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 • Racine, Wisconsin, 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 • Racine, Wisconsin, US
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.part_time]
  • [filters.remote]
[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
    • [job_alerts.create_a_job]

    Insurance Management • Racine, Wisconsin, US

    [internal_linking.related_jobs]
    Travel Nurse - RN - Endoscopy - $1965.6 / Week - Hiring Now

    Travel Nurse - RN - Endoscopy - $1965.6 / Week - Hiring Now

    Uniti Med • Highland Park, IL, US
    [job_card.full_time]
    Uniti Med is seeking an experienced Endoscopy Registered Nurse for an exciting Travel Nursing job in Highland Park, IL.Shift : Inquire Start Date : ASAP Duration : 12 weeks Pay : $1965.Uniti Med provid...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,820 per week in Zion, IL

    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,820 per week in Zion, IL

    TravelNurseSource • Zion, IL, US
    [job_card.full_time] +1
    TravelNurseSource is working with Lancesoft Inc to find a qualified ICU / Critical Care RN in Zion, Illinois, 60099!.Minimum 3 years' experience required. References from most recent assignment within...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel MRI Tech - $2,076 to $2,302 per week in Zion, IL

    Travel MRI Tech - $2,076 to $2,302 per week in Zion, IL

    AlliedTravelNetwork • Zion, IL, US
    [job_card.full_time]
    AlliedTravelNetwork is working with LRS Healthcare to find a qualified MRI Tech in Zion, Illinois, 60099!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 2...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Nurse - RN - ICU - Intensive Care Unit - $2652.85 / Week - Hiring Now

    Travel Nurse - RN - ICU - Intensive Care Unit - $2652.85 / Week - Hiring Now

    Coast Medical Service • Zion, IL, US
    [job_card.full_time]
    Coast Medical Service is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Zion, IL. Shift : 3x12 hr nights Start Date : ASAP Duration : 13 weeks Pay : $2...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Physical Therapist

    Travel Physical Therapist

    Triage Staffing • Zion, IL, US
    [job_card.full_time]
    Triage Staffing is seeking a travel Physical Therapist for a travel job in Zion, Illinois.Job Description & Requirements. Travel Rehab : Physical Therapy Zion.Location : &nb...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted]
    Travel Nurse - RN - Endoscopy

    Travel Nurse - RN - Endoscopy

    Uniti Med • Highland Park, IL, US
    [job_card.full_time]
    Uniti Med is seeking an experienced Endoscopy Registered Nurse for an exciting Travel Nursing job in Highland Park, IL.Shift : Inquire Start Date : ASAP Duration : 12 weeks. Uniti Med provides career o...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,700 to $2,850 per week in Zion, IL

    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,700 to $2,850 per week in Zion, IL

    TravelNurseSource • Zion, IL, US
    [job_card.full_time] +1
    TravelNurseSource is working with Lancesoft Inc to find a qualified ICU / Critical Care RN in Zion, Illinois, 60099!.Night 3x12-Hour (19 : 00 - 07 : 30). Established in 2000, LanceSoft is a Certified MBE ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Physical Therapist

    Travel Physical Therapist

    Skyline Med Staff Allied • Zion, IL, US
    [job_card.full_time]
    Skyline Med Staff Allied is seeking a travel Physical Therapist for a travel job in Zion, Illinois.Job Description & Requirements. Join the Top- Rated Travel Healthcare Team!\n\nSkyline Med Staf...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Travel Physical Therapist

    Travel Physical Therapist

    Synergy Medical Staffing • Zion, IL, US
    [job_card.permanent]
    Synergy Medical Staffing is seeking a travel Physical Therapist for a travel job in Zion, Illinois.Job Description & Requirements. Shift : 5x8 Days, 08 : 00 : 00-16 : 00 : 00, 8.When you join Synergy Med...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted]
    Travel MRI Tech - $2,076 to $2,302 per week in Zion, IL

    Travel MRI Tech - $2,076 to $2,302 per week in Zion, IL

    LRS Healthcare • Zion, IL, US
    [job_card.full_time]
    Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24 / 7 support, and a responsive, traveler-first culture. What are you waiting for? Apply today!.Valid license...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote FP&A Manager – AI Trainer ($50-$60 / hour)

    Remote FP&A Manager – AI Trainer ($50-$60 / hour)

    Data Annotation • Kenosha, Wisconsin
    [filters.remote]
    [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 ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,700 to $2,840 per week in Zion, IL

    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care - $2,700 to $2,840 per week in Zion, IL

    TravelNurseSource • Zion, IL, US
    [job_card.full_time] +1
    TravelNurseSource is working with Lancesoft Inc to find a qualified ICU / Critical Care RN in Zion, Illinois, 60099!.Note : 1 year REQUIRED. 2 years preferred.Certifications REQUIRED : BLS and ACLS (AH...[show_more]
    [last_updated.last_updated_30] • [promoted]
    RN-Registered Nurse

    RN-Registered Nurse

    Ascension • Racine, WI, US
    [job_card.full_time]
    Full Time| Day Shift| 7a-7 : 30p.Various health insurance options & wellness plans.Retirement benefits including employer match plans. Long-term & short-term disability.Employee assistance pro...[show_more]
    [last_updated.last_updated_30] • [promoted]
    CRNA - Anesthesiology job available in Chicago, Illinois

    CRNA - Anesthesiology job available in Chicago, Illinois

    Palm Health Resources • Zion, IL, US
    [job_card.part_time]
    Part-time or per diem CRNA needed near the Illinois - Wisconsin state line.Work 8-hour weekday shifts at a well-regarded cancer treatment hospital and see neuro, ENT, thoracic, abdominal, ortho, an...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Remote Medical and Health Services Managers - AI Trainer ($80-$110 per hour)

    Remote Medical and Health Services Managers - AI Trainer ($80-$110 per hour)

    Mercor • Racine, Wisconsin, US
    [filters.remote]
    [job_card.full_time]
    About the Role • • Mercor is seeking experienced • •medical and health services managers • • to support a leading AI lab in advancing research and infrastructure for next-generation machine learning sys...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Nurse - RN - Endoscopy - Hiring Now

    Travel Nurse - RN - Endoscopy - Hiring Now

    Uniti Med • Highland Park, IL, US
    [job_card.full_time]
    Uniti Med is seeking an experienced Endoscopy Registered Nurse for an exciting Travel Nursing job in Highland Park, IL.Shift : Inquire Start Date : ASAP Duration : 12 weeks. Uniti Med provides career o...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Remote M&A Associate - AI Trainer ($50-$60 / hour)

    Remote M&A Associate - AI Trainer ($50-$60 / hour)

    Data Annotation • Kenosha, Wisconsin
    [filters.remote]
    [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 ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel MRI Tech - $2,076 to $2,302 per week in Zion, IL

    Travel MRI Tech - $2,076 to $2,302 per week in Zion, IL

    AlliedTravelCareers • Zion, IL, US
    [job_card.full_time]
    AlliedTravelCareers is working with LRS Healthcare to find a qualified MRI Tech in Zion, Illinois, 60099!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 2...[show_more]
    [last_updated.last_updated_30] • [promoted]