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Remote Clinical Coding Jobs in Pennsylvania (NOW HIRING)

The CKHobbie Group

Your clinical judgment and attention to detail will be essential in interpreting complex medical ... Experience with electronic medical records and familiarity with coding systems such as ICD-10 and ...

Harris

Collaborate with coding, billing, and clinical teams to prevent recurring errors and improve charge ... Remote work and more! About Harris: Harrisis a leading provider of mission critical software to the ...

Geisinger Health

Medical Director Medicaid

Danville, PA · On-site +1

Role Summary Lead clinical strategy, medical management, and regulatory performance for our ... Pennsylvania (onsite/hybrid/remote with periodic in-state travel) Education: Doctor of Medicine or ...

Amerihealth Caritas

Care Connector

Philadelphia, PA · On-site +1

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... Under the direction of Clinical staff, the Care Connector will provide members with educational ...

Med-Metrix

Physician Advisor II - Remote

Philadelphia, PA · On-site +1

... coding improvements and compliance, and monitoring the appropriate use of diagnostic and therapeutic modalities. Duties and Responsibilities * Responds to requests for assistance on clinical reviews ...

Amerihealth Caritas

Care Connector

Philadelphia, PA · On-site +1

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet ... Under the direction of Clinical staff, the Care Connector will provide members with educational ...

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Remote Clinical Coding information

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How much do remote clinical coding jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for remote clinical coding in Pennsylvania is $21.55, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $22.88 per hour, depending on experience, location, and employer.

What is the difference between Remote Clinical Coding vs Remote Medical Billing?

AspectRemote Clinical CodingRemote Medical Billing
Required CredentialsCertification in coding (e.g., CPC, CCS)Billing and coding knowledge, often with certification
Work EnvironmentHealthcare facilities, remote coding companiesHealthcare providers, billing companies, remote setups
Industry UsageHospitals, clinics, insurance companiesHospitals, physician practices, insurance firms
Common Search/ComparisonYesYes

Remote Clinical Coding involves translating medical records into standardized codes for billing and record-keeping, requiring coding certifications. Remote Medical Billing focuses on submitting claims and managing payments, often requiring billing knowledge. Both roles are remote, industry-specific, and frequently compared by job seekers.

What is remote clinical coding?

Remote clinical coding is the process of reviewing and translating patients’ medical records into standardized codes from a location outside of a traditional healthcare facility, such as from home. These codes are used for billing, insurance claims, and healthcare data analysis. Remote clinical coders use specialized software to ensure accuracy and compliance with healthcare regulations. This role requires a strong understanding of medical terminology, coding systems like ICD-10 and CPT, and attention to detail. Remote positions offer flexibility and the ability to work independently while maintaining confidentiality and data security.

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

To thrive as a Remote Clinical Coder, you need comprehensive knowledge of medical terminology, anatomy, and coding systems such as ICD-10-CM/PCS, CPT, and HCPCS, typically supported by certification (e.g., CPC, CCS, or CCA) and relevant healthcare experience. Familiarity with electronic health records (EHRs), coding software, and secure remote work platforms is essential. Strong attention to detail, self-motivation, and excellent time management are crucial soft skills for remote accuracy and productivity. These competencies ensure precise medical coding, compliance, and optimized reimbursement in a remote healthcare environment.

Is remote clinical coding in demand?

Remote clinical coding is in high demand due to the ongoing need for accurate medical record documentation and coding expertise. Employers seek certified coders skilled in coding systems like ICD-10 and CPT, often offering flexible remote work arrangements to meet staffing needs.

What are some common challenges faced by remote clinical coders, and how can they be effectively managed?

Remote clinical coders often face challenges such as limited immediate access to colleagues for clarifying documentation, staying updated on changing coding regulations, and maintaining productivity without direct supervision. To manage these, it's important to establish regular virtual check-ins with the team, utilize reliable reference materials, and participate in ongoing training sessions. Leveraging secure communication platforms and setting clear daily goals can also help remote coders stay connected and efficient.
What are popular job titles related to Remote Clinical Coding jobs in Pennsylvania? For Remote Clinical Coding jobs in Pennsylvania, the most frequently searched job titles are:
What job categories do people searching Remote Clinical Coding jobs in Pennsylvania look for? The top searched job categories for Remote Clinical Coding jobs in Pennsylvania are:
What cities in Pennsylvania are hiring for Remote Clinical Coding jobs? Cities in Pennsylvania with the most Remote Clinical Coding job openings:
Remote Clinical Coding jobs near you
Infographic showing various Remote Clinical Coding job openings in Pennsylvania as of July 2026, with employment types broken down into 2% As Needed, 73% Full Time, 18% Part Time, and 7% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $44,831 per year, or $21.6 per hour.

