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Insurance Coder Remote Jobs in Toronto, ON (NOW HIRING)

CARET

Senior Infrastructure Engineer

Toronto, ON · Remote

CA$163K - CA$200K/yr

Use code management repositories (e.g., GitHub, Azure DevOps) for infrastructure configuration and ... Extended Medical, Dental, Paid Sick Days, Vision, Life Insurance, and Disability Leave Coverage

BMO Capital Markets

Senior AWS Cloud Developer

Toronto, ON · On-site +1

CA$75K - CA$141K/yr

This role is not eligible for Virtual/Remote work. About the Role: We are seeking a senior cloud ... Utilizes modern application patterns and code efficiency. * Translates user needs into technical ...

Merative

Developer, Dev-Ops Engineering

Mississauga, ON · Remote

CA$109K - CA$164K/yr

Primary Responsibilities - Design, enhance, and maintain Azure Infrastructure-as-Code using ... Remote first / work from home culture * Flexible vacation to help you rest, recharge, and connect ...

Epistemix

AI Engineer

Toronto, ON · Remote

About Epistemix The most consequential decisions in public health, life sciences, insurance, and ... Craft clean, testable, and maintainable code to enable AI-generated agent-based models. * Own the ...

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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 Toronto, ON? For Insurance Coder Remote jobs in Toronto, ON, the most frequently searched job titles are:
What job categories do people searching Insurance Coder Remote jobs in Toronto, ON look for? The top searched job categories for Insurance Coder Remote jobs in Toronto, ON are:
Insurance Coder Remote jobs near you
Field Claims Adjuster - Property

Field Claims Adjuster - Property

Wawanesa Insurance

Toronto, ON • Remote

CA$71K - CA$81K/yr

Other

Medical, Dental, Retirement, PTO

This job post has expired 2 days ago. Applications are no longer accepted.

Job description

Job ID: 10084 


Employment Type: Existing Role
Working Business Language: English
 

Salary: At Wawanesa, salary is only one component of a holistic, comprehensive and competitive offering that we provide to our employees. In addition to salary, full-time and part-time permanent employees are eligible for an annual bonus plan, leave of absence top-up programs and provided with generous vacation time, personal days, premium free benefits and pension plan. 
 

The salary offered for this role is determined with consideration to various factors, including but not limited to: your work location, local labour market conditions, external market salary data, internal pay equity and the knowledge, skills, experience and anticipated proficiency in the role. The salary offered is estimated to be within the following range: $71,000 - $81,000. Candidates with salary expectations outside of the range are still encouraged to apply. 

Benefits for this role in addition to the base salary include: 

  • Fully remote position
  • Company vehicle provided
  • Company cell phone provided
  • Coverage for work related travel expenses
  • Generous, premium-free health and dental plan
  • Pension plan
  • Support for professional development

About Us
This role is designated as fully remote. You may work from any location in Ontario.
 

The Wawanesa Mutual Insurance Company ("Wawanesa Mutual"), founded in 1896, is one of Canada's largest mutual insurers, with over $3.5 billion in annual revenue and assets of $10 billion (CAD). Wawanesa Mutual, with its National Headquarters in Winnipeg, is the parent company of Wawanesa Life, which provides life insurance products and services throughout Canada, and Western Financial Group, which distributes personal and business insurance across Canada. Wawanesa proudly serves more than 1.7 million members in Canada, and we are home to more than 3,300 employees distributed across the Canadian regions and communities where we operate. We give back to organizations that strengthen communities, donating more than $3.5 million annually to charitable organizations, including over $2 million annually in support of people on the front lines of climate change. We are also proud to be recognized as one of Manitoba's Top Employers. To learn more visit wawanesa.com. 


We are currently looking for dedicated, driven, and enthusiastic individuals who thrive in an environment that welcomes change and are looking for an opportunity for diverse experience and advancement on a growing team.
 

