In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by health ...
In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by health ...
Principal Full Stack Engineer, AI Platform & Agents (US/Canada Hybrid/Remote)
Alberta, VA ยท On-site +1
UpToDate Expert AI In Health, we're launching UpToDate Expert AI -a medical research and clinical ... CI/CD and Infrastructure as Code * Site Reliability Engineering (SRE) * Quality engineering ...
Principal Full Stack Engineer, AI Platform & Agents (US/Canada Hybrid/Remote)
Alberta, VA ยท On-site +1
UpToDate Expert AI In Health, we're launching UpToDate Expert AI -a medical research and clinical ... CI/CD and Infrastructure as Code * Site Reliability Engineering (SRE) * Quality engineering ...
Principal Full Stack Engineer, AI Platform & Agents (US/Canada Hybrid/Remote)
Alberta, VA ยท On-site +1
UpToDate Expert AI In Health, we're launching UpToDate Expert AI -a medical research and clinical ... CI/CD and Infrastructure as Code * Site Reliability Engineering (SRE) * Quality engineering ...
Principal Full Stack Engineer, AI Platform & Agents (US/Canada Hybrid/Remote)
Alberta, VA ยท On-site +1
UpToDate Expert AI In Health, we're launching UpToDate Expert AI -a medical research and clinical ... CI/CD and Infrastructure as Code * Site Reliability Engineering (SRE) * Quality engineering ...
Principal Full Stack Engineer, AI Platform & Agents (US/Canada Hybrid/Remote)
Alberta, VA ยท On-site +1
UpToDate Expert AI In Health, we're launching UpToDate Expert AI -a medical research and clinical ... CI/CD and Infrastructure as Code * Site Reliability Engineering (SRE) * Quality engineering ...
Principal Full Stack Engineer, AI Platform & Agents (US/Canada Hybrid/Remote)
Alberta, VA ยท On-site +1
UpToDate Expert AI In Health, we're launching UpToDate Expert AI -a medical research and clinical ... CI/CD and Infrastructure as Code * Site Reliability Engineering (SRE) * Quality engineering ...
Patient Financial Clearance Representative - Remote
Richmond, VA ยท Remote
$17 - $18.50/hr
Successful performance of job duties directly impacts health system goals of streamlining clinical ... coding Previous experience using medical terminology Education/training REQUIRED: High School ...
Patient Financial Clearance Representative - Remote
Richmond, VA ยท Remote
$17 - $18.50/hr
Successful performance of job duties directly impacts health system goals of streamlining clinical ... coding Previous experience using medical terminology Education/training REQUIRED: High School ...
ASSESSOR---LMHP
Richmond, VA ยท Remote
Position: Full-Time Remote Assessor Position Details: The Assessor conducts Comprehensive Needs ... Clinical Department. Assessments are conducted for Mental Health Skill-Building, Intensive In-Home ...
ASSESSOR---LMHP
Richmond, VA ยท Remote
Position: Full-Time Remote Assessor Position Details: The Assessor conducts Comprehensive Needs ... Clinical Department. Assessments are conducted for Mental Health Skill-Building, Intensive In-Home ...
