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Remote Cpc Coder Jobs in Seymour, IN (NOW HIRING)

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Remote Cpc Coder information

See Seymour, IN salary details

$14

$25

$61

How much do remote cpc coder jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for remote cpc coder in Seymour, IN is $25.48, according to ZipRecruiter salary data. Most workers in this role earn between $19.04 and $25.29 per hour, depending on experience, location, and employer.

What is a remote CPC coder?

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 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 the key skills and qualifications needed to thrive as a remote CPC coder?

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.

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.

Can you work from home as a remote CPC coder?

Yes, remote CPC coders can typically work from home, as the job involves reviewing medical records and assigning codes using specialized coding software. Many employers offer remote positions with flexible schedules, requiring strong attention to detail and certification from the American Academy of Professional Coders. Reliable internet and a quiet workspace are essential for this role.
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Infographic showing various Remote Cpc Coder job openings in Seymour, IN as of September 2026, with employment types broken down into 2% As Needed, 82% Full Time, 14% Part Time, 1% Temporary, and 1% Contract. Highlights an 67% Physical, 3% Hybrid, and 30% Remote job distribution, with an average salary of $52,990 per year, or $25.5 per hour.

Senior Risk Adjustment Coding Specialist

Columbus, IN • On-site, Remote

SIHO Insurance Services
Insurance Services • 51 - 200 employees
Learn more about SIHO Insurance Servicesexternal

Full-time

Posted yesterday

New

Job description

Senior Risk Adjustment Coding Specialist

Position Summary

The Senior Risk Adjustment Coding Specialist serves as a subject matter expert, providing advanced coding guidance, mentoring team members, supporting audits, and contributing to process improvement initiatives.

Responsible for performing retrospective, concurrent and RADV medical record reviews to ensure accurate and compliant diagnosis coding that supports Medicare Advantage, ACA, and other risk-adjusted reimbursement programs. This role collaborates with providers, clinical staff, and operational teams to identify coding opportunities, ensure documentation integrity, and improve overall risk adjustment performance.

Essential Responsibilities

  • Perform comprehensive medical record reviews to identify, validate, and capture chronic and acute conditions according to CMS and risk adjustment guidelines.
  • Assign and validate appropriate ICD-10-CM diagnosis codes based on provider documentation.
  • Ensure coding accuracy and compliance with CMS-HCC, HHS-HCC, and organizational risk adjustment requirements.
  • Conduct retrospective, concurrent, and prospective chart reviews.
  • Identify documentation gaps and communicate findings to providers and clinical teams.
  • Support provider education efforts related to risk adjustment documentation and coding best practices.
  • Participate in internal and external coding audits and validation activities.
  • Maintain productivity and quality standards while meeting departmental goals.
  • Research and interpret coding regulations, compliance updates, and CMS guidance.
  • Collaborate with quality, population health, clinical operations, and provider engagement teams.
  • Track coding trends and recommend opportunities for documentation improvement.
  • Maintain confidentiality and comply with HIPAA requirements.

Additional Responsibilities

  • Serve as a resource and mentor for coding specialists and clinical staff.
  • Lead complex coding reviews and second-level quality audits.
  • Assist with policy development, workflow optimization, and coding program initiatives.
  • Analyze coding and audit results to identify trends, risks, and improvement opportunities.
  • Support readiness for RADV, internal, and external audits.
  • Deliver provider and staff education on coding and documentation best practices.
  • Participate in cross-functional strategic projects related to risk adjustment performance.

Required Qualifications

Senior Risk Adjustment Coding Specialist

  • High school diploma or GED required; Associate's or Bachelor's degree preferred.
  • Minimum 5 years of medical coding experience.
  • Minimum 3 years of dedicated risk adjustment coding experience.
  • Demonstrated experience supporting audits, provider education, or coding quality initiatives.
  • Advanced knowledge of CMS-HCC and risk adjustment methodologies.
  • Strong knowledge of ICD-10-CM coding guidelines.
  • Experience reviewing electronic medical records (EMRs).
  • Proficiency with Microsoft Office applications.

Required Certifications

One or more of the following certifications is required:

  • Certified Professional Coder (CPC)
  • Certified Risk Adjustment Coder (CRC)
  • Certified Coding Specialist (CCS)
  • Certified Coding Associate (CCA)

Preferred Certifications

  • CPC and CRC combination strongly preferred.
  • Additional specialty coding certifications preferred.

Knowledge, Skills, and Abilities

  • Strong understanding of CMS-HCC risk adjustment methodology.
  • Knowledge of Medicare Advantage and value-based care programs.
  • Ability to interpret clinical documentation and coding guidelines accurately.
  • Strong attention to detail and analytical skills.
  • Excellent written and verbal communication skills.
  • Ability to work independently and manage multiple priorities.
  • Experience with coding audits and quality assurance processes.
  • Proficiency with EMR systems such as Epic, Athena, eClinicalWorks, or similar platforms.
  • Strong organizational and problem-solving abilities.

Preferred Experience

  • Medicare Advantage, Medicaid, ACA, or value-based care experience.
  • Experience with RADV audits and risk adjustment validation programs.
  • Provider education and clinical documentation improvement (CDI) experience.
  • Experience working for a health plan, managed care organization, ACO, IPA, or large provider group.
  • Familiarity with population health and quality improvement initiatives.

Work Environment

  • Remote, hybrid, or onsite based on business needs.
  • Primarily sedentary work involving extensive computer and medical record review.
  • Occasional participation in provider meetings, training sessions, and audit activities.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.