Identify potential care management cases through readmissions, emergency room utilization, catastrophic diseases, high dollar treatments, and/or referrals from other CarePlus team members.
Identify potential care management cases through readmissions, emergency room utilization, catastrophic diseases, high dollar treatments, and/or referrals from other CarePlus team members.
Identify potential care management cases through readmissions, emergency room utilization, catastrophic diseases, high dollar treatments, and/or referrals from other CarePlus team members.
Identify potential care management cases through readmissions, emergency room utilization, catastrophic diseases, high dollar treatments, and/or referrals from other CarePlus team members.
Identify potential care management cases through readmissions, emergency room utilization, catastrophic diseases, high dollar treatments, and/or referrals from other CarePlus team members.
Identify potential care management cases through readmissions, emergency room utilization, catastrophic diseases, high dollar treatments, and/or referrals from other CarePlus team members.
Remote Emergency Room Coder information
See Greenville, SC salary details
$16.27 - $16.83
7% of jobs
$17.36 is the 25th percentile. Wages below this are outliers.
$16.83 - $17.38
19% of jobs
$17.38 - $17.94
5% of jobs
$17.94 - $18.49
3% of jobs
$18.49 - $19.05
14% of jobs
The median wage is $19.19 / hr.
$19.05 - $19.60
6% of jobs
$19.60 - $20.16
0% of jobs
$20.16 - $20.71
0% of jobs
$20.71 - $21.27
0% of jobs
$21.71 is the 75th percentile. Wages above this are outliers.
$21.27 - $21.82
26% of jobs
$21.82 - $22.38
20% of jobs
$16
$20
$22
How much do remote emergency room coder jobs pay per hour?
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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For Remote Emergency Room Coder jobs in Greenville, SC, the most frequently searched job titles are:
What job categories do people searching Remote Emergency Room Coder jobs in Greenville, SC look for?
The top searched job categories for Remote Emergency Room Coder jobs in Greenville, SC are:
What cities near Greenville, SC are hiring for Remote Emergency Room Coder jobs?
Cities near Greenville, SC with the most Remote Emergency Room Coder job openings:

Medical Management Coordinator (Remote)
Spartanburg, SC • On-site, Remote
Full-time
Posted 7 days ago
Spartanburg Regional Healthcare System rating
6.7
Based on 117 frontline employees who took The Breakroom Quiz
534th of 898 rated healthcare providers
Job description
Position Summary
The Medical Management Coordinator coordinates all utilization management, and case management activities for the Spartanburg Regional Healthcare System group. The position provides support function to the RHP Medical Management Committee. Must meet productivity standards, complete work in a timely manner. Must be flexible and adapt to changes in the work environment; manage competing demands; change the approach or method to best fit the situation; be able to cope with delay or unexpected events. Take responsibility; keep commitments; complete tasks on time. Volunteer readily; take independent actions; ask for and offer help when needed.
* Only Applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, North Carolina, Pennsylvania, Rhode Island, South Carolina, Virginia, West Virginia, Wisconsin.
Minimum Requirements
Education
- Registered Nurse
Experience
- 5 years clinical experience
- 3 years Utilization Management or Case Management Experience
License/Registration/Certifications
- Valid Driver's license with good driving record
Core Job Responsibilities
- Responsible for the delegated Utilization Review activities for SRHS Health Plan, and others as needed.
- Coordinates outpatient service review, precertification review, and certification review activities.
- Review all incoming clinical for outpatient service precertification using specified criteria.
- Facilitate discussions with RHP Medical Director of cases that require clinical review related to active cases, extended length of stay, catastrophic cases, difficult discharge dispositions, and appropriate levels of care. Refer any cases to external specialist for review when needed.
- Performs subsequent reviews based on criteria guidelines.
- Communicates daily with outside facilities/providers results of requested review. Displays appropriate communicates avenues with facilities, case managers and DCP's.
- Maintains documents and service in a manner that achieves and maintains member confidentiality and is consistent with HIPAA guidelines.
- Maintain and update data bases logging Medical Director Reviews, Appeal and statistics in compliance with URAC standards.
- Research and review any claims issues related to utilization management and / or medical necessity from Third Party Administrator. Communicate results of review to Third Party Administrator.
- Maintain and update data bases logging Medical Director Reviews, Appeal and statistics in compliance with URAC standards.
- Professionally manages member/customer requests and complaints. Seeks to resolve customer complaints and problems. Provides information regarding the appeal process to members as requested, and serves as a resource to members, providers, and RHP.
- Provide notification to Stop Loss carrier and Third-Party Administrator of any plan participant with potential high dollar claims based on medical reviews.
- Provide clinical updates as requested
- Work w/ Plan Administrators on unique cases that may require special considerations/exceptions to provide a sound quality and fiscal outcome.
- Meets with appropriate physicians and other providers to gain physician understanding and support for the CarePlus Medical Management Utilization Management Process.
- Negotiates rate with any out-of-network services as needed.
- Identify potential care management cases through readmissions, emergency room utilization, catastrophic diseases, high dollar treatments, and/or referrals from other CarePlus team members.
- Determine any appropriate referrals to other CarePlus team members, not limited to, Transitional Care Program, Disease Management Program, Health Coach, or Community Programs.
- All documents and data are timely, complete, and accurate.
- Performs all duties within a timely manner.
- All other duties as assigned.
What Spartanburg Regional Healthcare System employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Spartanburg Regional Healthcare System
Sourced by ZipRecruiter
Spartanburg Regional Healthcare System is a leader in the healthcare industry, located in Spartanburg, SC, US. As a comprehensive health system, it offers services encompassing everything from wellness, prevention, and care coordination to specific medical treatments for a wide range of diseases and health issues. Spartanburg Regional Healthcare System was founded in 1921 and has since developed a reputation for excellence and innovative care, growing to include six hospitals, 100 medical offices, 8,000 associates and more than 900 medical staff.
Industry
Recruiting and staffing services
Company size
5,001 - 10,000 Employees
Headquarters location
Spartanburg, SC, US
Year founded
1921