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From Home Bcbs Coding Jobs (NOW HIRING)

We offer the ability to work from your home office, a flexible schedule and part-time leave. Weston ... Certification as a Certified Professional Coder (CPC) and Certified Coding Specialist (CCS) with ...

The availability of work-from-home option is dependent on the candidate meeting the minimum ... Coding Specialist Competencies General * Customer Service * Professionalism/Integrity ...

Candidates residing in CA and Colorado will not be considered due to WFH and vaccine mandate. * Experience in coding quality edits and handling customer complaints related to potential coding errors.

Day Assignment Category: Full-time regular Hours per Pay Period: 80 Work From Home 100%: Yes Pay ... Technical Job Schedule: Full time Remote Find your purpose as a Coding Specialist Educator at ...

Clinical Coding Specialist (Inpatient) Role As an Inpatient Coding Specialist at SmarterDx, you ... Remote-First Team - Work from anywhere in the U.S. * Unlimited PTO & 10 Holidays - So you can relax ...

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From Home Bcbs Coding information

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$17

$29

$70

How much do from home bcbs coding jobs pay per hour?

As of Jul 11, 2026, the average hourly pay for from home bcbs coding in the United States is $29.29, according to ZipRecruiter salary data. Most workers in this role earn between $21.88 and $29.09 per hour, depending on experience, location, and employer.

What are some common challenges faced by remote BCBS medical coders and how can they be managed?

Remote BCBS (Blue Cross Blue Shield) medical coders often face challenges such as staying updated with frequent coding guideline changes, managing productivity without in-person supervision, and ensuring secure handling of sensitive patient data. To manage these challenges, it's important to regularly participate in training sessions, use secure company-approved software for communication and data access, and set up a dedicated, distraction-free workspace. Collaboration with team members is typically facilitated through virtual meetings and messaging platforms to maintain workflow consistency and support.

What is a work from home BCBS coding job?

A work from home BCBS coding job involves reviewing and assigning standardized medical codes to healthcare diagnoses, procedures, and services for Blue Cross Blue Shield (BCBS) insurance claims. Coders working remotely use specialized coding systems like ICD-10, CPT, and HCPCS to ensure accurate billing and reimbursement. This role requires attention to detail, knowledge of medical terminology, and strict adherence to privacy regulations like HIPAA. Many employers provide training and software access for remote coders, and certification such as CPC or CCS is often preferred.

What are the key skills and qualifications needed to thrive as a Work-from-Home BCBS Medical Coder, and why are they important?

To excel as a work-from-home BCBS medical coder, you need in-depth knowledge of medical terminology, coding systems like ICD-10 and CPT, and a certification such as CPC or CCS. Familiarity with coding software, electronic health records (EHR), and claims management platforms is typically required. Attention to detail, strong organizational skills, and self-motivation are vital soft skills for maintaining accuracy and productivity remotely. These competencies ensure precise coding, prompt reimbursement, and regulatory compliance, which are crucial for healthcare organizations and insurance processes.

What is the difference between From Home Bcbs Coding vs From Home Medical Coding Specialist?

AspectFrom Home Bcbs CodingFrom Home Medical Coding Specialist
CertificationsAHIMA or AAPC certification often preferredAHIMA or AAPC certification typically required
Work EnvironmentRemote, home-basedRemote, home-based
Industry UsageHealth insurance companies, specifically BCBSHospitals, clinics, insurance companies
Job FocusBilling and coding for BCBS insurance claimsGeneral medical coding across various providers

From Home Bcbs Coding primarily involves coding and billing specifically for Blue Cross Blue Shield insurance claims, often requiring familiarity with BCBS policies. In contrast, From Home Medical Coding Specialist covers a broader range of medical coding tasks across different healthcare providers. Both roles are remote and require similar certifications, but their focus and employer types differ.

More about From Home Bcbs Coding jobs
What cities are hiring for From Home Bcbs Coding jobs? Cities with the most From Home Bcbs Coding job openings:
What are the most commonly searched types of Bcbs Coding jobs? The most popular types of Bcbs Coding jobs are:
What states have the most From Home Bcbs Coding jobs? States with the most job openings for From Home Bcbs Coding jobs include:
Infographic showing various From Home Bcbs Coding job openings in the United States as of July 2026, with employment types broken down into 10% Internship, 2% As Needed, 80% Full Time, 6% Part Time, 1% Contract, and 1% Nights. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $60,920 per year, or $29.3 per hour.
Mid Coding Specialist II

