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From Home R1 Rcm Medical Coding Jobs in Vallejo, CA

UnitedHealth Group

Medical Coder - RAD-ONC

Walnut Creek, CA · On-site

$20.38 - $36.44/hr

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some ... Generates coding queries for clarification regarding physician documentation as needed * Stays ...

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All JobsR1 Rcm Medical Coding JobsFrom Home R1 Rcm Medical Coding JobsFrom Home R1 Rcm Medical Coding Jobs in Vallejo, CA

From Home R1 Rcm Medical Coding information

See Vallejo, CA salary details

$17

$25

$38

How much do from home r1 rcm medical coding jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for from home r1 rcm medical coding in Vallejo, CA is $25.30, according to ZipRecruiter salary data. Most workers in this role earn between $20.34 and $27.12 per hour, depending on experience, location, and employer.

What is a from home R1 RCM medical coder?

A From Home R1 RCM Medical Coding job involves working remotely for R1 RCM, a revenue cycle management company, to review and assign standardized medical codes to diagnoses and procedures in patient records. Medical coders use systems like ICD-10, CPT, and HCPCS to ensure healthcare providers receive proper reimbursement from insurance companies. Working from home allows for flexible work hours while still maintaining accuracy and compliance with healthcare regulations. This role typically requires specialized training in medical coding and may require certification.

What is the difference between From Home R1 Rcm Medical Coding vs R1 Rcm Medical Billing?

AspectFrom Home R1 Rcm Medical CodingR1 Rcm Medical Billing
CertificationsCPMA, CPC, CCSCPC, CPC-H, CCS
Work EnvironmentRemote, home-basedRemote or office-based
Industry UsageHealthcare, insurance claimsHealthcare, billing and collections
Job FocusAssigning medical codes for diagnoses and proceduresProcessing patient bills and insurance claims

From Home R1 Rcm Medical Coding primarily involves assigning accurate medical codes for diagnoses and procedures, often working remotely. R1 Rcm Medical Billing focuses on managing patient billing, submitting claims, and collections. While both roles are essential in healthcare revenue cycle management, coding emphasizes documentation accuracy, whereas billing centers on financial transactions.

What are the key skills and qualifications needed to thrive as a from home R1 RCM medical coder?

To thrive as a Work-from-Home R1 RCM Medical Coder, you need a solid understanding of medical terminology, anatomy, ICD-10/CPT/HCPCS coding systems, and typically a certification such as CPC or CCS. Familiarity with medical billing software, electronic health records (EHR), and compliance tools is essential. Strong attention to detail, time management, and effective communication skills set top performers apart in this role. These competencies ensure accurate claims processing, minimize errors, and support timely reimbursements for healthcare providers.

What are some common challenges faced by remote R1 RCM medical coders, and how can they be addressed?

Remote R1 RCM medical coders often encounter challenges such as maintaining consistent communication with team members, managing time effectively without in-person supervision, and staying updated with frequent changes in coding regulations. Utilizing collaboration tools, participating in regular virtual check-ins, and dedicating time for ongoing learning can help address these issues. Additionally, establishing a dedicated workspace and setting a structured daily routine can significantly improve productivity and work-life balance.
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From Home R1 Rcm Medical Coding jobs near you

Certified Professional Coder, Auditor

Integrated Pain Management Medical Group, Inc.

Walnut Creek, CA • On-site

$28 - $33/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 16 days ago

Job description

The Revenue Cycle Management CPC Auditor is responsible for conducting comprehensive audits across all phases of the revenue cycle to ensure accuracy, compliance, and optimal reimbursement. This role is critical in identifying revenue leakage, reducing denials and strengthening internal controls and staff productivity requirements. The Auditor will evaluate charge capture, coding accuracy, documentation integrity, billing workflows, payment posting, denial follow-up, Appeals, and AR follow-up for RCM, clinical, and provider teams to drive continuous process improvement.


