Utility Management RN-Coding Specialist

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This range is provided by Mercor. 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

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About The Job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey .

Position: Utility Management Nurse

Type: Contract / Part-time

Compensation: $45–$75/hour

Location: Remote/In person

Commitment: Flexible hours

Role Responsibilities

• Review and optimize insurance coding practices to ensure compliance and maximize reimbursement accuracy.
• Evaluate existing revenue management workflows and recommend improvements using AI-driven documentation tools.
• Translate complex clinical notes into standardized coding formats (ICD-10, CPT, HCPCS) aligned with payer policies.
• Assess coding accuracy against insurance guidelines and payer documentation requirements.
• Collaborate with engineering and product teams to refine AI models for medical coding and documentation.
• Ensure compliance with HIPAA, CMS, and payer-specific coding regulations.

Qualifications

Must-Have

• Licensure: Registered Nurse (RN) or equivalent clinical background.
• Experience: Minimum 3–5 years in medical coding, clinical documentation improvement (CDI), or revenue cycle management.
• Certifications: CPC, CCS, or CRC certification preferred.
• Familiarity with hospital billing systems, payer policy interpretation, and coding audit procedures.
• Strong understanding of clinical documentation standards and payer logic.
• Comfortable working with EHR systems (Epic, Cerner, Meditech) and documentation review software.

Preferred

• Experience within hospital revenue integrity teams or insurance utilization management.
• Exposure to AI-powered healthcare documentation tools or automated coding systems.
• Ability to identify and flag edge cases or policy exceptions in automated workflows.
• Strong collaboration skills with cross-functional teams.

Resources & Support

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Seniority Level

Not Applicable

Employment Type

Part-time

Job Function

Health Care Provider

Industries

Software Development

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