 13-week assignment in Berkeley, CA, offering a competitive ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Home Health - $2,225 per week

    Travel Nurse RN - Home Health - $2,225 per week

    Cross Country Nurses • Napa, CA, USA
    serp_jobs.job_card.full_time
    Travel Nurse RN - Home Health - $2,225 per week at Cross Country Nurses summary : .As a Travel Nurse RN specializing in Home Health, you will provide essential healthcare services to patients in thei...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Case Management - $2,390 per week

    Travel Nurse RN - Case Management - $2,390 per week

    Assured Nursing • Napa, CA, USA
    serp_jobs.job_card.full_time
    Assured Nursing is seeking a travel nurse RN Case Management for a travel nursing job in Napa, California.Job Description & Requirements. Assured Nursing is currently seeking a.The ideal candidate w...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,779 per week

    Travel Nurse RN - Telemetry - $2,779 per week

    LanceSoft • Berkeley, CA, USA
    serp_jobs.job_card.permanent
    LanceSoft is seeking a travel nurse RN Telemetry for a travel nursing job in Berkeley, California.Job Description & Requirements. Shift : 5 / 8s Days Certification Requirements : CA RN License, BLS, AC...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,848 to $3,182 per week in Richmond, CA

    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,848 to $3,182 per week in Richmond, CA

    TravelNurseSource • Richmond, CA, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Prime Time Healthcare to find a qualified ICU / Critical Care RN in Richmond, California, 94803!. Now Hiring : RN ICU - Richmond, CA.Contact us for Pay Information.Act...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - ICU - Intensive Care Unit

    Travel Nurse RN - ICU - Intensive Care Unit

    First Connect Health • Napa, CA, US
    serp_jobs.job_card.full_time
    First Connect Health is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Napa, California. Job Description & Requirements.First Connect Health Job ID #25-283947.Pa...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,950 to $3,003 per week in Berkeley, CA

    Travel Nurse RN - Telemetry - $2,950 to $3,003 per week in Berkeley, CA

    TravelNurseSource • Berkeley, CA, US
    serp_jobs.job_card.full_time +1
    TravelNurseSource is working with Lancesoft Inc to find a qualified Telemetry RN in Berkeley, California, 94705!.Sutter Health Alta Bates Summit Medical Center Ashby. Night 3x12-Hour (19 : 00 - 07 : 30)...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Home Health Registered Nurse

    Travel Home Health Registered Nurse

    Core Medical Group • Belvedere Tiburon, CA, US
    serp_jobs.job_card.permanent +1
    Core Medical Group is seeking a travel nurse RN Home Health for a travel nursing job in Tiburon, California.Job Description & Requirements. Client in CA seeking Registered Nurse.We are looking f...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - ICU - Intensive Care Unit

    Travel Nurse RN - ICU - Intensive Care Unit

    Bestica • Napa, CA, US
    serp_jobs.job_card.full_time
    Bestica is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Napa, California.Job Description & Requirements. Shift start times : 0700 through 1900.Weekend requireme...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,877 per week in Berkeley, CA

    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,877 per week in Berkeley, CA

    TravelNurseSource • Berkeley, CA, US
    serp_jobs.job_card.full_time +1
    TravelNurseSource is working with Lancesoft Inc to find a qualified ICU / Critical Care RN in Berkeley, California, 94705!. Years of RN ICU experience required.Must have at least one year of travel ex...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted