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Home Based Medical Coding Consultant Jobs (NOW HIRING)

Medical Coding Specialist At Claritev, we pride ourselves on being a dynamic team of innovative ... Research, review and provide internal response based on receipt of itemized bills, claims ...

If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of ... The pay range may be higher or lower based on geographic location and individual pay will vary ...

Medical Coding Specialist At Claritev, we pride ourselves on being a dynamic team of innovative ... Research, review and provide internal response based on receipt of itemized bills, claims ...

Consultative Coding Professional

Columbia, SC · On-site

$15.25 - $20.50/hr

You will report to Director, Medical Coding. Relationship/Concierge Services: * Cultivate ... Based on one-on-one engagement with clinicians, identify documentation improvement areas and ...

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Home Based Medical Coding Consultant information

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$31K

$148.2K

$399K

How much do home based medical coding consultant jobs pay per year?

As of Jun 30, 2026, the average yearly pay for home based medical coding consultant in the United States is $148,159.00, according to ZipRecruiter salary data. Most workers in this role earn between $97,500.00 and $181,500.00 per year, depending on experience, location, and employer.

What is the difference between Home Based Medical Coding Consultant vs Medical Coding Specialist?

AspectHome Based Medical Coding ConsultantMedical Coding Specialist
CertificationsAHIMA, AAPC certifications often preferredSame certifications typically required
Work EnvironmentPrimarily remote/home-basedCan be in-office or remote
Employer & IndustryHospitals, clinics, insurance companies, remote workHospitals, clinics, insurance companies, may work on-site or remotely
Job FocusConsulting, auditing, advising on coding practicesAssigning codes, reviewing medical records

While both roles require similar certifications and work in healthcare settings, a Home Based Medical Coding Consultant primarily offers consulting and auditing services remotely, whereas a Medical Coding Specialist focuses on assigning and reviewing codes directly from medical records, often in a clinical or hospital environment.

Is CPC in demand?

Certified Professional Coder (CPC) certification is highly valued in medical coding and is in strong demand due to the ongoing need for accurate medical billing and coding in healthcare. Home-based medical coding consultants with CPC credentials are often sought after for their expertise in insurance claims, coding accuracy, and compliance with industry standards.

Are medical coders going to be replaced by AI?

Home Based Medical Coding Consultants perform tasks that require understanding medical terminology and coding guidelines, which AI can assist but not fully replace. While AI tools can improve efficiency and accuracy, human oversight remains essential for complex cases, compliance, and quality assurance in medical coding. The role is expected to evolve with technology, emphasizing skills in interpreting medical records and managing coding software.

What are the key skills and qualifications needed to thrive as a Home Based Medical Coding Consultant, and why are they important?

To thrive as a Home Based Medical Coding Consultant, you need in-depth knowledge of medical terminology, anatomy, and coding systems such as ICD-10, CPT, and HCPCS, typically backed by a relevant certification like CPC or CCS. Familiarity with electronic health record (EHR) systems, coding software, and secure remote work platforms is crucial. Attention to detail, self-motivation, and strong organizational and communication skills are important soft skills for success in a remote environment. These skills and qualifications ensure accurate and compliant coding, help prevent billing errors, and support effective collaboration with healthcare providers from a home-based setting.

Can you work from home being a medical coder?

Home-based medical coding consultants can work from home, as many healthcare organizations and coding companies offer remote positions. These roles typically require certification, strong computer skills, and familiarity with coding software and medical records systems. Working from home provides flexibility but also demands self-discipline and attention to detail to ensure accurate coding and compliance.

What pays more, CCS or CPC?

For a Home Based Medical Coding Consultant, Certified Coding Specialist (CCS) credentials generally lead to higher pay compared to Certified Professional Coder (CPC) because CCS is more advanced and often required for hospital coding roles. CPCs are widely used for outpatient and physician office coding and tend to have lower salary ranges. Salary differences also depend on experience, location, and employer type.

