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Insurance Coder Remote Jobs in Colorado (NOW HIRING)

Strive Health

Risk Adjustment Coder

Denver, CO · On-site +1

$19.25 - $25.75/hr

Hybrid-Remote Flexibility -Work from home while fulfilling in-person needs at the office, clinic ... Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance programs ...

Valleyhealth

$33.99 - $42.49/hr

Position Summary The Outpatient Coding Auditor is responsible for auditing coded outpatient medical ... Group Term Life Insurance and AD&D(Full Time Employees) * Flexible Spending Accounts and Commuter ...

American Family Care

Coding Operations Manager

Denver, CO · On-site +1

$90K - $115K/yr

Health insurance * Opportunity for advancement * Training & development American Family Care (AFC ... remote position. Compensation: $90,000.00 - $115,000.00 per year We are an equal opportunity ...

Medical College of Wisconsin

$74K - $94K/yr

... coder education, as well as team and/or clinical department educational sessions. All remote work ... Pet Insurance * On campus Fitness Facility, offering onsite classes * Additional discounted rates ...

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Insurance Coder Remote information

Is ICD coding difficult?

ICD coding is a specialized skill required for insurance coders, involving understanding medical terminology and coding guidelines. It can be challenging initially due to the complexity of medical conditions and the need for accuracy, but with training and practice, proficiency improves. Many coders use coding manuals and software tools to assist in the process.

What are the key skills and qualifications needed to thrive as a Remote Insurance Coder, and why are they important?

To thrive as a Remote Insurance Coder, you need a thorough understanding of medical terminology, ICD-10, CPT, and HCPCS coding systems, usually backed by a relevant certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems, coding software, and claim submission platforms is essential. Attention to detail, strong organizational skills, and the ability to work independently are vital soft skills in this remote role. These skills ensure accurate coding, timely billing, and compliance with healthcare regulations, which directly impact reimbursement and minimize claim denials.

Is AI replacing medical coders?

AI technology is increasingly used to assist medical coders by automating routine coding tasks and improving accuracy. However, human medical coders are still essential for complex cases, quality assurance, and interpreting nuanced medical documentation. The role of an insurance coder remains valuable, especially with skills in coding systems like ICD-10 and CPT, and ongoing training to adapt to technological advancements.

What are some common challenges faced by remote insurance coders, and how can they be effectively managed?

Remote insurance coders often face challenges such as staying updated with frequent coding guideline changes, maintaining productivity without in-person supervision, and ensuring secure handling of sensitive patient data from home. To manage these, it's important to regularly participate in virtual training sessions, use secure VPN connections for accessing healthcare systems, and set a structured daily routine. Open communication with team members and supervisors via collaboration tools also helps address questions quickly and maintain coding accuracy.

Do insurance companies hire coders?

Yes, insurance companies hire medical coders to review and assign codes to healthcare services for billing and reimbursement purposes. These roles often require knowledge of coding systems like ICD-10 and CPT, and some positions may be remote or require certification. Insurance coding is essential for accurate claims processing and compliance.

What is the difference between Insurance Coder Remote vs Medical Biller Remote?

AspectInsurance Coder RemoteMedical Biller Remote
CertificationsCertified Professional Coder (CPC), Certified Coding Associate (CCA)Certified Professional Biller (CPB), Certified Coding Associate (CCA)
Work EnvironmentRemote, healthcare offices, hospitalsRemote, healthcare offices, billing companies
Industry UsageHealthcare providers, insurance companiesHealthcare providers, billing services
Primary FocusAssigning codes to diagnoses and proceduresSubmitting claims and managing billing processes

While both Insurance Coder Remote and Medical Biller Remote roles work in healthcare and often share certifications, their primary responsibilities differ. Insurance coders focus on assigning accurate medical codes, whereas medical billers handle billing submissions and claims management. Both roles are essential in healthcare revenue cycle management and are commonly performed remotely.

What pays more, CCS or CPC?

In the field of insurance coding, CPC (Certified Professional Coder) typically offers higher salaries than CCS (Certified Coding Specialist) because it covers a broader range of coding for outpatient and physician services. CPCs often work in outpatient settings and may require knowledge of both medical coding and billing, which can lead to higher earning potential. Salary differences can vary based on experience, location, and employer, but generally, CPC certification is associated with higher pay for insurance coders.

What are Insurance Coders and what do they do in a remote role?

