2

Insurance Coder Remote Jobs in New York (NOW HIRING)

Remote/ EST Experience: 15+ years overall; 4+ years in AI/ML architecture/engineering Role Summary ... Use Claude Code and Cursor as first-class development accelerators (code generation, refactoring ...

... Insurance, and other industries. Today, we're growing fast and excited for new teammates to join us ... Consider multiple quality dimensions like user impact, failure tolerance, code maintenance ...

... Insurance sector. Previous payments Integration experience would be beneficial as well. If you have ... Implement and improve code reviewing process to optimize the development workflow, i.e. help ...

AI Architect Claude Code Senior Developer

NY · On-site +1

$160K - $220K/yr

... Claude Code Design the AI harness, including: State management Context management (preventing ... insurance 401(k) with employer contribution Generous PTO and holidays Fully remote (US-based) Home ...

next page

Showing results 1-20

Insurance Coder Remote information

Will a medical coder be replaced by AI?

Medical coders, including those working remotely, perform complex tasks such as reviewing medical records and applying coding guidelines, which currently require human judgment. While AI tools can assist with coding accuracy and efficiency, they are unlikely to fully replace medical coders in the near future due to the need for critical thinking and understanding of medical documentation. Continuous learning and certification remain important for job security in this field.

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.

Can you work remotely as a coder?

Insurance coders can often work remotely, as the job primarily involves reviewing medical records and coding information using specialized software. Many employers offer remote positions with flexible schedules, provided the coder has the necessary certifications and computer skills.

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 often hire medical insurance coders to review and assign codes to medical procedures and diagnoses for billing and claims processing. These roles typically require knowledge of coding systems like ICD-10 and CPT, and some positions may be remote or require certification. Insurance companies rely on coders to ensure accurate reimbursement and compliance with regulations.

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 context of insurance coding, CPC (Certified Professional Coder) typically offers higher pay than CCS (Certified Coding Specialist) because it covers a broader range of coding for outpatient and physician services. CPCs are often in higher demand due to their versatility and are frequently employed in outpatient settings, which can lead to higher salaries for remote insurance coders. However, actual pay depends on experience, certification, and employer requirements.

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 New York? For Insurance Coder Remote jobs in New York, the most frequently searched job titles are:
What cities in New York are hiring for Insurance Coder Remote jobs? Cities in New York with the most Insurance Coder Remote job openings:
AI Architect- Insurance domain

AI Architect- Insurance domain

TMS

Edison, NJ • Remote

$75/hr

Contractor

Posted 8 days ago


Job description

Role: AI Architect– Insurance (Mandatory) | Azure | API-First Microservices (.NET Program)

Duration: Long Term

Location: Remote/ EST 
 
 

Experience: 15+ years overall; 4+ years in AI/ML architecture/engineering
 

Role Summary

We are building a next-generation insurance platform, including a greenfield P&C Policy Administration System (PAS) with a microservices-based, API-first architecture on Microsoft .NET.

As the AI / ML Architect, you will lead the design and delivery of AI-powered capabilities across underwriting, pricing, claims, fraud, and operations. You will define end-to-end AI architecture (data → model → MLOps → serving), ensure secure and compliant AI, and partner closely with product, actuarial, underwriting SMEs, and engineering teams to move from prototypes to production-scale AI.

Insurance domain experience is mandatory for this role.

Key Responsibilities

1) AI Architecture & Solution Design (End-to-End)

  • Define the target-state AI/ML architecture for insurance use cases: underwriting decision support, risk scoring, claims triage, fraud detection, pricing optimization, customer/agent assist, and personalization.
  • Select and guide model approaches: predictive MLLLMs/GenAINLP (and vision models where applicable), with clear tradeoffs and success metrics.
  • Design API-first AI services that integrate cleanly with microservices (REST/gRPC, event-driven triggers, idempotency, versioning).
  • Define patterns for feature pipelines, model serving, and governance that work across multiple pods and environments.

2) Model Engineering, MLOps & Deployment (Production Focus)

  • Lead model development lifecycle: training, evaluation, validation, release, monitoring, and periodic refresh.
  • Implement MLOps pipelines: automated model testing, monitoring, drift detection, model registries, approval workflows, and rollback strategies.
  • Define serving patterns (batch/real-time/streaming) and optimize for accuracy, latency, reliability, and cost.

3) Insurance Domain Alignment (Business + Actuarial + Underwriting)

  • Partner with product owners and translate requirements into AI-enabled components and measurable outcomes.
  • Ensure AI outputs comply with underwriting guidelines, rating practices, claims workflows, and internal governance.
  • Design human-in-the-loop controls where needed for regulated decisioning and operational safety.

4) Responsible AI, Security, Compliance & Risk

  • Establish responsible AI guardrails: explainability, fairness/bias mitigation, audit trails, traceability, and model documentation standards.
  • Ensure data privacy/security controls across the pipeline: PII handling, access controls, encryption, secrets management, and environment separation.
  • Collaborate with risk/compliance to meet insurance regulatory expectations for AI systems (governance, reproducibility, reviewability).

5) Platform Integration & Cross-Functional Leadership

  • Work closely with the Chief Architect, .NET architects, data architect, DevOps, and engineering pods to align AI services to platform standards.
  • Mentor data scientists/ML engineers; enforce engineering rigor (testing, reliability, monitoring, secure coding).
  • Drive POCs and technology evaluations, and productize successful capabilities into reusable platform services.

6) AI-Assisted Engineering Enablement (Claude Code, Cursor, MCP)

  • Use Claude Code and Cursor as first-class development accelerators (code generation, refactoring, test generation, documentation), with strong review and security guardrails.
  • Standardize patterns for tool usage across teams, including MCP-based workflows/integrations (where applicable), ensuring traceability and quality gates.
  • Define measurement for productivity and quality improvements (cycle time, rework, defect leakage, release stability).

 

Must-Have Qualifications

Insurance Domain (Mandatory)

  • Proven insurance industry experience is required (P&C preferred): underwriting, rating/pricing, claims triage, fraud, policy servicing, or insurance data/analytics.
  • Experience designing or integrating ML/AI solutions in insurance decisioning contexts (e.g., risk scoring, pricing, fraud, claims).

Technical (Azure-first)

  • 4+ years hands-on AI/ML engineering and/or architecture experience; overall experience typically 12+ years.
  • Strong experience with Azure AI ecosystem, including one or more of:
    • Azure Machine Learning (training, registries, endpoints)
    • Azure OpenAI / LLM integration patterns
    • Azure AI Services (language, vision, etc.)
  • Strong MLOps experience: CI/CD for ML, model registries, monitoring, drift detection, evaluation, and controlled rollouts.
  • Experience building API-first services and deploying ML systems using Docker and Kubernetes (AKS preferred).

Engineering & Collaboration

  • Strong communication skills: can explain model tradeoffs and risks to non-technical stakeholders and client executives.
  • Proven ability to lead cross-functional teams in fast-paced environments and ship production outcomes.
  • Strong P&C insurance experience (Auto/Home/Commercial) and familiarity with PAS workflows.
  • Experience with event streaming (Kafka/Event Hubs) and real-time inference/feature pipelines.
  • Experience with responsible AI frameworks and interpretable ML methods in regulated environments.
  • Azure certifications (Azure AI Engineer / Azure Solutions Architect).