Hospital Billing Coordinator
Mclean, VA ยท Remote
$50K - $60K/yr
This is a primarily remote role supporting enterprise Epic implementation, with minimal travel and ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Hospital Billing Coordinator
Mclean, VA ยท Remote
$50K - $60K/yr
This is a primarily remote role supporting enterprise Epic implementation, with minimal travel and ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Hospital Billing Operator
Mclean, VA ยท Remote
$18.50 - $23.75/hr
This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Hospital Billing Operator
Mclean, VA ยท Remote
$18.50 - $23.75/hr
This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Hospital Billing Coordinator
Rosslyn, VA ยท Remote
$50K - $60K/yr
This is a primarily remote role supporting enterprise Epic implementation, with minimal travel and ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Hospital Billing Coordinator
Rosslyn, VA ยท Remote
$50K - $60K/yr
This is a primarily remote role supporting enterprise Epic implementation, with minimal travel and ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Hospital Billing Operator
Rosslyn, VA ยท Remote
$20.75 - $26.75/hr
This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Hospital Billing Operator
Rosslyn, VA ยท Remote
$20.75 - $26.75/hr
This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Hospital Billing Coordinator
Richmond, VA ยท Remote
$50K - $60K/yr
This is a primarily remote role supporting enterprise Epic implementation, with minimal travel and ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Hospital Billing Coordinator
Richmond, VA ยท Remote
$50K - $60K/yr
This is a primarily remote role supporting enterprise Epic implementation, with minimal travel and ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Hospital Billing Operator
Richmond, VA ยท Remote
$18 - $23.25/hr
This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Hospital Billing Operator
Richmond, VA ยท Remote
$18 - $23.25/hr
This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...
Focus on Clinical Excellence, We Handle the Rest Are you seeking true professional autonomy without ... Enjoy a 100% remote role where your only priority is delivering high-quality mental health care.
Focus on Clinical Excellence, We Handle the Rest Are you seeking true professional autonomy without ... Enjoy a 100% remote role where your only priority is delivering high-quality mental health care.
Location: 100% Remote | Contract Type: 1099 Focus on Clinical Care Are you an exceptional ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Location: 100% Remote | Contract Type: 1099 Focus on Clinical Care Are you an exceptional ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Location: 100% Remote | Contract Type: 1099 Focus on Clinical Care Are you an exceptional ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Location: 100% Remote | Contract Type: 1099 Focus on Clinical Care Are you an exceptional ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Location: 100% Remote | Contract Type: 1099 Focus on Clinical Care Are you an exceptional ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Location: 100% Remote | Contract Type: 1099 Focus on Clinical Care Are you an exceptional ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Location: 100% Remote | Contract Type: 1099 Focus on Clinical Care Are you an exceptional ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Location: 100% Remote | Contract Type: 1099 Focus on Clinical Care Are you an exceptional ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Tele-Psychiatrist
Portsmouth, VA ยท Remote
... services in a fully remote capacity as a 1099 contractor. This position provides maximum ... All non-clinical operational requirements, including billing, credentialing, and logistics, are ...
Tele-Psychiatrist
Portsmouth, VA ยท Remote
... services in a fully remote capacity as a 1099 contractor. This position provides maximum ... All non-clinical operational requirements, including billing, credentialing, and logistics, are ...
Tele-Psychiatrist
Roanoke, VA ยท Remote
... services in a fully remote capacity as a 1099 contractor. This position provides maximum ... All non-clinical operational requirements, including billing, credentialing, and logistics, are ...
Tele-Psychiatrist
Roanoke, VA ยท Remote
... services in a fully remote capacity as a 1099 contractor. This position provides maximum ... All non-clinical operational requirements, including billing, credentialing, and logistics, are ...
Location: 100% Remote | Contract Type: 1099 Focus on Clinical Care Are you an exceptional ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Location: 100% Remote | Contract Type: 1099 Focus on Clinical Care Are you an exceptional ... Competitive pay per completed appointment based on standard CPT code structures. * Reliable ...
Remote Clinical Coder information
See Virginia salary details
$17.16 - $17.74
7% of jobs
$18.30 is the 25th percentile. Wages below this are outliers.
$17.74 - $18.33
19% of jobs
$18.33 - $18.91
5% of jobs
$18.91 - $19.50
3% of jobs
$19.50 - $20.08
14% of jobs
The median wage is $20.23 / hr.
$20.08 - $20.67
6% of jobs
$20.67 - $21.25
0% of jobs
$21.25 - $21.84
0% of jobs
$21.84 - $22.42
0% of jobs
$22.89 is the 75th percentile. Wages above this are outliers.
