Utility Management Nurses
Utility Management Nurses | $75/hr Remote This range is provided by Crossing Hurdles. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $45.00/hr - $75.00/hr Position: Utility Management Nurse (Insurance Coding & Revenue Management) Type: Hourly contract Compensation: $45–$75 per hour Location: Remote Commitment: Part-time, flexible hours Role Responsibilities
- Review, audit, and optimize insurance coding practices to ensure compliance and accurate reimbursement outcomes.
- Analyze existing hospital revenue management workflows and recommend improvements aligned with AI-driven documentation tools.
- Interpret clinical documentation and translate it into standardized coding formats (ICD-10, CPT, HCPCS).
- Assess coding accuracy against payer policies and documentation guidelines.
- Collaborate with product and engineering teams to improve AI-assisted medical coding and documentation workflows.
- Ensure compliance with applicable healthcare documentation, coding, and privacy standards.
Requirements
- Registered Nurse (RN) or equivalent clinical background.
- Strong experience (3–5+ years) in medical coding, clinical documentation improvement (CDI), or revenue cycle management.
- CPC, CCS, or CRC certification preferred.
- Strong experience with hospital billing systems, payer policy interpretation, and coding audit workflows.
- Strong understanding of clinical documentation standards and reimbursement logic.
- Comfort working with EHR systems and clinical documentation tools.
Application Process (Takes 20 Mins)
- Complete a short interview.
- Submit a brief follow-up form.
Seniority Level Associate Employment Type Contract Job Function Health Care Provider and Research Industries Hospitals and Health Care, Insurance, and Research Services Apply To This Job