Insurance Coders, also known as medical coders, are professionals who review medical records and assign standardized codes to diagnoses and procedures for billing and insurance purposes. In a remote position, Insurance Coders work from home using secure online systems to access healthcare documentation and ensure accurate coding according to industry standards like ICD-10, CPT, and HCPCS. Their work helps healthcare providers receive proper reimbursement from insurance companies while ensuring compliance with regulations. Attention to detail and knowledge of medical terminology are essential in this role.
What are popular job titles related to Insurance Coder Remote jobs in Colorado? For Insurance Coder Remote jobs in Colorado, the most frequently searched job titles are:
What job categories do people searching Insurance Coder Remote jobs in Colorado look for? The top searched job categories for Insurance Coder Remote jobs in Colorado are:
Insurance Coder Remote jobs near you
Risk Adjustment Coder

Risk Adjustment Coder

Strive Health

Denver, CO • On-site, Remote

$19.25 - $25.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 29 days ago

Job description

How You'll Make An Impact
At Strive Health, patients come first. We're on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey.
Our work reduces emergency visits, improves outcomes, and helps patients live fuller lives. You'll work alongside passionate Strivers who care deeply about making an impact, show up for one another as One Team, and find ways to elevate the everyday.
If you're looking for meaningful work where your contributions truly matter, you'll feel right at home at Strive!
Benefits & Perks
  • Hybrid-Remote Flexibility -Work from home while fulfilling in-person needs at the office, clinic, or patient home visits.
  • Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance programs, employer-paid and voluntary life and disability insurance, plus health and flexible spending accounts.
  • Financial & Retirement Support - Competitive compensation with a performance-based bonus program, 401k with employer match, and financial wellness resources.
  • Time Off & Leave - Paid holidays, vacation time, sick time, and paid birthgiving, bonding, sabbatical, and living donor leaves.
  • Wellness & Growth - Family forming services through Maven Maternity at no cost and physical wellness perks, mental health support, and an annual professional development stipend.

To learn more about our offerings, click here.
What You'll Do
The Coder, Risk Adjustment Coding is responsible for supporting the Strive operational and clinical team and partner Nephrologists by reviewing risk adjustment visits for appropriate clinical documentation support. This role is responsible for supporting the growth and improvement of Strive's risk adjustment capabilities. The coder will ensure technical aspects of diagnostic and procedure coding follow CMS, NCQA, third party payers and other regulatory agencies. They will review assigned provider's documentation and coding from end to end, including proper application of ICD-10 codes, CPT and CPT II codes. The coder shall educate assigned providers on CMS, AMA and Strive documentation and ICD-10-CM coding guidelines, as necessary. This role will perform provider queries and addendum requests based on CMA, AMA documentation and coding guidelines. This individual will assist in special coding audits and coding projects as necessary and provide ongoing feedback to the clinical management team regarding coding and documentation trends to ensure accurate coding and documentation to improve overall health outcomes for patients and continuity of care. This role will report to the Manager, Risk Adjustment.
The Day to Day
  • Delivers value to Strive and its beneficiaries enrolled in Risk Adjusted government programs (MA, ACO, ACA, CKCC), using skills including but not limited to: HCC (Hierarchical Condition Category) Coding, medical coding, clinical terminology and anatomy/physiology, CMS coding guidelines, RADV Audits, and review of CPT and CPT II codes as applicable.
  • Works closely with physicians, team members, quality, and compliance partners at enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding.
  • Supports all Strive risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories.
  • Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements.
  • Performs HCC coding on projects for MA, ACA, and ESRD. Ability to quickly flex between coding projects, including retro and prospective, with different MA, ESRD, and ACA HCC Models.
  • Works independently in various coding applications and electronic medical record systems to support departmental goals.
  • Shall consistently meet coding productivity and 95% accuracy and any additional requirements as set forth by the Coding Manager.

Minimum Qualifications
  • Active, approved CRC (Certified Risk Adjustment Coder) or CPC (Certified Professional Coder) License. From AAPC or AHIMA.
  • 5+ years combined of related education, coding/auditing experience, or certification.
  • Internet Connectivity - Min Speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 ms.
  • Ability to travel and be onsite to meet business needs.

Preferred Qualifications
  • 5+ year's experience using ICD-10-CM, 2+years' experience with risk adjustment coding and training geared toward physicians.
  • Expert in coding and documentation guidelines, knows how to develop strong relationships with clinicians, and is an effective, strong communicator.
  • Successful candidates will also have presentation experience in the following areas: ICD-10-CM, CPT and HCPCS.
  • Extensive knowledge of documentation and coding guidelines established by the Center for Medicare and Medicaid Services (CMS) and the American Medical Association (AMA) for assignment of diagnostic and procedural codes.
  • Knowledge of Federal laws and regulations, including NCDs and LCDs affecting risk adjustment documentation and coding compliance.
  • MS Office Suite, Electronic Medical Records, Encoder, and other software programs and internet-based applications.

About You
  • Use a customer focused approach in dealing with conflict and resolution of problems.
  • Strong clinical assessment and critical thinking skills.
  • Excellent verbal and written communication skills.
  • Ability to work in a remote team environment while also being a strong individual contributor.
  • Flexibility and strong organizational skills needed.

Hourly Base Range: $27.88 - $32.21
Final compensation will be determined based on location, experience, and qualifications.
Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all qualifications. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talentacquisition@strivehealth.com.
We do not accept unsolicited resumes from outside recruiters/placement agencies. Strive Health will not pay fees associated with resumes presented through unsolicited means.

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