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 • Everett, Washington, 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 • Everett, Washington, US
8 days ago
Job type
  • Part-time
  • Remote
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
    • Create a job alert for this search

    Insurance Management • Everett, Washington, US

    Similar jobs
    Travel Nurse RN - Labor and Delivery

    Travel Nurse RN - Labor and Delivery

    Travel Nurses, Inc. • Mount Vernon, WA, US
    Full-time
    RN Labor and Delivery for a travel nursing job in Mount Vernon, Washington.Job Description & Requirements.Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) ...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - ICU - Intensive Care Unit

    Travel Nurse RN - ICU - Intensive Care Unit

    TriOptus • Mount Vernon, WA, US
    Permanent
    TriOptus is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Mt Vernon, Washington.Job Description & Requirements. WA RN and AHA BLS, ACLS, & NIHSS.May need to...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - Home Health in Pullman, WA

    Travel Nurse RN - Home Health in Pullman, WA

    TravelNurseSource • Seattle, Washington, US
    Full-time
    Registered Nurse (RN) | Home Health.Competitive weekly pay (inquire for details) .TravelNurseSource is working with TNAA | TotalMed to find a qualified Home Health RN in Pullman, Washington, 99163!...Show more
    Last updated: 23 days ago • Promoted
    Travel Cath Lab Tech - $2,950 per week in Mount Vernon, WA

    Travel Cath Lab Tech - $2,950 per week in Mount Vernon, WA

    AlliedTravelCareers • Mount Vernon, WA, US
    Full-time
    AlliedTravelCareers is working with FlexCare to find a qualified Cath Lab Tech in Mount Vernon, Washington, 98273!.FlexCare is a nationwide leader in the staffing of travel nurses and clinicians.Wi...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - Case Management

    Travel Nurse RN - Case Management

    Talent4Health • Seattle, WA, US
    Full-time
    Talent4Health is seeking a travel nurse RN Case Management for a travel nursing job in Seattle, Washington.Job Description & Requirements. Candidate must be open to going perm after the initial ...Show more
    Last updated: 5 hours ago • Promoted • New!
    Remote M&A Associate - AI Trainer ($50-$60 / hour)

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

    Data Annotation • Marysville, Washington
    Remote
    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: 30+ days ago • Promoted
    Travel Cath Lab Tech - $3292.4 / Week

    Travel Cath Lab Tech - $3292.4 / Week

    Cynet Health • Mount Vernon, WA, US
    Full-time
    Cynet Health is seeking an experienced Cath Lab Tech for an exciting Travel Allied job in Mount Vernon, WA.Shift : 4x10 hr days Start Date : 01 / 05 / 2026 Duration : 13 weeks Pay : $3292.Ranked #5 Best Tr...Show more
    Last updated: 3 days ago • Promoted
    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 • Marysville, Washington, US
    Remote
    Part-time
    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 manag...Show more
    Last updated: 8 days ago • Promoted
    Travel Nurse RN - Home Health

    Travel Nurse RN - Home Health

    GQR Healthcare • Everett, WA, US
    Full-time
    GQR Healthcare is seeking a travel nurse RN Home Health for a travel nursing job in Everett, Washington.Job Description & Requirements. Home Health • Registered Nurse • Days.We are see...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - ICU - Intensive Care Unit

    Travel Nurse RN - ICU - Intensive Care Unit

    MedPro Healthcare Staffing • Mount Vernon, WA, US
    Full-time
    MedPro Healthcare Staffing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Mount Vernon, Washington. Job Description & Requirements.Joint Commission-certified ...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - Labor and Delivery

    Travel Nurse RN - Labor and Delivery

    Talent4Health • Mount Vernon, WA, US
    Full-time
    Talent4Health is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Mt Vernon, Washington.Job Description & Requirements. WA State Registered Nurse License and American Hea...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - Labor and Delivery

    Travel Nurse RN - Labor and Delivery

    Health Advocates Network - Nursing • Mount Vernon, WA, US
    Full-time
    Health Advocates Network - Nursing is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Mount Vernon, Washington. Job Description & Requirements.Pay package is based on 12...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - ICU - Intensive Care Unit

    Travel Nurse RN - ICU - Intensive Care Unit

    Bestica • Mount Vernon, WA, US
    Full-time
    Bestica is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Mt Vernon, Washington.Job Description & Requirements. WA RN license required, along with AHA BLS, ACLS,...Show more
    Last updated: 30+ days ago • Promoted
    Travel Nurse RN - CVOR

    Travel Nurse RN - CVOR

    NuWest Travel Nursing • Everett, WA, US
    Full-time
    NuWest Travel Nursing is seeking a travel nurse RN CVOR for a travel nursing job in Everett, Washington.Job Description & Requirements. We have a new assignment for RN - CVOR in Everett, WA and ...Show more
    Last updated: 30+ days ago • Promoted
    Travel Labor and Delivery Registered Nurse

    Travel Labor and Delivery Registered Nurse

    Accurate Staffing Consultants • Mount Vernon, WA, US
    Full-time
    Accurate Staffing Consultants is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Mount Vernon, Washington. Job Description & Requirements.Pay package is based on 12 hour...Show more
    Last updated: 9 days ago • Promoted
    Travel Nurse RN - Home Health - $2,286 to $2,486 per week in Silverdale, WA

    Travel Nurse RN - Home Health - $2,286 to $2,486 per week in Silverdale, WA

    TravelNurseSource • Seattle, Washington, US
    Full-time
    Registered Nurse (RN) | Home Health.TravelNurseSource is working with Ventura MedStaff to find a qualified Home Health RN in Silverdale, Washington, 98383!. Are you ready to take your Travel career ...Show more
    Last updated: 23 days ago • Promoted
    Travel Cath Lab Tech - $3432.4 / Week

    Travel Cath Lab Tech - $3432.4 / Week

    Cynet Health • Mount Vernon, WA, US
    Full-time
    Cynet Health is seeking an experienced Cath Lab Tech for an exciting Travel Allied job in Mount Vernon, WA.Shift : 4x10 hr days Start Date : 12 / 08 / 2025 Duration : 13 weeks Pay : $3432.Ranked #5 Best Tr...Show more
    Last updated: 19 days ago • Promoted
    Travel Cath Lab Tech - $2,731 per week in Mount Vernon, WA

    Travel Cath Lab Tech - $2,731 per week in Mount Vernon, WA

    AlliedTravelCareers • Mount Vernon, WA, US
    Full-time
    AlliedTravelCareers is working with FlexCare to find a qualified Cath Lab Tech in Mount Vernon, Washington, 98273!.FlexCare is a nationwide leader in the staffing of travel nurses and clinicians.Wi...Show more
    Last updated: 8 days ago • Promoted