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 • Gresham, Oregon, 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 • Gresham, Oregon, 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 • Gresham, Oregon, US

    [internal_linking.similar_jobs]
    Remote Financial Expert - AI Trainer ($150 per hour)

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

    Mercor • Gresham, Oregon, 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]
    Remote Financial Analyst - AI Trainer ($150 per hour)

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

    Mercor • Gresham, Oregon, 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]
    Online Research Participants (Pay up to $3,000 / study) (Hiring Immediately)

    Online Research Participants (Pay up to $3,000 / study) (Hiring Immediately)

    Maxion Research • Damascus, Oregon, US
    [job_card.part_time]
    Join Our Part-Time Research Studies Today!.Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies includi...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Remote Online Tasks - Earn Up to $1,500 / month Playing Games

    Remote Online Tasks - Earn Up to $1,500 / month Playing Games

    Free Cash by Almedia • Damascus, OR, United States
    [job_card.full_time]
    Receive a $5 welcome bonus when you complete your first offer!Make money in your spare time by completing online tasks : . Take paid surveys (5-15 minutes each).Test new mobile games and apps.Share yo...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Home Health RN

    Home Health RN

    Providence Health and Services • Gresham, OR, US
    [job_card.full_time]
    Description RN Home Health - East Portland Schedule : M-F, Day shift...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    RN - Home Health

    RN - Home Health

    Providence Health and Services • Gresham, OR, US
    [job_card.full_time]
    Description HOME HEALTH RN - Providence Home Services Oregon Schedule : < / strong&g...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Remote Study Participant (Hiring Immediately)

    Remote Study Participant (Hiring Immediately)

    Maxion Research • Sandy, Oregon, US
    [filters.remote]
    [job_card.part_time]
    Join Our Part-Time Research Studies Today!.Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies includi...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands

    Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands

    OCPA • Amboy, Washington, us
    [filters.remote]
    [job_card.part_time] +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Virtual Focus Group Contributor (Hiring Immediately)

    Virtual Focus Group Contributor (Hiring Immediately)

    Maxion Research • Damascus, Oregon, US
    [job_card.part_time]
    Join Our Part-Time Research Studies Today!.Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies includi...[show_more]
    [last_updated.last_updated_30] • [promoted]
    staff - Registered Nurse (RN) - Case Management - $48-90 per hour

    staff - Registered Nurse (RN) - Case Management - $48-90 per hour

    Legacy Health • GRESHAM, OR, USA
    [job_card.full_time]
    Legacy Health is seeking a Registered Nurse (RN) Case Management for a nursing job in GRESHAM, Oregon.Job Description & Requirements. You are the voice, the coordinator and the empathetic advocate o...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Remote Financial Advising Expert - AI Trainer ($50-$60 / hour)

    Remote Financial Advising Expert - AI Trainer ($50-$60 / hour)

    Data Annotation • Gresham, OR, United States
    [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 Nurse RN - Labor and Delivery

    Travel Nurse RN - Labor and Delivery

    Ardor Health Solutions • Gresham, OR, US
    [job_card.full_time]
    Ardor Health Solutions is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Gresham, Oregon.Job Description & Requirements. Ardor Health Solutions is looking for a Labor a...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote M&A Associate - AI Trainer ($50-$60 / hour)

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

    Data Annotation • Gresham, OR, United States
    [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]
    Managers in Training (Virtual / Work from home)

    Managers in Training (Virtual / Work from home)

    Global Elite • Gresham, OR, US
    [filters.remote]
    [job_card.full_time]
    Managers In Training (Virtual / Work From Home).With our company growing faster than ever, we are looking for individuals with amazing people skills to join our 100% remote team.We want everyone who...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Med Tech

    Med Tech

    Sapphire at The Butte • Gresham, OR, United States
    [job_card.full_time]
    This is a Specialty Unit serving residents with Traumatic Brain Injuries.Sapphire Health Services specializes in providing comprehensive care and living solutions tailored to meet the diverse needs...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote Financial Manager - AI Trainer ($150 per hour)

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

    Mercor • Gresham, Oregon, 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]
    Remote Financial Planner - AI Trainer ($150 per hour)

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

    Mercor • Gresham, Oregon, 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]
    Online Research Participants (Pay up to $3,000 / study) - Flexible Remote Opportunities (Hiring Immediately)

    Online Research Participants (Pay up to $3,000 / study) - Flexible Remote Opportunities (Hiring Immediately)

    Maxion Research • Damascus, Oregon, US
    [filters.remote]
    [job_card.part_time]
    Join Our Part-Time Research Studies Today!.Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies includi...[show_more]
    [last_updated.last_updated_30] • [promoted]