*This is a remote role. We are only hiring in the following states: AZ, CA, NM, NV, OR, TX and WA.


What you will do:

  • Audit execution & oversight by performing routine and ad hoc audits across the full revenue cycle process, including: 
    • Charge entry and charge capture accuracy 
    • CPT, HCPCS, and ICD-10 coding compliance 
    • Modifier usage 
    • Workers’ compensation billing rules and state-specific fee schedules 
    • Claim submission accuracy and clean claim rates 
    • Payment posting and adjustment accuracy 
    • AR follow-up effectiveness and denial resolution workflows 
  • Conduct pre-bill and post-bill audits to identify trends impacting reimbursement and compliance 
  • Denial & Revenue leakage analysis: 
    • Analyze denial trends across WC, Medicare, and commercial payers 
    • Identify root causes of denials and recommend corrective actions 
    • Quantify revenue impact from: 
    • Coding errors 
    • Missed charges 
    • Underpayments 
    • Inefficient workflows 
  • Ensure adherence to: 
    • CMS guidelines and Medicare billing requirements 
    • NCCI (CCI edits) and payer-specific edits 
    • State Workers’ Compensation regulations 
    • Documentation standards for pain management procedures 
    • Support internal and external audit readiness (RAC, MAC, payer audits). 
  • Reporting & KPI development through audit dashboard 
  • Maintain monthly & quarterly records of all RCM, clinical, and provider audit scores and training requirements 
  • Partner with all BHC teams to develop and deliver targeted education based on audit findings. 
  • Assist in creating and updating SOPs and workflows to reduce errors and improve efficiency 
  • Establish and maintain quality assurance programs across RCM functions 
  • Perform routine QA reviews of staff productivity and accuracy 
  • Recommend automation opportunities and system enhancements 
  • Assumes other responsibilities as appropriate to the position and organizational needs


Qualifications:

  • High school diploma or equivalent required; Associate degree preferred 
  • Active coding certification required: CPC, CCS, or equivalent (AAPC or AHIMA) 
  • 5+ years of experience in revenue cycle management  
  • 3+ years of auditing experience within healthcare billing or coding 
  • Strong experience in pain management 
  • Experience with Medicare and commercial payer guidelines 
  • Ability to work in a fast-paced environment, meet daily deadlines, and collaborate with cross-functional RCM teams 
  • Excellent communication skills with ability to present findings to providers and RCM leadership 
  • Advanced understanding of NCCI edits and payer-specific billing guidelines 
  • Accuracy and attention to detail, analytical thinking and problem solving and high integrity and compliance focus 
  • Advanced proficiency in Microsoft Excel (e.g., formulas, pivot tables) and solid skills in other Microsoft Office applications 



Compensation Range: 

$28.00 to $33.00 Hourly

All compensation ranges are posted based on internal equity, job requirements, experience, and geographical locations.


Why You'll Love Working Here:

  • Amazing work/life balance
  • Generous Medical, Dental, Vision, and Prescription benefits (PPO & HMO)
  • 401(K) Plan with Employer Matching
  • License & Tuition Reimbursements
  • Paid Time Off
  • Holiday Pay & Floating Holiday
  • Employee Perks and Discount Programs
  • Supportive environment to help you grow and succeed


Boomerang Healthcare (BHC) is a multidisciplinary and comprehensive team of experienced, committed healthcare providers that treat pain. Our team of doctors approaches each patient with one goal in mind: to help patients return to normal daily activities. We work with our patients to identify the cause of their pain and create a personalized treatment plan, recognizing that no two patients are alike, and neither is their pain. Our providers create a comprehensive care plan, then monitor, manage and coordinate patient access to health services at BHC. 

Boomerang Healthcare strives to be a diverse workforce that reflects, at all job levels, the patients we serve. We are an equal opportunity employer. Boomerang Healthcare is committed to compliance with the American Disabilities Act. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please contact us.



Monday-Friday, 8am-5pm
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