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Part Time Remote Utilization Review Jobs in Kentucky

micro1 AI

Private Funds Attorney - Remote

Louisville, KY · Remote

$90 - $130/hr

Remote We are seeking seasoned Funds Attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

micro1 AI

Private Funds Attorney - Remote

Lexington, KY · Remote

$90 - $130/hr

Remote We are seeking seasoned Funds Attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

micro1 AI

M&A Attorney - AI Trainer - Remote

Lexington, KY · Remote

$90 - $130/hr

Remote We are seeking seasoned M&A attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

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All JobsUtilization Review JobsPart Time Remote Utilization Review JobsPart Time Remote Utilization Review Jobs in Kentucky

Part Time Remote Utilization Review information

What skills and qualifications are needed for a part time remote utilization review?

To thrive as a Part Time Remote Utilization Review Nurse, you need a current RN license, strong clinical judgment, and in-depth knowledge of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and systems such as InterQual or MCG is typically required. Excellent communication, critical thinking, and self-motivation are vital soft skills for coordinating care and making independent decisions remotely. These skills ensure accurate case evaluations, regulatory compliance, and effective collaboration with healthcare teams while working from a remote setting.

What is the difference between Part Time Remote Utilization Review vs Part Time Remote Claims Reviewer?

AspectPart Time Remote Utilization ReviewPart Time Remote Claims Reviewer
CredentialsTypically requires healthcare licenses (e.g., RN, MD) and utilization review certificationsUsually requires insurance or claims processing experience, with some industry-specific certifications
Work EnvironmentRemote, healthcare-focused, reviewing medical necessity and appropriateness of careRemote, insurance or healthcare claims processing, verifying coverage and claims accuracy
Employer & Industry UsageHospitals, insurance companies, healthcare organizationsInsurance companies, third-party administrators, healthcare payers

Part Time Remote Utilization Review and Part Time Remote Claims Reviewer both operate remotely but focus on different aspects of healthcare administration. Utilization reviewers assess medical necessity, while claims reviewers verify insurance claims. Understanding these differences helps job seekers find roles aligned with their skills and credentials.

What is a part time remote utilization review?

A Part Time Remote Utilization Review position involves evaluating medical records and healthcare services to ensure they are necessary and appropriate, typically for insurance companies or healthcare providers. This job is performed remotely, allowing professionals to work from home or another location outside of a traditional office setting. Part-time roles generally require fewer hours than full-time positions, making them suitable for those seeking flexible schedules. Professionals in this role often have backgrounds in nursing or healthcare and use their expertise to review patient care for quality and cost-effectiveness.

What challenges do part time remote utilization review professionals face, and how can they be managed?

Part-time remote utilization review professionals often face challenges such as balancing a variable workload, ensuring timely communication with healthcare providers, and staying current with changing insurance guidelines. Since much of the work is done independently, strong time management and self-motivation are essential to meet review deadlines. Regularly scheduled check-ins with the team and utilizing digital collaboration tools can help maintain connectivity and support. Staying organized and proactive in seeking clarification when needed can mitigate common challenges and lead to a successful experience in this role.
What are the most commonly searched types of Remote Utilization Review jobs in Kentucky? The most popular types of Remote Utilization Review jobs in Kentucky are:
What are popular job titles related to Part Time Remote Utilization Review jobs in Kentucky? For Part Time Remote Utilization Review jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Part Time Remote Utilization Review jobs in Kentucky look for? The top searched job categories for Part Time Remote Utilization Review jobs in Kentucky are:
What cities in Kentucky are hiring for Part Time Remote Utilization Review jobs? Cities in Kentucky with the most Part Time Remote Utilization Review job openings:
Part Time Remote Utilization Review jobs near you
Infographic showing various Part Time Remote Utilization Review job openings in Kentucky as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Certified Coder, Medical Coders and billing professionals wanted, part time, full time, remote, on-s

MedCepts

Bowling Green, KY • On-site, Remote

$16 - $21.25/hr

Part-time

Re-posted 26 days ago

Job description

Description
Medical coder and billing professionals needed for multiple medical device, pharmaceutical, DME, and tele-medicine / tele-health related companies. Presently hiring part time, full time, contract, hourly, remote (from home), and coding personnel for both on/off site facilities.
  • Entry level coders (USA, International companies)
  • Senior Coders
  • Director of Coding
  • Manager, Coding and Abstracting (on site - 22 locations)
  • Revenue Cycle Manager - Payments, Credits, Self Pay (1,500+ physician affiliates) Remote (home office)
  • Medical Billing for multple specialties.

When applying please include in the message box an overview of your experience (specialty area), certifications, and specifics on the position you seek. e.g. contract, part time, full time, remote, on-site, Senior, entry level, billing, coding, etc. PLEASE DO NOT enter, see attached resume.
Responsibilities:
  • Comply with all legal requirements regarding coding/billing procedures and practices
  • Conduct audits and coding reviews to ensure all documentation is accurate and precise
  • Assign and sequence all codes for services rendered
  • Collaborate with billing department to ensure all bills are satisfied in a timely manner
  • Communicate with insurance companies about coding errors and disputes
  • Submit statistical data for analysis and research by other departments
  • Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients with regard to coding procedures
  • Follows strict coding guidelines within established productivity and quality standards for all accounts assigned. Hiring for associates at different levels from 1.5 years experience to 5 years.
  • Senior Remote Coders will comply with Official Coding Guidelines in ICD-9-CM/ICD-10-CM coding conventions to assign diagnoses and procedure codes for physicians, ancillary outpatients, emergency room, outpatient surgical and inpatient records in a work from home position. Additionally, supervisory, (lead directors of other coders) includes monitoring and training.

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