Utility Management Nurses | $75/hr Remote
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
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