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Insurance Coder Remote Jobs in Florida (NOW HIRING)

TEKsystems

Denials Specialist

Jacksonville, FL · Remote

$26/hr

Denial Specialist REMOTE | $26.00 USD/hour Highlights: • Industry: Healthcare Revenue Cycle • ... insurance claim denials, underpayments, and reimbursement discrepancies. • Perform accounts ...

Kemper

Guidewire Developer-ClaimCenter

Jacksonville, FL · On-site +1

$50.50 - $66.75/hr

... TX, Remote-CT, Remote-GA, Remote-IL, Remote-IN, Remote-OH, Remote-PA, Remote-TX, Remote-VA ... insurance claim domain. In this role, you will design and code scalable solutions, influence ...

Kemper

Guidewire Developer-ClaimCenter

Tampa, FL · On-site +1

$51.50 - $68/hr

... TX, Remote-CT, Remote-GA, Remote-IL, Remote-IN, Remote-OH, Remote-PA, Remote-TX, Remote-VA ... insurance claim domain. In this role, you will design and code scalable solutions, influence ...

L3HHCM20

Sr. Specialist PCB Designer-REMOTE

Melbourne, FL · On-site +1

$91K - $170K/yr

REMOTE- US Job Code: 42917 Job Schedule: 9/80- employees work 9 hours out of 14 days- totaling 80 ... L3Harris also offers a variety of benefits, including health and disability insurance, 401(k) match ...

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Insurance Coder Remote information

What does an insurance coder 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 the key skills and qualifications needed to thrive as a remote insurance coder?

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.

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.

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 are popular job titles related to Insurance Coder Remote jobs in Florida?

For Insurance Coder Remote jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Insurance Coder Remote jobs in Florida look for?

The top searched job categories for Insurance Coder Remote jobs in Florida are:

What cities in Florida are hiring for Insurance Coder Remote jobs?

Cities in Florida with the most Insurance Coder Remote job openings:

Insurance Coder Remote jobs near you

Denial Recovery Coding Analyst | Enterprise Denials

UF Health

Gainesville, FL • Remote

Full-time

Re-posted 28 days ago

Job description

Overview

Work remotely while using your denial management expertise to make a direct impact on healthcare operations.

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???? Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or TX)
???? FTE: Full-Time (1.0 FTE)

Responsible for maintaining low denial rates and optimizing reimbursement across the enterprise by ensuring high coding standards and effective denial management practices. Leads and supports initiatives to improve coding accuracy, reimbursement outcomes, and appeal turnaround times.

Performs in-depth analysis of denial trends, including Epic system edits, coding validation, Charge Description Master (CDM) processes, authorization trends, and payer denials. Identifies opportunities for performance improvement and implements strategies to enhance revenue cycle outcomes.

Educates departments on appropriate charging, billing, and coding practices to ensure regulatory compliance. Collaborates with Managed Care, Compliance, and operational teams to resolve complex issues with departments and payers, driving sustainable improvements in reimbursement and denial prevention.


Responsibilities

Key Responsibilities:

  • Manages clinical denials from assigned work queues, including claim resubmissions, authorization verification, payer reprocessing, reconsiderations, and appeals
  • Partners closely with Managed Care and payers to reduce denials and improve reimbursement outcomes
  • Analyzes denial trends and develops recommendations to improve coding accuracy and documentation practices
  • Meets established productivity and accuracy standards, including reviewing approximately 30 accounts per day with a 98% accuracy rate
  • Applies coding guidelines (NCCI, ICD-10, CPT, HCPCS, CMS) to accurately review, code, and correct accounts
  • Collaborates with department managers to track, report, and resolve denials, including participating in audits and compliance reviews
  • Identifies root causes of denials, tracks trends, and escalates findings to leadership for follow-up and process improvement
  • Works across multiple payer work queues, including Medicare, Medicaid, government, and commercial payers
  • Research denials related to authorization, medical necessity, non-covered services, coding, and billing issues, ensuring timely resolution and appeal submission
  • Prepares and submits detailed, well-supported reconsiderations and appeals based on medical record review and payer requirements
  • Monitors payer communications and policy updates to identify risks impacting reimbursement and authorization requirements
  • Reviews and corrects coding, including modifier usage, diagnosis sequencing, and compliance with coding guidelines
  • Reviews and adjusts charges as needed based on documentation, billing, and regulatory standards
  • Educates departments on denial prevention strategies, including improvements in coding, charging, and authorization processes

Qualifications

Minimum Qualifications:

  • High School Diploma or GED required
  • One of the following coding certifications required: CPC, COC, RHIT, RHIA, or CCS
  • 1–2 years of coding experience, along with 1–2 years of denial management and/or insurance-related experience

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