Remote Utility Management Nurses (Insurance Coding & Revenue Management) - AI Trainer ($45-$75 per hour)Mercor • Hamilton, Ohio, US
Remote Utility Management Nurses (Insurance Coding & Revenue Management) - AI Trainer ($45-$75 per hour)
Mercor • Hamilton, Ohio, US
1 day ago
Job type
- Part-time
- Remote
Job descriptionUtility 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
###
- Role Overview
We’re seeking experienced
Create a job alert for this search
Insurance Management • Hamilton, Ohio, US
Related jobs
Aequor Healthcare is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Fairfield, Ohio.Job Description & Requirements.
All positions require at least two proven y...Show more
Vivian Staff Jobs is seeking a Registered Nurse (RN) Home Health for a nursing job in Hamilton, Ohio.Job Description & Requirements.
Queen City Hospice is proud to be Ohio-made.Every decision we...Show more
Anders Group is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Fairfield, Ohio.Job Description & Requirements.
Pay package is based on 12 hour shifts and 36 ho...Show more
Travel Nurse RN - Telemetry - $1,952 per week at Supplemental Health Care summary : .A Travel Nurse RN specializing in Telemetry is sought for a contract position in Cincinnati, Ohio.Responsibilities...Show more
Host Healthcare is seeking a travel nurse RN Home Health for a travel nursing job in Cincinnati, Ohio.Job Description & Requirements.
Host Healthcare Job ID #a1fVJ000006XPSPYA4.Pay package is based ...Show more
TravelNurseSource is working with Core Medical Group to find a qualified Tele / PCU / Stepdown RN in Fairfield, Ohio, 45014!.
Client in OH seeking Registered Nurse : Telemetry / PCU / Stepdown.We are loo...Show more TravelNurseSource is working with Advantis Medical Staffing to find a qualified PCU RN in Fairfield, Ohio, 45014!.Advantis Medical, the #1 rated travel nurse agency, is currently seeking an experie...Show more 
LRS Healthcare - Travel Nursing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Fairfield, Ohio.
Job Description & Requirements.LRS Healthcare - Travel Nursi...Show more
Job Opportunity : RN - Telemetry.Coordinates total nursing care for patients.Participates in patient and family teaching.
Provides leadership by working cooperatively with ancillary nursing and other...Show more
Job Opportunity : RN - Telemetry.Coordinates total nursing care for patients.Participates in patient and family teaching.
Provides leadership by working cooperatively with ancillary nursing and other...Show more
Host Healthcare is seeking an experienced Home Health Registered Nurse for an exciting Travel Nursing job in Cincinnati, OH.
Shift : Inquire Start Date : 12 / 22 / 2025 Duration : 13 weeks Pay : $1650.At Ho...Show more
GHR Healthcare - PH Division is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Fairfield, Ohio.
Job Description & Requirements.Travel Progressive Care Unit (PC...Show more
Earn up to $15 / hour + performance bonuses.Outlier, a platform owned and operated by Scale AI, is looking for.If you're passionate about improving models and excited by the future of AI, this is you...Show more Earn up to $15 / hour + performance bonuses.Outlier, a platform owned and operated by Scale AI, is looking for.If you're passionate about improving models and excited by the future of AI, this is you...Show more Earn up to $15 / hour + performance bonuses.Outlier, a platform owned and operated by Scale AI, is looking for.If you're passionate about improving models and excited by the future of AI, this is you...Show more Job Opportunity : RN - Telemetry\n\nPosition Details\nSpecialty : RN - Telemetry\nLocation : Cincinnati, Ohio\nFacility : Triage\nEmployment Type : Temporary\nContract Length : 13 weeks\n\nJob Descriptio...Show more GHR Healthcare - PH Division is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Cincinnati, Ohio.
Job Description & Requirements.Planet Healthcare Job ID #74251931.Pay...Show more TravelNurseSource is working with AHS Staffing to find a qualified PCU RN in Fairfield, Ohio, 45014!.AHS Staffing is looking for a PCU - Step Down Registered Nurse in Fairfield, OH for a Long Term ...Show more
Travel Nurse RN - PCU - Progressive Care Unit
Aequor Healthcare • Fairfield, OH, US
Full-time
Last updated: 30+ days ago • Promoted
Registered Nurse (RN) - Home Health
Vivian Staff Jobs • Hamilton, OH, US
Full-time
Last updated: 15 hours ago • Promoted • New!
Travel Nurse RN - PCU - Progressive Care Unit
Anders Group • Fairfield, OH, US
Full-time
Last updated: 30+ days ago • Promoted
Travel Nurse RN - Telemetry - $1,952 per week
Supplemental Health Care • Cincinnati, OH, USA
Full-time +1
Last updated: 30+ days ago • Promoted
Travel Nurse RN - Home Health - $1,650 per week
Host Healthcare • Cincinnati, OH, United States
Full-time
Last updated: 30+ days ago • Promoted
Travel Nurse RN - Telemetry / PCU / Stepdown - $1,860 per week in Fairfield, OH
TravelNurseSource • Fairfield, OH, US
Full-time +1
Last updated: 4 days ago • Promoted
Travel Nurse RN - Progressive Care Unit - $1,934 per week in Fairfield, OH
TravelNurseSource • Fairfield, OH, US
Full-time
Last updated: 4 days ago • Promoted
Travel Nurse RN - PCU - Progressive Care Unit
LRS Healthcare - Travel Nursing • Fairfield, OH, US
Permanent
Last updated: 7 hours ago • Promoted • New!
Travel Nurse - Telemetry in Cincinnati, Ohio - $7249 / month
VETTED • Cincinnati, OH, United States
Temporary
Last updated: 4 days ago • Promoted
Travel RN - Telemetry - Cincinnati, Ohio - $1831 / week
Vetted Health • Cincinnati, OH, United States
Temporary
Last updated: 4 days ago • Promoted
Travel Nurse - RN - Home Health - $1650.28 / Week - HiringNow
Host Healthcare • Cincinnati, OH, Hamilton County, OH; Ohio, United States
Full-time
Last updated: 14 days ago • Promoted
Travel Nurse RN - PCU - Progressive Care Unit
GHR Healthcare - PH Division • Fairfield, OH, US
Full-time
Last updated: 1 day ago • Promoted
AI Trainer -Remote Content Reviewer
Outlier • Cincinnati, OH, United States
Remote
Full-time
Last updated: 2 days ago • Promoted
AI Trainer - Writing Reviewer - Remote
Outlier • Cincinnati, OH, United States
Remote
Full-time
Last updated: 2 days ago • Promoted
AI Writing Reviewer - Remote
Outlier • Cincinnati, OH, United States
Remote
Full-time
Last updated: 2 days ago • Promoted
Travel Nurse - Telemetry in Cincinnati, OH - $7926 / month
VETTED • Cincinnati, OH, United States
Temporary
Last updated: 2 days ago • Promoted
Travel Nurse RN - Med Surg / Telemetry
GHR Healthcare - PH Division • Cincinnati, OH, US
Full-time
Last updated: 1 day ago • Promoted
Travel Nurse RN - Progressive Care Unit - $1,893 per week in Fairfield, OH
TravelNurseSource • Fairfield, OH, US
Full-time +1
Last updated: 4 days ago • Promoted