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