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Remote Clinical Coder Jobs in Edison, NJ (NOW HIRING)

Zocdoc

Staff Software Engineer, Clinical Fit

New York, NY · On-site +1

*Please note, we are open to remote candidates for this role. Your Impact on Our Mission Finding the ... Architecting and shipping code for key roadmap initiatives. * Building and fostering relationships ...

MedReview

Physician Reviewer

Manhattan, NY · On-site +1

... growing clinical review team. This is a fully remote opportunity for a physician with a strong ... Identify opportunities for improved documentation, coding accuracy, and cost containment * Conduct ...

MedReview

Physician Reviewer

Manhattan, NY · Remote

... growing clinical review team. This is a fully remote opportunity for a physician with a strong ... Identify opportunities for improved documentation, coding accuracy, and cost containment * Conduct ...

Turing

Resident Medical Expert (MD/DO)

Manhattan, NY · Remote

$200 - $300/hr

... in coding, reasoning, STEM, multilinguality, multimodality, and agents; and second, by applying ... Remote work with flexible scheduling around your clinical commitments. Engagement details:

New

MedReview

DRG Reviewer

Manhattan, NY · Remote

... clinical review to support coded diagnoses. This is a fully remote position. Candidates must be available to work Eastern Standard Time (EST) business hours. Salary: $85,000-$90,000 annually ...

MedReview

DRG Reviewer

Manhattan, NY · On-site +1

$85K - $90K/yr

... clinical review to support coded diagnoses. This is a fully remote position. Candidates must be available to work Eastern Standard Time (EST) business hours. Salary: $85,000-$90,000 annually ...

Zocdoc

Staff Software Engineer, Clinical Fit

New York, NY · On-site +1

Please note, we are open to remote candidates for this role. Your Impact on Our Mission Finding the ... Architecting and shipping code for key roadmap initiatives. * Building and fostering relationships ...

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Remote Clinical Coder information

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How much do remote clinical coder jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for remote clinical coder in Edison, NJ is $22.26, according to ZipRecruiter salary data. Most workers in this role earn between $18.65 and $23.65 per hour, depending on experience, location, and employer.

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.

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.

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.

Can I get a remote clinical coder job?

Yes, remote clinical coder jobs are available and often involve reviewing medical records and assigning appropriate codes for billing and documentation. These roles typically require certification such as CPC or CCS, strong attention to detail, and proficiency with coding software; many employers offer flexible schedules for remote work.

Is remote clinical coding in demand?

Remote clinical coding is in high demand due to the increasing need for accurate medical record documentation and coding for billing and compliance. The role often requires certification and proficiency with coding systems like ICD-10 and CPT, and many healthcare organizations are expanding remote work opportunities for qualified professionals.

What are popular job titles related to Remote Clinical Coder jobs in Edison, NJ?

For Remote Clinical Coder jobs in Edison, NJ, the most frequently searched job titles are:

What job categories do people searching Remote Clinical Coder jobs in Edison, NJ look for?

The top searched job categories for Remote Clinical Coder jobs in Edison, NJ are:

What cities near Edison, NJ are hiring for Remote Clinical Coder jobs?

Cities near Edison, NJ with the most Remote Clinical Coder job openings:

Remote Clinical Coder jobs near you

Investigator, Special Investigative Unit Coding (Remote)

Molina Healthcare

New York, NY • On-site, Remote

$21.82 - $51.06/hr

Full-time

Posted 10 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 199 frontline employees who took The Breakroom Quiz

170th of 315 rated insurance

Job description


JOB DESCRIPTION
Provides support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and resolves instances of health care fraud and abuse investigations of medical providers using informational tips from member benefits and medical records following review of post-payment claims.
Essential Job Duties
• Independently re-evaluates medical claims and associated records by applying knowledge of advanced coding, applicable federal and state regulatory requirements, and Molina policies.
• Reviews post-pay claims against corresponding medical records to determine accuracy of claims payments.
• Manages documents and prioritizes caseloads to ensure timely turnaround.
• Ensures adherence to applicable state/federal/internal policies, Current Procedural Terminology (CPT) guidelines and provider contract requirements.
• Devises clinical summary post-review.
• Communicates and participates in meetings related to cases.
• Completes medical review to facilitate referral to law enforcement or payment recovery.
• Supports investigation work as necessary and required by the regulatory agency.
Job Requirements
• At least 2 years of CPT coding experience in a surgical, hospital and/or clinic setting, or equivalent combination of relevant education and experience.
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified.
• Critical-thinking, problem-solving and analytical skills.
• Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.
• Knowledge of managed care and the Medicaid, Medicare, and Marketplace programs.
• Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.
• Ability to research and interpret regulatory requirements.
• Ability to prioritize and manage multiple tasks.
• Ability to work in a team setting.
• Strong verbal/written communication skills, and presentation skills.
• Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
• In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements).
Preferred Qualifications
• Certified Professional Compliance Officer (CPCO).Certified Fraud Examiner (CFE) and/or Accredited Health Care Fraud Investigator (AHFI).
• Experience working in group health insurance, particularly within claims processing or operations.
• Working knowledge of local, state and federal laws and regulations pertaining to health insurance, investigations and legal processes (commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.).
• Experience with claims processing systems.
• Ability to use Microsoft Excel platform and work with large quantities of data.
• Ability to answer questions, identify trends and patterns, and present findings."
To all current Molina employees. If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

Social media

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