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 • Tulare, 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 • Tulare, California, 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 • Tulare, California, US

    [internal_linking.similar_jobs]
    Travel Labor and Delivery Nurse

    Travel Labor and Delivery Nurse

    GQR Healthcare • Reedley, CA, US
    [job_card.full_time]
    GQR Healthcare is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Reedley, California.Job Description & Requirements. Contract - W2 Labor and Delivery Registered Nurse (...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Nurse RN - Labor and Delivery - $2,610 per week

    Travel Nurse RN - Labor and Delivery - $2,610 per week

    Uniti Med • Reedley, CA, United States
    [job_card.full_time]
    Uniti Med is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Reedley, California.Job Description & Requirements. Cigna medical, MetLife dental and vision insurance .License ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Nurse RN - Labor and Delivery

    Travel Nurse RN - Labor and Delivery

    Anders Group • Reedley, CA, US
    [job_card.full_time]
    Anders Group is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Reedley, California.Job Description & Requirements. Pay package is based on 12 hour shifts and 36 hours p...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Nurse Practitioner - $180000.00

    Nurse Practitioner - $180000.00

    NP Now • Visalia, CA, US
    [job_card.full_time]
    Stable and growing organization is looking to hire a Nurse Practitioner to work in the Visalia, CA area!.Join a group of like-minded, energetic, smart, curious and health-conscious medical provider...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse RN - Case Management - $3,300 per week

    Travel Nurse RN - Case Management - $3,300 per week

    Kaweah Delta Health Care District • Visalia, CA, USA
    [job_card.full_time]
    ACLS - Advanced Cardiac Life Support.RN-Clinical Risk Management Specialist.The RN Clinical Risk Management Specialist has oversight of the patient and family grievance process to ensure the Kaweah...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Locum Nurse Practitioner (NP) - Administration in California, CA

    Locum Nurse Practitioner (NP) - Administration in California, CA

    LocumJobsOnline • California, CA, US
    [job_card.full_time] +1
    LocumJobsOnline is working with VieMed Healthcare Staffing to find a qualified Administration NP in California, California, 93505!. Partner with VHS in our mission to elevate healthcare staffing to ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Nurse Practitioner (NP) - Visalia,CA

    Nurse Practitioner (NP) - Visalia,CA

    Vohra Physicians • Visalia, CA, US
    [job_card.full_time]
    Nurse Practitioner (NP) Position with National Wound Physician Group.Get Your Life Back – No Nights, No Call, No Weekends Join . We are the premier wound care specialty group.We provide b...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse RN - Case Management - $3,300 per week

    Travel Nurse RN - Case Management - $3,300 per week

    Access Healthcare • Visalia, CA, USA
    [job_card.full_time]
    Travel Nurse RN - Case Management - $3,300 per week at Access Healthcare summary : .Access Healthcare is seeking a Travel Nurse RN specializing in Case Management for a 13-week assignment in Visalia,...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care in Tulare, CA

    Travel Nurse RN - Intensive Care Unit (ICU) / Critical Care in Tulare, CA

    TravelNurseSource • Tulare, CA, US
    [job_card.full_time]
    TravelNurseSource is working with Accede Solutions Inc to find a qualified ICU / Critical Care RN in Tulare, California, 93274!. Delivers coordinated nursing care for a patient or an assigned group of...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Labor & Delivery RN

    Travel Labor & Delivery RN

    Prime Staffing • Reedley, CA, US
    [job_card.permanent]
    Prime Staffing is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Reedley, California.Job Description & Requirements. Registered Nurse – Labor & Delivery (L&am...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Nurse RN - ICU - Intensive Care Unit - $2,682 per week

    Travel Nurse RN - ICU - Intensive Care Unit - $2,682 per week

    LanceSoft • Visalia, CA, United States
    [job_card.permanent]
    LanceSoft is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Visalia, California.Job Description & Requirements. Established in 2000, LanceSoft is a Certified MBE and...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Nurse RN - Wound / Ostomy - $2,790 per week in Visalia, CA

    Travel Nurse RN - Wound / Ostomy - $2,790 per week in Visalia, CA

    TravelNurseSource • Visalia, CA, US
    [job_card.full_time] +1
    TravelNurseSource is working with Core Medical Group to find a qualified Wound / Ostomy RN in Visalia, California, 93291!. Client in CA seeking Registered Nurse : Wound Care.We are looking for a health...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Remote Financial Expert - AI Trainer ($150 per hour)

    Remote Financial Expert - AI Trainer ($150 per hour)

    Mercor • Visalia, California, US
    [filters.remote]
    [job_card.full_time]
    UK / Canada / Europe / Singapore / Dubai / Australia-based • •Investment Banking or Private Equity Experts • • for a research project with a leading foundational model AI lab. You are a good fit if you : - Have •...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Nurse RN - Labor and Delivery - $2,653 per week

    Travel Nurse RN - Labor and Delivery - $2,653 per week

    First Connect Health • Reedley, CA, United States
    [job_card.full_time]
    First Connect Health is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Reedley, California.Job Description & Requirements. First Connect Health Job ID #25-284752.Pay packag...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote Work - AI Automation & Onboarding Specialist

    Remote Work - AI Automation & Onboarding Specialist

    Purely Optimal Inc. • CA, US
    [filters.remote]
    [job_card.temporary]
    [filters_job_card.quick_apply]
    SETR is a Conversion Intelligence Engine that replaces human setters with emotionally intelligent voice AI and omnichannel follow-up systems. We're not another chatbot or workflow tool, we're revenu...[show_more]
    [last_updated.last_updated_variable_days]
    RN - Intensive Care Unit (ICU)

    RN - Intensive Care Unit (ICU)

    Travel Care Hawaii • CA, United States
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Job Overview : We are seeking an experienced RN for a Level II Trauma Neuro / Trauma ICU.This 12-bed unit operates with a 2 : 1 ...[show_more]
    [last_updated.last_updated_variable_days]
    Travel Nurse RN - Labor and Delivery - $3,000 per week

    Travel Nurse RN - Labor and Delivery - $3,000 per week

    ProKatchers • Reedley, CA, United States
    [job_card.full_time]
    ProKatchers is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Reedley, California.Job Description & Requirements. This department provides labor, delivery, and recovery (LD...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Nurse RN - Labor and Delivery

    Travel Nurse RN - Labor and Delivery

    First Connect Health • Reedley, CA, US
    [job_card.full_time]
    First Connect Health is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Reedley, California.Job Description & Requirements. First Connect Health Job ID #25-284752.Pay pa...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]