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 • Attleboro, Massachusetts, 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 • Attleboro, Massachusetts, 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 • Attleboro, Massachusetts, US

    Job_description.internal_linking.related_jobs
    Travel Nurse RN - Telemetry - $2,539 per week

    Travel Nurse RN - Telemetry - $2,539 per week

    Aureus Medical Group - Nursing • Concord, MA, USA
    serp_jobs.job_card.full_time
    Travel Nurse RN - Telemetry - $2,539 per week at Aureus Medical Group - Nursing summary : .The position is for a Travel Nurse RN specializing in Telemetry, based in Concord, Massachusetts.This is a 1...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Telemetry RN I - $2,136 per week

    Travel Telemetry RN I - $2,136 per week

    Assured Nursing Inc • Newton Lower Falls, MA, United States
    serp_jobs.job_card.full_time
    Assured Nursing is seeking a travel nurse RN Telemetry Med Surg for a travel nursing job in Newton Lower Falls, Massachusetts. Job Description & Requirements.Newton Lower Falls, Massachusetts? Assur...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Home Health - $2,792 per week

    Travel Nurse RN - Home Health - $2,792 per week

    Voca • Newton Center, MA, USA
    serp_jobs.job_card.full_time
    Voca is seeking a travel nurse RN Home Health for a travel nursing job in Newton Center, Massachusetts.Job Description & Requirements. Shift : 08 : 00 AM-04 : 30 PM Description ALL APPLICANTS MUST HAVE 1...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Home Health - $2,489 per week

    Travel Nurse RN - Home Health - $2,489 per week

    TNAA TotalMed RN • Newton, MA, United States
    serp_jobs.job_card.permanent
    TNAA TotalMed RN is seeking a travel nurse RN Home Health for a travel nursing job in Newton, Massachusetts.Job Description & Requirements. We're looking for Home Health RNs for an immediate travel ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Telemetry RN

    Travel Telemetry RN

    Medical Solutions • Needham Heights, MA, US
    serp_jobs.job_card.full_time
    Medical Solutions is seeking a travel nurse RN Telemetry for a travel nursing job in Needham, Massachusetts.Job Description & Requirements. We’re seeking talented healthcare professionals ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse - Telemetry in Attleboro, MA - $9439 / month

    Travel Nurse - Telemetry in Attleboro, MA - $9439 / month

    VETTED • Attleboro, MA, United States
    serp_jobs.job_card.temporary
    Job Opportunity : RN - Telemetry.Location : Attleboro, Massachusetts.Facility : Coast Medical Service.Coordinates total nursing care for patients. Participates in patient and family teaching.Provides l...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

    Uniti Med • Newton, MA, United States
    serp_jobs.job_card.full_time
    Travel Nurse RN - Telemetry - $2,106 per week at Uniti Med summary : .This travel nurse RN telemetry position involves providing specialized nursing care for patients requiring cardiac monitoring dur...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Travel Nurse RN - Home Health - $2,693 per week

    Travel Nurse RN - Home Health - $2,693 per week

    TNAA TotalMed RN • Newton, MA, United States
    serp_jobs.job_card.permanent
    TNAA TotalMed RN is seeking a travel nurse RN Home Health for a travel nursing job in Newton, Massachusetts.Job Description & Requirements. We're looking for Home Health RNs for an immediate travel ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,088 per week

    Travel Nurse RN - Telemetry - $2,088 per week

    Stability Healthcare • Framingham, MA, USA
    serp_jobs.job_card.full_time
    Travel Nurse RN - Telemetry - $2,088 per week at Stability Healthcare summary : .The Travel Nurse RN - Telemetry position offers a 13-week assignment in Framingham, Massachusetts, focusing on telemet...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Home Health Case Management - $2,412 per week

    Travel Nurse RN - Home Health Case Management - $2,412 per week

    First Connect Health • Newton, MA, US
    serp_jobs.job_card.full_time
    First Connect Health is seeking a travel nurse RN Home Health Case Management for a travel nursing job in Newton, Massachusetts. Job Description & Requirements.First Connect Health Job ID #25-28...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,088 per week

    Travel Nurse RN - Telemetry - $2,088 per week

    MetroWest Medical Center • Framingham, MA, USA
    serp_jobs.job_card.full_time
    Travel Nurse RN - Telemetry - $2,088 per week at MetroWest Medical Center summary : .As a Travel Nurse RN specializing in Telemetry, I provide high-quality patient care in a telemetry unit, focusing ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse - Telemetry in Attleboro, Massachusetts - $7808 / month

    Travel Nurse - Telemetry in Attleboro, Massachusetts - $7808 / month

    Vetted Health • Attleboro, MA, United States
    serp_jobs.job_card.temporary
    Job Opportunity : RN - Telemetry.Location : Attleboro, Massachusetts.Coordinates total nursing care for patients.Participates in patient and family teaching. Provides leadership by working cooperative...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,430 per week in Woonsocket, RI

    Travel Nurse RN - Telemetry - $2,430 per week in Woonsocket, RI

    TravelNurseSource • Warwick, Rhode Island, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Honestlove Global Professional Staffing LLC to find a qualified Telemetry RN in Woonsocket, Rhode Island, 02895!. Our Client is currently seeking a RN for a positio...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Home Health

    Travel Nurse RN - Home Health

    Medworks Staffing • Belmont, MA, US
    serp_jobs.job_card.full_time
    Medworks Staffing is seeking a travel nurse RN Home Health for a travel nursing job in Belmont, Massachusetts.Job Description & Requirements. Discover the future of your healthcare career with&n...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse - Telemetry in Attleboro, Massachusetts - $9439 / month

    Travel Nurse - Telemetry in Attleboro, Massachusetts - $9439 / month

    VETTED • Attleboro, MA, United States
    serp_jobs.job_card.temporary
    Job Opportunity : RN - Telemetry.Location : Attleboro, Massachusetts.Facility : Coast Medical Service.Coordinates total nursing care for patients. Participates in patient and family teaching.Provides l...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,032 per week

    Travel Nurse RN - Telemetry - $2,032 per week

    Aureus Medical Group - Nursing • Framingham, MA, USA
    serp_jobs.job_card.full_time
    Travel Nurse RN - Telemetry - $2,032 per week at Aureus Medical Group - Nursing summary : .Aureus Medical Group is seeking a travel nurse RN specializing in telemetry for a 13-week assignment in Fram...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Telemetry RN - $2,459 per week

    Travel Telemetry RN - $2,459 per week

    Medical Solutions • Needham, MA, United States
    serp_jobs.job_card.full_time
    Medical Solutions is seeking a travel nurse RN Telemetry for a travel nursing job in Needham, Massachusetts.Job Description & Requirements. We’re seeking talented healthcare professionals whose adve...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Travel Nurse RN - Telemetry - $2,103 to $2,256 per week in Providence, RI

    Travel Nurse RN - Telemetry - $2,103 to $2,256 per week in Providence, RI

    TravelNurseSource • Warwick, Rhode Island, US
    serp_jobs.job_card.full_time
    TravelNurseSource is working with Host Healthcare to find a qualified Telemetry RN in Providence, Rhode Island, 02903!.Host Healthcare is an award-winning travel healthcare company with an immediat...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted