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Remote Emergency Room Coder information

What is a remote emergency room coder?

A Remote Emergency Room Coder is a medical coding professional who reviews and assigns appropriate codes to emergency room (ER) patient records for billing and insurance purposes. They work remotely, ensuring accuracy in coding diagnoses, procedures, and treatments based on clinical documentation. This role requires knowledge of coding systems such as ICD-10, CPT, and HCPCS, as well as familiarity with ER-specific cases. Accuracy and compliance with healthcare regulations are essential to ensure proper reimbursement and minimize claim denials.

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

To thrive as a Remote Emergency Room Coder, you need a strong understanding of medical coding guidelines, emergency medicine terminology, and compliance standards, typically supported by a coding certification such as CCS, CPC, or RHIT. Proficiency in coding software (such as 3M or Optum), electronic health records (EHRs), and familiarity with ICD-10 and CPT coding systems is essential. Excellent attention to detail, strong analytical skills, and effective written communication are standout soft skills for this position. These skills ensure accurate coding, timely billing processes, and clear collaboration with healthcare providers, which are crucial for both patient care and hospital reimbursement.

What are the typical challenges faced by remote emergency room coders, and how can they be managed?

Remote Emergency Room Coders often encounter challenges such as interpreting incomplete or complex medical records and staying updated with frequent coding guideline changes. Managing these challenges involves excellent attention to detail, continuous professional education, and close communication with onsite medical staff when clarification is needed. Working remotely also requires strong self-motivation, time management, and the ability to work independently without direct supervision. Leveraging company-provided resources like training sessions and team collaboration tools can help coders stay efficient and accurate in their work.

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What job categories do people searching Remote Emergency Room Coder jobs in Arizona look for? The top searched job categories for Remote Emergency Room Coder jobs in Arizona are:
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Remote Emergency Room Coder jobs near you
Infographic showing various Remote Emergency Room Coder job openings in Arizona as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Care Review Clinician (RN) Remote (AZ)

Molina Healthcare

Gilbert, AZ • Remote

$26.41 - $51.49/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 197 frontline employees who took The Breakroom Quiz

163rd of 301 rated insurance

Job description

JOB DESCRIPTION 

This position will support the Arizona state Plan. We are seeking a candidate with an Arizona RN licensure.  The ideal candidate will have experience with UM and prior authorization with both inpatient and outpatient.  Candidates with a Behavioral Health background are highly preferred. Further details to be discussed during our interview process. Prefers candidates with 3 years of experience.

Remote position, must reside in Arizona.

Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time with some weekends and holidays. 

Job Summary

Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. 
Essential Job Duties 
• Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. 
• Analyzes clinical service requests from members or providers against evidence based clinical guidelines. 
• Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. 
• Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. 
• Processes requests within required timelines. 
• Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. 
• Requests additional information from members or providers as needed. 
• Makes appropriate referrals to other clinical programs. 
• Collaborates with multidisciplinary teams to promote the Molina care model. 
• Adheres to utilization management (UM) policies and procedures. 
Required Qualifications 
• At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. 
• Registered Nurse (RN). License must be active and unrestricted in state of practice. 
• Ability to prioritize and manage multiple deadlines. 
• Excellent organizational, problem-solving and critical-thinking skills. 
• Strong written and verbal communication skills. 
• Microsoft Office suite/applicable software program(s) proficiency. 
Preferred Qualifications 
• Certified Professional in Healthcare Management (CPHM). 
• Recent hospital experience in an intensive care unit (ICU) or emergency room. 
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

Pay Range: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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About Molina Healthcare

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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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