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Remote Cpc Coder Jobs in Middletown, NJ (NOW HIRING)

Datavant

ProFee Audit Specialist- PRN

New York, NY · Remote

$35 - $45/hr

This role is fully remote with a flexible schedule, allowing you to help shape the future of health ... coding and/or auditing * CPC (required) * CPMA (preferred) * Maintain 95% accuracy rate

Highmark Health

Supervisor Coding

New York, NY · Remote

$48.54/hr

Associates Degree in a Health Information related field or 4 years of experience in lieu of Associate's degree * 3 years experience as a production coder related to the coding team being supervised ...

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Deloitte

Hospital Billing Operator

New York, NY · Remote

$20 - $25.75/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 ...

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Remote Cpc Coder information

See Middletown, NJ salary details

$17

$29

$72

How much do remote cpc coder jobs pay per hour?

As of Jul 18, 2026, the average hourly pay for remote cpc coder in Middletown, NJ is $29.80, according to ZipRecruiter salary data. Most workers in this role earn between $22.26 and $29.62 per hour, depending on experience, location, and employer.

What Does a Remote CPC Coder Do?

As a remote certified professional coder (CPC), your job duties involve working on medical coding responsibilities for healthcare organizations, assigning the appropriate code to each diagnosis and procedure performed on a patient in a medical facility. These codes must meet healthcare regulations, and the healthcare provider uses the codes for medical billing and insurance purposes. In this career, you may create an invoice or communicate with a patient to explain coverage, or communicate with healthcare providers and insurance companies during the claims process. You perform your duties online from a remote location.

What are Remote CPC Coders?

Remote CPC Coders are certified professionals who assign standardized medical codes to healthcare diagnoses and procedures from their home or another off-site location. They use the Current Procedural Terminology (CPT), International Classification of Diseases (ICD), and other code sets to ensure accurate billing and claims processing. Remote CPC Coders work for hospitals, clinics, insurance companies, or third-party billing firms, and their work helps healthcare providers receive proper reimbursement. A CPC (Certified Professional Coder) credential is awarded by the AAPC, confirming their expertise in medical coding practices.

What are some common challenges faced by Remote CPC Coders, and how can they be overcome?

Remote CPC Coders often face challenges such as staying updated with frequently changing coding guidelines, maintaining productivity without direct supervision, and ensuring secure handling of sensitive patient data. To overcome these, coders can participate in regular training sessions, use productivity tools to track their work, and follow strict security protocols when accessing health records. Additionally, remote coders benefit from maintaining open communication with team members and supervisors to clarify complex cases and stay aligned with organizational expectations.

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

AspectRemote Cpc CoderMedical Biller
CredentialsCPCA or CPC certification, coding trainingBilling certification, knowledge of coding and insurance
Work EnvironmentRemote or on-site coding in healthcare settingsRemote or on-site billing departments in healthcare facilities
Industry UsageUsed across hospitals, clinics, insurance companiesUsed in medical offices, billing companies, hospitals
Primary FocusAssigning medical codes for diagnoses and proceduresProcessing insurance claims and patient billing

The main difference is that Remote Cpc Coders focus on assigning accurate medical codes based on patient records, while Medical Billers handle the billing process and insurance claims. Both roles require knowledge of medical terminology and coding, but their responsibilities differ within the healthcare revenue cycle.

What are the key skills and qualifications needed to thrive as a Remote CPC Coder, and why are they important?

To thrive as a Remote CPC Coder, you need a thorough understanding of medical coding, anatomy, and healthcare regulations, typically supported by a Certified Professional Coder (CPC) credential. Familiarity with coding software, electronic health records (EHR) systems, and medical billing platforms is essential. Attention to detail, time management, and strong written communication skills are crucial for accuracy and effective remote collaboration. These skills ensure precise code assignments, compliance with industry standards, and efficient workflow in a virtual environment.
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Remote Cpc Coder jobs near you
Senior Analyst, Vendor Payment Integrity - Remote

Senior Analyst, Vendor Payment Integrity - Remote

EmblemHealth

New York, NY • Remote

$93K - $116K/yr

Other

Re-posted 5 days ago

EmblemHealth rating

9.4

Company rating: 9.4 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

9th of 281 rated insurance

Job description

Summary of Job

Review vendor trends and impact on care cost, member and provider experience.  Perform Root Cause Analysis (RCA) to resolve payment integrity issues to resolution.  Initiate project requests, develop or support the development of care cost impacts, partnering with external vendors, and/or Healthcare Economics.  Support vendor relationship to ensure external and internal expectations are met.

Responsbilities

  • Responsible for analyzing specific contracts in Enterprise Payment Integrity.  
  • Serve as a primary subject matter expert for each contract to ensure optimal contract management and outcomes. 
  • Evaluate feasibility of implementing interim workflow processes as a stop gap to provider abrasion and interest payments.  
  • Act as a point of communication and coordination with all internal business units for all issues related to vendor contracts. 
  • Ensure current and future state analysis is performed, business requirements and change requests are analyzed and accurately documented and aligned with business needs. 
  • Responsible for "end to end" contract management which includes performing all pre-contractual and implementation activities, business ownership of EPMO and IT projects, development of contract performance standards and associated penalties, root cause analysis and ongoing monitoring and oversight.  
  • Review content of new Payment Integrity contracts and provide input as appropriate  
  • Partner with business and IT to develop testing strategy, test plans and functional test cases. Participate in the development and execution of user test plans to ensure that the system design meets business needs.  
  • Actively participate in all related Policy Meetings, Quarterly Business Reviews, Reimbursement Policy Committees, Steering Committees.  
  • Create monthly savings reports and identify and address trends in comparison to established goals.  
  • Support budget process by creating requisitions, purchase orders, and accruals for each Payment Integrity program, to ensure program alignment with budget. 
  • Complete monthly invoices and reconcile against Oracle system reporting.  
  • Identify system enhancements and process improvements which will result in enhanced reporting and savings.  
  • Apply project management skills to complete related projects and assignments. 
  • Initiate claims to determine under and overpayments, presents outcomes and seeks appropriate business approvals. 
  • Identify and recommend new programs, savings opportunities, and ways to optimize current contracts. 
  • Evaluate feasibility of implementing interim workflow processes as a stop gap to provider abrasion and interest payments.  
  • Complete assigned Maestro cases in the appropriate Payment Integrity queues to ensure case closure within SLAs. 
  • Engage vendors and internal business units to review opportunities and lead business case development, savings opportunity analysis, and creation of EPMO or IT related projects.

Qualifications

  • Bachelor's degree 
  • AAPC CPC - AAPC Certified Professional Coder &/or CCS - AHIMA Certified Coding Specialist  (Preferred) 
  • Master's Degree  (Preferred)
  • 4 - 6 years or  relevant, professional experience in health care contracting and management  (Required)
  • Strong understanding of the healthcare industry, managed care and health plan operations  (Required)
  • Experience in managing large, complex contracts  (Required) 
  • Additional experience/specialized training/certifications may be considered in lieu of educational requirements  (Required) 
  • Knowledge of accruals, invoicing and financial reporting  (Required)
  • Experience with performance improvement  (Required)
  • Ability to prioritize complex projects  (Required)
  • Excellent organizational and project management skills  (Required) 
  • Proficiency in Microsoft product suite  (Required)
  • Knowledge of claims operating platforms  (Preferred)  
  • Excellent communication skills; ability to interact appropriately/effectively across all departments and management levels  (Required)
Additional Information
  • Requisition ID: 1000003195
  • Hiring Range: $68,040-$118,800

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