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Remote Cpc Medical Coding Jobs in Edison, NJ (NOW HIRING)

Turing

Remote Gastroenteroloist

Manhattan, NY · Remote

$200 - $300/hr

Collaborate with AI researchers and medical peers to improve model quality and reliability ... in coding, reasoning, STEM, multilinguality, multimodality, and agents; and second, by applying ...

MedReview

DRG Reviewer

Manhattan, NY · Remote

... coded diagnoses. This is a fully remote position. Candidates must be available to work Eastern ... College level courses in medical terminology, anatomy, pathophysiology, pharmacology, and medical ...

MedReview

DRG Reviewer

Manhattan, NY · On-site +1

$85K - $90K/yr

... coded diagnoses. This is a fully remote position. Candidates must be available to work Eastern ... College level courses in medical terminology, anatomy, pathophysiology, pharmacology, and medical ...

Oscar Health

Clinical Investigator

New York, NY · On-site +1

$67K - $89K/yr

This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois ... Certified Case Manager (CCM), Certified Professional Coder (CPC), Certified Professional Medical ...

YO AI Labs

Hospitalist Physician

New York, NY · Remote

Remote Job Overview We are seeking experienced Hospitalist Physicians to contribute their medical ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...

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Remote Cpc Medical Coding information

See Edison, NJ salary details

$15

$27

$39

How much do remote cpc medical coding jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for remote cpc medical coding in Edison, NJ is $27.28, according to ZipRecruiter salary data. Most workers in this role earn between $22.40 and $30.62 per hour, depending on experience, location, and employer.

What is a remote CPC medical coder?

Remote CPC Medical Coders are certified professionals who assign standardized codes to medical diagnoses, procedures, and services for healthcare providers, but work from a remote location such as their home. CPC stands for Certified Professional Coder, a designation offered by the AAPC that demonstrates expertise in medical coding. These coders review medical records, ensure accurate coding for insurance billing, and help healthcare organizations remain compliant with regulations. Working remotely, they utilize secure software and maintain patient confidentiality while collaborating virtually with healthcare teams.

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

To thrive as a Remote CPC Medical Coder, you need strong knowledge of medical terminology, anatomy, coding guidelines, and a Certified Professional Coder (CPC) certification. Familiarity with coding software (such as EncoderPro or 3M), electronic health records (EHR) systems, and HIPAA compliance is essential. Attention to detail, self-motivation, and effective written communication are crucial soft skills for accuracy and remote collaboration. These skills ensure precise coding, regulatory compliance, and efficient workflow in a remote healthcare environment.

What are some common challenges faced by remote CPC medical coders, and how can they be addressed?

Remote CPC Medical Coders often encounter challenges such as limited direct communication with healthcare providers, ensuring data security, and maintaining productivity without onsite supervision. To overcome these, it's helpful to establish regular check-ins with team members, utilize secure coding platforms, and create a structured daily routine. Staying up to date with coding guidelines and actively participating in virtual meetings can also enhance collaboration and accuracy in coding assignments.

What are popular job titles related to Remote Cpc Medical Coding jobs in Edison, NJ?

For Remote Cpc Medical Coding jobs in Edison, NJ, the most frequently searched job titles are:

What job categories do people searching Remote Cpc Medical Coding jobs in Edison, NJ look for?

The top searched job categories for Remote Cpc Medical Coding jobs in Edison, NJ are:

What cities near Edison, NJ are hiring for Remote Cpc Medical Coding jobs?

Cities near Edison, NJ with the most Remote Cpc Medical Coding job openings:

Remote Cpc Medical Coding jobs near you
Infographic showing various Remote Cpc Medical Coding job openings in Edison, NJ as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 100% Remote job distribution, with an average salary of $56,751 per year, or $27.3 per hour.

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

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