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Remote Clinical Coder Jobs in New York (NOW HIRING)

Oscar Health

Clinical Investigator

New York, NY · On-site +1

$67K - $89K/yr

This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois ... Certified Case Manager (CCM), Certified Professional Coder (CPC), Certified Professional Medical ...

micro1 AI

Cheminformatics Specialist - Remote

Stamford, CT · Remote

$80 - $110/hr

... clinical data sources. * Provide expert insights on structure-activity and structure-property ... Build and implement code-based benchmark tasks (e.g., terminal/CLI-based environments) that reflect ...

micro1 AI

Cheminformatics Specialist - Remote

Elizabeth, NJ · Remote

$80 - $110/hr

... clinical data sources. * Provide expert insights on structure-activity and structure-property ... Build and implement code-based benchmark tasks (e.g., terminal/CLI-based environments) that reflect ...

micro1 AI

Cheminformatics Specialist - Remote

Yonkers, NY · Remote

$80 - $110/hr

... clinical data sources. * Provide expert insights on structure-activity and structure-property ... Build and implement code-based benchmark tasks (e.g., terminal/CLI-based environments) that reflect ...

micro1 AI

Cheminformatics Specialist - Remote

Newark, NJ · Remote

$80 - $110/hr

... clinical data sources. * Provide expert insights on structure-activity and structure-property ... Build and implement code-based benchmark tasks (e.g., terminal/CLI-based environments) that reflect ...

micro1 AI

Cheminformatics Specialist - Remote

Paterson, NJ · Remote

$80 - $110/hr

... clinical data sources. * Provide expert insights on structure-activity and structure-property ... Build and implement code-based benchmark tasks (e.g., terminal/CLI-based environments) that reflect ...

micro1 AI

Cheminformatics Specialist - Remote

New York, NY · Remote

$80 - $110/hr

... clinical data sources. * Provide expert insights on structure-activity and structure-property ... Build and implement code-based benchmark tasks (e.g., terminal/CLI-based environments) that reflect ...

CrewBloom

Medical Billing & Coding Specialist

New York, NY · Remote

$19.25 - $24.50/hr

  • Medical

  • Vision

... remote role. This opportunity is open exclusively to candidates currently residing in the United ... Review clinical documentation and assign accurate medical billing and procedure codes. * Process ...

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Remote Clinical Coder information

Is there a demand for remote clinical coders?

There is a strong and growing demand for remote clinical coders due to the increasing need for accurate medical coding in healthcare organizations. Remote positions often require certification, such as CPC or CCS, and involve working with electronic health records and coding software. The healthcare industry’s shift toward telehealth and digital record-keeping has further expanded opportunities for remote clinical coders.

How does a remote clinical coder typically collaborate with healthcare teams while working off-site?

Remote Clinical Coders regularly engage with healthcare professionals such as physicians and medical billing staff through secure digital communication platforms. Collaboration often involves reviewing patient records, clarifying clinical information, and ensuring accurate code assignments for billing and compliance. While working remotely, coders must be proactive in reaching out to team members for missing documentation or clarification, often participating in virtual meetings or using messaging tools. This ensures coding accuracy and supports timely reimbursement, despite not being physically present at the healthcare facility.

How do I become a remote clinical coder?

To become a remote clinical coder, you typically need a high school diploma or equivalent, followed by specialized training or certification in medical coding, such as the Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Gaining experience with coding software and medical records is important, and strong attention to detail and knowledge of medical terminology are essential for success in a remote setting.

What is the difference between Remote Clinical Coder vs Remote Medical Biller?

AspectRemote Clinical CoderRemote Medical Biller
CertificationsCCS, CPC, or RHIT certifications often preferredCertified Professional Biller (CPB) or similar certifications
Work EnvironmentHealthcare facilities, insurance companies, remoteMedical offices, billing companies, remote
Job FocusAssigning codes to clinical documentation for billing and recordsProcessing insurance claims and billing patients
Industry UsageHealthcare providers, hospitals, insurance companies

Remote Clinical Coders and Remote Medical Billers both work in healthcare but focus on different aspects. Clinical coders assign codes based on medical records, while billers handle insurance claims and payments. Understanding these differences helps job seekers find the right role aligned with their skills and certifications.

What is a remote clinical coder?

Remote clinical coders are professionals who review medical records and assign standardized codes for diagnoses, treatments, and procedures while working from a location outside of a traditional healthcare facility, often from home. Their work is crucial for accurate billing, health data management, and insurance reimbursement. Remote clinical coders use specialized software and must have a strong understanding of medical terminology, coding systems like ICD-10 and CPT, and privacy regulations. This role typically requires certification and experience in medical coding, as well as reliable internet access and attention to detail.

What skills and qualifications are needed to thrive as a remote clinical coder?

To thrive as a Remote Clinical Coder, you need a thorough understanding of medical terminology, coding systems (such as ICD-10-CM, CPT, and HCPCS), and a relevant certification like CCS or CPC. Competence in using electronic health record (EHR) systems and specialized coding software is typically required. Strong attention to detail, analytical thinking, and the ability to work independently are crucial soft skills for this position. These skills ensure accurate coding, compliance with regulations, and efficient remote workflow, all of which are vital for proper healthcare billing and reimbursement.