What is a Home Based Medical Coding Consultant?

A Home Based Medical Coding Consultant is a healthcare professional who works remotely to review clinical documents and assign standardized medical codes for diagnoses and procedures. These codes are used for billing, insurance claims, and maintaining patient records. Consultants often have experience in various medical specialties, and they help healthcare organizations ensure compliance with regulatory standards. Working from home, they utilize secure software to access patient data and communicate with clients or healthcare providers. This role typically requires certification in medical coding and a strong understanding of medical terminology and healthcare regulations.

What are the common challenges faced by Home Based Medical Coding Consultants, and how can they be managed?

Home Based Medical Coding Consultants often face challenges such as maintaining accuracy without in-person supervision, staying updated with frequent coding guideline changes, and managing effective communication with healthcare providers remotely. To manage these, it's important to set up a dedicated, distraction-free workspace, use secure and up-to-date coding software, and participate in regular virtual meetings or training sessions. Staying connected with professional networks and continuing education also helps consultants stay current and engaged with industry best practices.
What cities are hiring for Home Based Medical Coding Consultant jobs? Cities with the most Home Based Medical Coding Consultant job openings:
What are the most commonly searched types of Medical Coding Consultant jobs? The most popular types of Medical Coding Consultant jobs are:
What states have the most Home Based Medical Coding Consultant jobs? States with the most job openings for Home Based Medical Coding Consultant jobs include:

Medical Coding Specialist

Claritev

Manhattan, NY • On-site

$60K - $63K/yr

Full-time

Medical, Retirement

Posted 23 days ago


Job description

Medical Coding Specialist

At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders - internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and Upward!!!

JOB SUMMARY
The Medical Coding Specialist is responsible for providing billing analysis of claims and applying coding standards and federal regulations to ensure correct billing practices. In this role, you will perform bill and chart reviews to identify any variation from quality billing practices and monitor patient bills for accuracy and compliance. This position also requires awareness of international coding systems and healthcare billing practices to support global operations and ensure alignment with international regulatory standards.

DUTIES

  1. Review and analyze inpatient, outpatient, and provider billing for medical appropriateness of treatment; analyze charges across various revenue centers with consideration to patient diagnosis, procedures, age, facility type, and international healthcare norms where applicable.
  2. Apply recommendation of national coding and international coding and regulation standards (e.g., ICD-10-AM, OPCS-4, SNOMED CT) to claims billed.
  3. Prepare clear, concise and legible findings, including documentation that may be used in cross-border audits or international compliance reviews.
  4. Research, review and provide internal response based on receipt of itemized bills, claims, operative notes and other documentation, including those from international providers or translated medical records.
  5. Assist with, create or enhance internal claim and review recommendations.
  6. Communicate with co-workers and management regarding clinical and reimbursement findings.
  7. Assist with clinical education of staff as it relates to clinical aspects of claims, suggesting additional negotiation talking points or tools, and communicating overall industry or regulatory changes which affect the department.
  8. Monitor, research, and summarize trends, coding practices, and regulatory changes across multiple countries or regions.
  9. Research and review individual claims, claim trends or detailed itemized bills, operative notes and other documentation as needed.
  10. Collaborate, coordinate, and communicate across disciplines and departments.
  11. Ensure compliance with HIPAA and international data protection regulations (e.g., GDPR, PIPEDA).
  12. Demonstrate commitment to the Company's core values.
  13. Please note due to the exposure of PHI sensitive data this role is considered to be a High Risk Role.
  14. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

JOB SCOPE
This position works independently with general supervision in order to complete the outlined responsibilities. The incumbent balances several projects at a time and work is varied and complex. Complex issues are referred up to higher levels. The incumbent will use established procedures and knowledge of the Company's general business principles, industry dynamics, market trends, and specific operational details when performing all aspects of the job.

COMPENSATION
The salary range for this position is $60,000 - $63,000. Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.