Full-time

Medical, Retirement, PTO

Posted 3 days ago

New


UT Southwestern rating

7.9

Company rating: 7.9 out of 10

Based on 148 frontline employees who took The Breakroom Quiz

105th of 881 rated healthcare providers


Job description

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
JOB SUMMARY
The successful candidate will work under general supervision to perform accurate and compliant coding of moderate-complexity medical and surgical specialties within a highly specialized academic medical center environment, with a primary focus on coding professional services for cardiology specialties. Exercises independent judgment in the review of encounters characterized by moderate to high documentation variability, NCCI bundling edits, payer-specific surgical policies, advanced modifier application, co-surgeon and trainee requirements, validation of incident-to/split-shared services and teaching physician documentation compliance. Evaluates and resolves AI-assisted coding exceptions to ensure coding accuracy, regulatory compliance, audit readiness, and appropriate reimbursement.
  • Shift: 8-hour days, Monday through Friday
  • Work From Home (WFH): This is a WFH opportunity. Candidates must live in TX.

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
  • PPO medical plan, available day one at no cost for full-time employee-only coverage
  • 100% coverage for preventive healthcare-no copay
  • Paid Time Off, available day one
  • Retirement Programs through the Teacher Retirement System of Texas (TRS)
  • Paid Parental Leave Benefit
  • Wellness programs
  • Tuition Reimbursement
  • Public Service Loan Forgiveness (PSLF) Qualified Employer
  • Learn more about these and other UTSW employee benefits!

EXPERIENCE AND EDUCATION
Required
  • Education
    High School Diploma or GED Equivalent
  • Experience
    2 years of coding and/or billing experience

Preferred
  • Experience
    Experience coding moderate-complexity specialties and procedures requiring advanced bundling, modifier logic, and payer-specific rule application.
    Progressive professional billing and or coding responsibility and advanced technical proficiency.
    Experience in academic medical centers, multi-specialty physician groups, or complex ambulatory environments.
    Experience resolving charge review edits and back-end coding denials, including root-cause analysis and collaboration with providers and operational leaders.
    Experience supporting revenue integrity initiatives, compliance auditing, clinical documentation improvement (CDI), or operational performance improvement efforts.
    Experience working independently in a fast-paced, metric-driven, AI-enabled environment managing multiple work queues and shifting specialty assignments.
  • Licenses and Certifications
    (CPC) CERT PROFESSIONAL CODER or
    (CCS-P) CERT CODING SPCLST PHY BA or
    (CMC) CERT MEDICAL CODER or
    (RHIA) REGD HEALTH INFO ADMINIST or
    (RHIT) REGD HEALTH INFO TECHNOLO or
    (CCS) CERT CODING SPECIALIST or
    (CPMA) Cert Prof Medical Auditor

JOB DUTIES
  • Meets productivity and quality standards set by coding leadership.
  • Reviews and validate moderate-complex physician encounter documentation within Epic to ensure accurate and compliant documentation, ICD-10-CM, CPT, and HCPCS code assignment prior to claim submission.
  • Identifies and mitigates compliance risks associated with moderate-complexity encounters, including multiple interdependent diagnoses, intermediate-risk procedures, split/shared and incident to services, and teaching physician documentation.
  • May support multiple specialties in a hybrid role as needed.
  • Reviews and resolves coding-related edits, including NCCI bundling conflicts, modifier application, MUE limits, payer-specific requirements, and global surgical package considerations.
  • Evaluates, accepts, modifies, or overrides AI-generated coding outputs from Epic AI Code Assist/Complete, AI E&M LOS Assistant, and applicable third-party platforms using advanced clinical and regulatory judgment.
  • Resolves AI exception flags, documentation discrepancies, and code conflicts to ensure audit readiness and clean claim release.
  • Analyzes recurring coding edits, AI variances, and denial trends; performs root cause review and communicates findings to leadership when systemic issues are identified.
  • Collaborates with providers to clarify documentation and ensure accurate code capture that supports medical necessity and reimbursement.
  • Supports denial prevention efforts by partnering with billing and denial management teams to resolve coding-related rejections and underpayments.
  • Maintains working knowledge of ICD-10-CM, CPT, HCPCS, payer policies, LCD/NCD guidelines, and regulatory updates.
  • Participates in internal audits, quality assurance initiatives, Epic upgrades, and AI workflow optimization projects.
  • May function in a float capacity, providing coding support to maintain operational coverage and productivity standards.
  • Adheres to all organizational policies, compliance standards, data security requirements, and performance expectations.
  • Performs other duties as assigned.

SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.

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