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Assistant Remote Utilization Review Jobs in Rochester, NY

Rochester Regional Health

Coder - Inpatient

Rochester, NY · On-site +1

$21.50 - $26/hr

SUMMARY Review clinical documentation and diagnostic results to extract data and apply appropriate ... Riedman- Remote SCHEDULE: Day shift ATTRIBUTES * Abides by the Standards of Ethical Coding as set ...

Pronexus, LLC

Senior Accountant

Rochester, NY · Remote

$68K - $85K/yr

Senior Accountant *Part-Time or Full-Time, Remote, On-Site, and Hybrid Opportunities Available ... Review and analyze financial data to identify variances and discrepancies, resolving issues ...

Ralliant

Product Application Engineer

Fairport, NY · On-site +1

We have annual reviews and career development planning to help get you to the next level in your ... Analyze product failures and customer concerns. Assist in customer quality concerns. Generate ...

Valera Health

Mental Health Therapist

Rochester, NY · On-site +1

This means you can practice at the top of your license alongside psychiatrists, medical assistants ... Telehealth or remote experience * Self-motivated with strong independent work skills and ...

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All JobsUtilization Review JobsAssistant Remote Utilization Review JobsAssistant Remote Utilization Review Jobs in Rochester, NY

Assistant Remote Utilization Review information

See Rochester, NY salary details

$11

$24

$33

How much do assistant remote utilization review jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for assistant remote utilization review in Rochester, NY is $24.07, according to ZipRecruiter salary data. Most workers in this role earn between $20.14 and $27.02 per hour, depending on experience, location, and employer.

What is the difference between Assistant Remote Utilization Review vs Utilization Review Nurse?

AspectAssistant Remote Utilization ReviewUtilization Review Nurse
CredentialsTypically requires a nursing license, certification in case management or utilization reviewRegistered Nurse (RN) license, often with additional certifications in case management or utilization review
Work EnvironmentRemote, administrative setting, telehealth or telecommutingRemote or hospital/clinic settings, primarily telehealth or administrative
Employer & IndustryHealth insurance companies, managed care organizations, healthcare providersHospitals, insurance companies, healthcare organizations

Both roles involve reviewing patient cases to determine appropriate care and resource utilization. The Assistant Remote Utilization Review typically supports the process with administrative tasks and basic review, while the Utilization Review Nurse performs more in-depth clinical assessments. Both require nursing credentials and often work remotely within healthcare or insurance industries.

What are the most commonly searched types of Remote Utilization Review jobs in Rochester, NY? The most popular types of Remote Utilization Review jobs in Rochester, NY are:
What are popular job titles related to Assistant Remote Utilization Review jobs in Rochester, NY? For Assistant Remote Utilization Review jobs in Rochester, NY, the most frequently searched job titles are:
What job categories do people searching Assistant Remote Utilization Review jobs in Rochester, NY look for? The top searched job categories for Assistant Remote Utilization Review jobs in Rochester, NY are:
What cities near Rochester, NY are hiring for Assistant Remote Utilization Review jobs? Cities near Rochester, NY with the most Assistant Remote Utilization Review job openings:
Assistant Remote Utilization Review jobs near you
Coder - Inpatient

Coder - Inpatient

Rochester Regional Health

Rochester, NY • On-site, Remote

$21.50 - $26/hr

Full-time

Re-posted 25 days ago

Rochester Regional Health rating

7.4

Company rating: 7.4 out of 10

Based on 216 frontline employees who took The Breakroom Quiz

265th of 884 rated healthcare providers

Job description

SUMMARY
Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and ICD-10-PCS codes for billing, internal and external reporting, research, and regulatory compliance. Demonstrate knowledge of reimbursement methodologies and apply these to assigned charts to optimize reimbursement and/or resolve regulatory edits. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors
STATUS: Full-time
LOCATION: Riedman- Remote
SCHEDULE: Day shift
ATTRIBUTES
  • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), adheres to official coding guidelines, and keeps abreast of coding changes and interpretation of codes.
    • Complies with RRH & HIM department policies & procedures
    • Perform detailed review of Inpatient record documentation to identify & assign diagnosis & procedure codes using ICD-10-CM and ICD-10-PCS.
    • Meets established departmental productivity guidelines with 95% accuracy on a consistent basis.
    • Utilizes Care Connect, UDS and Clintegrity systems proficiently to obtain ICD10 codes and DRG assignment.
    • Formulates compliant Physician Coding Queries when documentation is inadequate, ambiguous or unclear for coding purposes
    • Enters and/or updates data accurately including Present on Admission (POA) indicators, Point of Origin, Discharge Disposition and other identified data.
    • Manages problematic workflow edits and other technical issues to ensure timely resolution specific to coding A/R days
    • Corrects failed claim errors to billing edits, accounts misclassified and/or other errors identified through various auditing processes in a timely manner.
    • Attends RGHS, HIM Department and Coding Team meetings and training sessions as required.
    • Ensure timely reporting for external regulations
    • Completes other duties as assigned by HIM leadership.
    • Provide assistance to customers (physicians, clinical quality staff) regarding clinical documentation opportunities, coding reimbursement issues, and quality improvement review process.

RESPONSIBILITIES
  • One of the following certifications is required:
    Applicable advance coding certification credential includes: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder Hospital Based (CPC-H), Certified Medical Coder (CMC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder Apprentice CPC-A, or a specialty coding certification.
    • Candidate with Associate degree from the and accredited American Health Information Management Associates (AHIMA) are required to sit for the Registered Health Information Technician (RHIT) exam within 1 year of hire
    • At least 2 years of progressive coding experience in a hospital or multi-specialty physician practice setting preferred.
    • For HOMECARE: Homecare Diagnosis Coding Specialist (HCS-D) certification required within 16 months of hire.
    Grandfather Clause:
    • If hired on or before September 30, 2018, 2 years of relevant work experience and one of the following coding certification credentials: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder - Hospital Based (CPC-H), Certified Medical Coder (CMC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or a specialty coding certification and Associate's degree in Health Information Management are required.
    Required Licensure/Certification Skills:
    - One of the following certifications is required:
    Applicable advance coding certification credential includes: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder Hospital Based (CPC-H), Certified Medical Coder (CMC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder Apprentice CPC-A, or a specialty coding certification.
    • Candidate with Associate degree from the and accredited American Health Information Management Associates (AHIMA) are required to sit for the Registered Health Information Technician (RHIT) exam within 1 year of hire
    • At least 2 years of progressive coding experience in a hospital or multi-specialty physician practice setting Preferred
    • Full CPC certification must be obtained within 24 months if employee holds CPC-A from the American Academy of Professional Coders (AAPC) at time of hire.
    • For HOMECARE: Homecare Diagnosis Coding Specialist (HCS-D) certification required within 16 months of hire.
    Grandfather Clause:
    • If hired on or before September 30, 2018, 2 years of relevant work experience and one of the following coding certification credentials: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder - Hospital Based (CPC-H), Certified Medical Coder (CMC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or a specialty coding certification and Associate's degree in Health Information Management are required.
    Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran.

EDUCATION:
AS: Health Information Management (Required)
LICENSES / CERTIFICATIONS:
PHYSICAL REQUIREMENTS:
S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.
PAY RANGE:
$22.00 - $32.00
CITY:
Rochester
POSTAL CODE:
14617
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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