What are the most commonly searched types of Clinical Coder jobs in New York?

The most popular types of Clinical Coder jobs in New York are:

What are popular job titles related to Remote Clinical Coder jobs in New York?

For Remote Clinical Coder jobs in New York, the most frequently searched job titles are:

What job categories do people searching Remote Clinical Coder jobs in New York look for?

The top searched job categories for Remote Clinical Coder jobs in New York are:

What cities in New York are hiring for Remote Clinical Coder jobs?

Cities in New York with the most Remote Clinical Coder job openings:

Remote Clinical Coder jobs near you
Infographic showing various Remote Clinical Coder job openings in New York as of August 2026, with employment types broken down into 2% As Needed, 72% Full Time, 19% Part Time, 1% Temporary, and 6% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Clinical Documentation Integrity DRG Downgrade Specialist - Remote

Med-Metrix

Parsippany, NJ • On-site, Remote

$35 - $47/hr

Full-time

Re-posted 5 days ago

Med-Metrix rating

6.9

Company rating: 6.9 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

284th of 492 rated business services

Job description

Job Purpose
The Clinical Documentation Integrity DRG Downgrade Specialist is responsible for reviewing, analyzing, and responding to payer-initiated DRG downgrades. The Clinical Documentation Integrity DRG Downgrade Specialist ensures accurate DRG assignment, protects revenue integrity, and supports compliant documentation practices through detailed review, appeal preparation, and performance tracking. The Clinical Documentation Integrity DRG Downgrade Specialist serves as an effective change agent, acting as a resource and educator for providers and interdisciplinary care teams to improve documentation quality, coding accuracy, and audit readiness.
Duties & Responsibilities
  • Analyze payer DRG downgrade notifications to determine validity based on ICD-10-CM/PCS coding guidelines, clinical indicators, and documentation sufficiency
  • Conduct comprehensive medical record reviews to validate principal diagnosis, secondary diagnoses, procedures, MCC/CC capture, and DRG assignment accuracy
  • Write clear, persuasive, evidence-based appeal letters that incorporate clinical rationale, coding guidelines, and regulatory references to support the original DRG
  • Submit appeals within required timelines and track each case through all stages of the appeal lifecycle, including initial review, reconsideration, and final determination
  • Maintain detailed logs of downgrade cases, outcomes, appeal success rates, and turnaround times to support throughput monitoring, trend analysis, and performance reporting
  • Identify patterns in payer downgrades and escalate systemic issues or documentation vulnerabilities to leadership
  • Collaborate with internal teams and providers to clarify ambiguous documentation and ensure clinical specificity
  • Identify documentation gaps or inconsistencies and provide targeted feedback to improve provider documentation practices
  • Participate in internal audits, retrospective reviews, and quality assurance processes related to DRG validation, coding accuracy, and documentation completeness
  • Assist in developing or refining documentation templates, provider education materials, and query processes to support ongoing CDI improvement
  • Ensure all coding and documentation practices align with CMS regulations, AHA Coding Clinic guidance, and organizational compliance policies
  • Stay current on payer audit trends, regulatory updates, DRG methodology changes, and emerging risk areas that may impact DRG assignment or audit outcomes
  • Support compliance initiatives by identifying potential vulnerabilities and recommending corrective actions or process improvements
  • Partner with internal teams to resolve complex DRG issues and ensure alignment across departments
  • Participate in provider education sessions, meetings, and case reviews to promote accurate documentation and DRG integrity
  • Communicate effectively with leadership regarding trends, risks, and opportunities for improvement in documentation and coding practices
  • Serve as a subject-matter expert for DRG downgrade processes, providing guidance and support to internal teams
  • Other duties as assigned
  • Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
  • Understand and comply with Information Security and HIPAA policies and procedures at all times
  • Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications
  • Bachelor's degree in Nursing required
  • Minimum of 3 years of experience in an inpatient clinical documentation improvement role
  • Minimum of 5 years nursing experience in adult acute care in medical/surgical, critical care, emergency, and/or PACU setting
  • RN license required
  • CCDS and/or CDIP required
  • CCS or CIC certification required
  • Demonstrated inpatient coding experience in an acute care setting
  • Prior experience managing DRG downgrades, including appeal letter development.
  • Deep knowledge of ICD-10-CM/PCS, ICD-10 Official Coding Guidelines and both MS and APR DRG Reimbursement Systems
  • Ability to interpret complex clinical documentation across multiple specialties.
  • Proficiency with EMR systems, encoder tools (e.g., 3M, Optum) and CDI workflow and reporting tools
  • Proficiency in Microsoft Office Suite
  • Strong interpersonal skills, ability to communicate well at all levels of the organization
  • Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
  • High level of integrity and dependability with a strong sense of urgency and results oriented
  • Excellent written and verbal communication skills required

Working Conditions
  • Ability to work outside of normal business hours as needed
  • Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes
  • Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear
  • Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress
  • Work Environment: The noise level in the work environment is usually minimal

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.

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