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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