Clinical Appeals Nurse - Full Time Remote - Jefferson Health

Thomas Jefferson University Hospitals, Inc.

Philadelphia, PA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 27 days ago

Jefferson Health rating

7.7

Company rating: 7.7 out of 10

Based on 348 frontline employees who took The Breakroom Quiz

160th of 887 rated healthcare providers

Job description

Job Details
Reviews payor denials and audits for potential lost revenue. Writes comprehensive, factual arguments to present to third-party payers, medical review boards, or other responsible parties applying clinical criteria to establish medical necessity. Functions as a hospital liaison with external third-party payors to appeal denied claims. Works closely with Physician advisor team to facilitate appeals to payors. Monitors and reports payor trends to management team.
Job Description
Clinical Appeals Nurse - Full Time Remote - Jefferson Health
Articulates the job's main responsibilities. This is not intended to be an exhaustive list of all essential functions or all duties performed. The essential functions listed below and percentage of time may vary between departments and locations, and are subject to change based on management discretion and organizational needs. Other responsibilities may be assigned at the discretion of management to meet organizational needs.
  • Creates an appeal letter to uphold the procedure based on medical policy guidelines of the payor and the documentation found in the hospital/physician information system.
  • Facilitates write off accounts that cannot provide adequate medical necessity or documentation for the payor to meet their guidelines.
  • Investigates and coordinates completion of patient records required to retrospectively precertify accounts and appeal insurance denials.
  • Contacts insurance companies and conducts appeals via telephone or email.
  • Coordinates appeals that need a physician's input for the payor and writes off claims that have no further appeal rights.
  • Identifies areas for revenue loss due to documentation or processes not being reimbursable thru payors.
  • Ensures that all appeals are sent to the correct payor within the appeal guidelines.
  • Ensures compliance with regulatory and accrediting requirements.
  • Reviews claim documentation and pulls supporting medical documentation from the system to support the medical policy guidelines of the payor.
  • Searches for supporting clinical evidence to support appeal arguments when existing resources are unavailable.

Qualifications:
The requirements listed below are representative of the knowledge, skill, and/or ability required or preferred.
Education - Required
  • Bachelor's Degree Nursing or
  • Specialized Diploma

Experience - Required
  • 10 years of clinical or case management/utilization review experience

Knowledge, Skills and Abilities - Required
  • Ability to read medical charts and identify deficiencies in documentation content.
  • Ability to adapt to ongoing changes within the health insurance industry in order to effectively implement positive changes.
  • Knowledge of Interqual/medical policy criteria, case management principles, utilization review, and hospital departmental procedures.
  • Knowledge of coding for payment of claims.
  • Insurance knowledge of payors and their unique rules.
  • Epic workflow experience with notes in account history and WQ workflows.
  • Intermediate Excel and MS Word experience.
  • Must complete RCE Training and pass test with 80% or better.

Licenses and Certifications - Required
  • RN - Licensed Registered Nurse_PA - State of Pennsylvania

Work Shift
Workday Day (United States of America)
Worker Sub Type
Regular
Employee Entity
Thomas Jefferson University
Primary Location Address
1101 Market, Philadelphia, Pennsylvania, United States of America
Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.
Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.
Benefits
Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.
For more benefits information, please click here

What Jefferson Health employees say

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About Jefferson Health

Sourced by ZipRecruiter

Jefferson Health is a revered name in the healthcare sector, based in Philadelphia, Pennsylvania, US. This nonprofit health system is dedicated to delivering high-quality, compassionate clinical care and services across the region. The organization was founded in 1824 as Jefferson Medical College, and over the years, it has grown into a vast network of physicians and specialists, hospitals, outpatient and urgent care facilities. Offering a comprehensive range of healthcare services, Jefferson Health covers areas including cancer care, neuroscience, orthopedics, and cardiovascular care, among others. The organization's mission is to improve lives by promoting overall health and wellness, emphasizing value-based care, and making innovative medical advancements. Besides, one of their notable achievements includes being recognized by the National Academy of Medicine as a national leader in patient safety improvements.

Industry

Hospitals and health care and social assistance

Company size

10,000+ Employees

Headquarters location

Philadelphia, PA, US

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