$22.42 - $23.01
26% of jobs
$23.01 - $23.59
20% of jobs
$17
$21
$23
How much do remote clinical coder jobs pay per hour?
Will AI replace clinical coders?
Can a medical coder work remotely?
How does a Remote Clinical Coder typically collaborate with healthcare teams while working off-site?
What is the difference between Remote Clinical Coder vs Remote Medical Biller?
| Aspect | Remote Clinical Coder | Remote Medical Biller |
|---|---|---|
| Certifications | CCS, CPC, or RHIT certifications often preferred | Certified Professional Biller (CPB) or similar certifications |
| Work Environment | Healthcare facilities, insurance companies, remote | Medical offices, billing companies, remote |
| Job Focus | Assigning codes to clinical documentation for billing and records | Processing insurance claims and billing patients |
| Industry Usage | Healthcare 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 are remote clinical coders?
Is clinical coding in high demand?
What pays more, CCS or CPC?
What are the key skills and qualifications needed to thrive as a Remote Clinical Coder, and why are they important?

SIU Nurse Auditor, RN, CPC (Full-time, Remote)
Alexandria, VA โข Remote
Other
This job post hasย expired 2 days ago.ย Applications are no longer accepted.
Job description
Job Title: Clinical Nurse Auditor - Payment Integrity
Job Summary
We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by healthcare providers. You will conduct prepayment claims reviews, post-payment audits, and comprehensive provider record reviews to ensure accurate billing, compliance with payer regulations, and integrity in reimbursement practices. This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a similar credential, through AAPC or AHIMA. Knowledge of commercial insurance plans, Medicare, and Medicaid programs is essential.
How You Will Make an Impact
- Investigations and Audits: Conduct in-depth medical reviews through prepayment claims review and post-payment auditing to identify potential over-utilization or fraudulent activities.
- Tool and Policy Development: Assist in the creation of audit tools, policies, procedures, and educational materials to enhance audit effectiveness and maintain high standards in payment integrity.
- Cross-Departmental Collaboration: Serve as a liaison with service operations and other departments to provide status updates on claims reviews and coordinate actions as needed.
- Data Analysis and Trending: Analyze performance data to identify patterns and trends, collaborate with service operations to address process improvements, and recommend modifications to medical policy.
- Fraud Detection Support: Support fraud investigators with medical review expertise to detect and address fraudulent activities.
- Mentorship: Act as a resource and mentor to other nurse auditors, supporting their professional growth and development in audit practices.
Requirements
Qualifications
- Education:
- Minimum Associate's Degree in Nursing required;
- Licensure & Certification:
- Current, unrestricted Registered Nurse (RN) license in applicable state(s).
- Certification in medical coding from AAPC or AHIMA (e.g., CPC, CIC, CDI, or equivalent) is highly preferred.
- Experience:
- Minimum 5 years of clinical nursing experience, preferably with exposure to hospital bill auditing or defense auditing.
- Strong knowledge of provider manuals, reimbursement policies, and medical policy guidelines.
- Prior experience with healthcare fraud investigation and auditing is highly preferred.
- Skills:
- Proficiency in CPT/HCPCS and ICD-10 coding, with a strong foundation in auditing, accounting, and control principles.
- Analytical and problem-solving skills with a keen attention to detail.
- Exceptional written and verbal communication skills for clear and effective reporting and provider engagement.
- Strong proficiency in Microsoft Office and familiarity with audit tracking systems.
Preferred Traits
- Meticulous, organized, and objective in analyzing claims and documentation.
- Ethical and responsible, with a commitment to supporting the integrity of healthcare billing and reimbursement.
- Able to work independently, stay current with rapidly changing healthcare regulations, and thrive in a fast-paced environment.
About Integrity Management Services
Sourced by ZipRecruiter
Industry
Business management consulting
Company size
51 - 200 Employees
Headquarters location
Alexandria, VA, US
Year founded
2009