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Insurance Coder Remote Jobs in Gilbert, AZ (NOW HIRING)

Auditor, Risk Adjustment

Tempe, AZ · Remote

$82K - $108K/yr

Oscar is the first health insurance company built around a full stack technology platform and a ... Quality audits are specific to ICD-10 code abstraction relative to accuracy, completeness, and ...

Senior Fire Alarm Designer COD130

Phoenix, AZ · Remote

$104K - $111K/yr

... C excellence, code compliance, and department-wide fire alarm design standards. Key ... Remote * Work shift: 08:00 AM 04:30 PM (Arizona timezone) * Heath/Dental/Vision Insurance (50 ...

IT Auditor 4

Phoenix, AZ · On-site +1

$77K/yr

... insurance (see Arizona Administrative Code (A.A.C.) R2-10-207.11). All newly hired State employees ... Remote work is a management option and not an employee entitlement or right. An agency may ...

New

Hospital Billing Operator

Gilbert, AZ · Remote

$18.25 - $23.50/hr

This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... insurance coverage, authorizations, provider information, modifiers, and coding-related elements ...

This is a primarily remote role supporting enterprise Epic implementation, with minimal travel and ... insurance coverage, authorizations, provider information, modifiers, and coding-related elements ...

Hospital Billing Operator

Tempe, AZ · Remote

$17.50 - $22.50/hr

This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... insurance coverage, authorizations, provider information, modifiers, and coding-related elements ...

This is a primarily remote role supporting enterprise Epic implementation, with minimal travel and ... insurance coverage, authorizations, provider information, modifiers, and coding-related elements ...

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Insurance Coder Remote information

See Gilbert, AZ salary details

$15

$27

$43

How much do insurance coder remote jobs pay per hour?

As of Jul 5, 2026, the average hourly pay for insurance coder remote in Gilbert, AZ is $27.40, according to ZipRecruiter salary data. Most workers in this role earn between $18.94 and $34.52 per hour, depending on experience, location, and employer.

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.
Pharmacy Claims Adjudication Specialist

Pharmacy Claims Adjudication Specialist

Onco360

Scottsdale, AZ • Remote

$23/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday


Job description

We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Scottsdale, AZ. This will be a Full-Time position. This is a remote hybrid opportunity, after onsite training period.
Shift time between 8am and 8pm.
Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.
Starting salary from $23.00 an hour and up
Sign-On Bonus: $5,000 for employees starting before July 31, 2026.
We offer a variety of benefits including:
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Company paid benefits – life; and short and long-term disability
Pharmacy Adjudication Specialist Major Responsibilities:
The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections
Pharmacy Adjudication Specialists at Onco360...
  • Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.
  • Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding active claims information..
  • Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.
  • Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and tertiary pharmacy plans and reviews claim responses for accuracy before accepting the claim.
  • Contacts insurance companies to resolve third-party rejections and ensures pharmacy claim rejections are resolved to allow for timely shipping of medications. Performs outreach calls to patients or providers to reschedule their medication deliveries if claim resolution cannot be completed by ship date and causes shipment delays
  • Ensures copay cards are only applied to claims for eligible patients based on set criteria such as insurance type (Government beneficiaries not eligible)
  • Manages all funding related adjudications and works as a liaison to Onco360 Advocate team.
  • Assists pharmacy team with all management of electronically adjudicated claims to ensure all prescription delivery assessments are reconciled and copay payments are charged prior to shipment.
  • Serves as customer service liaison to patients regarding financial responsibility prior to shipments, contacts patients to communicate any copay discrepancy between quoted amount and claim and collects payment if applicable.
  • Documents and submit requests for Patient Refunds when appropriate.
  • Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws.
  • Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.
  • Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
Pharmacy Adjudication Specialist Qualifications and Responsibilities...
  • Education/Learning Experience
    • Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication
    • Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician, Specialty pharmacy experience
  • Work Experience
    • Required: 2+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience
    • Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience
  • Skills/Knowledge
    • Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills
    • Desired: Knowledge of Foundation Funding, Specialty pharmacy experience
  • Licenses/Certifications
    • Required: Registration with Board of Pharmacy as required by state law
    • Desired: Certified Pharmacy Technician (PTCB)
  • Behavior Competencies
    • Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills
#Company Values: Teamwork, Respect, Integrity, Passion
#IH