Job Overview

The Field Claims Adjuster, Property is responsible for delivering a consistent and exceptional claims experience through the fair and equitable handling of moderate to high complexity property claims. This role involves investigating and adjusting claims, interpreting and explaining policy coverage, documenting claim activity, and managing files from initial report through resolution. The successful candidate will provide timely, professional service while ensuring accuracy, compliance, and strong member support throughout the claims process. Frequent travel may be required.

Job Responsibilities

  •  Provide direction and support to our members, throughout the claims process, by providing exceptional service delivered with empathy.
  • Ensure timely and proactive communication, through voice to voice, digital and written correspondence, ensuring that all inquiries are effectively dealt with in a timely and professional manner.   
  • Adjustment of property claims of moderate complexity.
  • Review and interpret policy wordings, determine policy coverage, and communicate coverage decisions to members.
  • Establish timely and accurate loss and expense reserves through the life of the claim through evaluation and reconciliation of relevant information from sources such as appraisers, independent adjusters, and contractors.  
  • Ensure a comprehensive investigation is conducted on all files to determine coverages and liability, while adhering to Wawanesa's adjusting guidelines, and recognizing when to engage appropriate internal and external resources. Collect evidence to support recovery efforts.
  • Coordinate and manage services with vendors and service providers such as appraisers, independent adjusters, and contractors.
  • Negotiating and conveying claim settlements within authority limits. Communicating claim decisions promptly and effectively, while still delivering an exceptional member experience.
  • Maintain an effective and current diary system and document claim file activities in accordance with established procedures.
  • Demonstrating and maintaining excellent knowledge and understanding of policy coverages, while complying with regional regulatory and licensing requirements (as applicable). Remaining current with legislative changes and trends in the insurance industry.
  • Understanding of Provincial and National Building Codes along with a solid understanding of residential and commercial construction terminology, techniques, and best practices.
  • Demonstrating developing to proficient skills to review repair estimates, create narrative scopes and generate intermediate to senior level estimates using an estimating software system.
  • Provide ongoing technical advice, guidance, peer coaching and mentoring to claims staff.
  • Working in partnership with other claims staff in both an individual and team-oriented capacity including the handling of both task based and full handle files. Support CAT plan as necessary, including potentially assisting on claims outside of your service area.
Qualifications
  • Valid driver's license with an acceptable driving record, and 2+ years of insurance adjusting or related experience.
  • Chartered Insurance Professional (CIP) designation, or actively working toward completion, along with required licensing commitments where applicable.
  • Strong knowledge of property estimating software (XactAnalysis preferred), with the ability to interpret and quantify property damage estimates.
  • Ability to meet the physical demands of the role, including climbing roofs, entering confined spaces, carrying up to 50 pounds, working independently, and working outdoors in varying weather conditions.
  • Flexible and adaptable, with the ability to travel regularly and work outside standard business hours when required.
  • Exceptional customer service, communication, investigative, analytical, and problem-solving skills, with strong attention to detail and accuracy.
  • Strong organizational, time management, negotiation, decision-making, and teamwork skills, with the ability to prioritize in a fast-paced environment.
  • Post-secondary education is considered a strong asset.
  • Ability to communicate effectively in French is considered an asset.


Diversity Equity, Inclusion& Belonging
At Wawanesa, we are committed to Diversity, Equity, Inclusion and Belonging (DEIB) and believe that our strength lies in the diversity of our people - this is supported by having a representative workforce.

We welcome applications from all qualified candidates, including racialized persons, women, Indigenous Peoples, persons with disabilities, members of the 2SLGBTQIA+ community, gender-diverse and neurodiverse individuals, and anyone who can contribute to the further diversification of thought and ideas. 
 

We aim to ensure our recruitment process is accessible to all candidates. If you require accommodations during any stage of the recruitment process, please reach out in confidence to jobs@wawanesa.com.
 

All Wawanesa job applicants are subject to Wawanesa's Privacy Policy.

Please note that the recruitment process for this position may involve the use of AI tools to screen, assess, or select applicants. All final decisions are taken or reviewed by human recruiters and human hiring leaders in compliance with all applicable legislation.  
 

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