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- Utility Management Nurses | $75/hr Remote
Utility Management Nurses | $75/hr Remote
Crossing Hurdles
Location
United States
Job Type
FULLTIME
Remote
Yes
Role Type
RN
Job Description
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
Key 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
Qualifications
- Registered Nurse (RN) or equivalent clinical background
- Strong experience (3–5+ years) in medical coding, clinical documentation improvement (CDI), or revenue cycle management
- 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
Benefits
- 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
- Compensation: $45–$75 per hour
- Location: Remote
- Commitment: Part-time, flexible hours
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