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 • Troy, Michigan, US
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[job_card.part_time]
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###
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
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Insurance Management • Troy, Michigan, US
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