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Remote Icd 10 Coding Jobs in Miami, FL (NOW HIRING)

* 100% Remote. Our client in Richmond, VA is seeking Oracle Apex developer (788519) For a contract ... Ability to write ad-hoc SQL queries and code shell scripts as needed. Required 10 Years Query ...

Medical Auditor - Remote

Miami, FL · Remote

$50 - $70/hr

Remote Job Overview We are seeking experienced Medical Auditors to contribute their specialized ... Written & Verbal Communication Preferred Qualifications * 10+ years of experience in medical coding ...

New

Remote based, reporting to a Founder/CEO of a >$100MM+ high-growth D2C company.The CEO is looking ... Claude Code, Manus, Cursor or Anti-Gravity, every day at a medium to advanced super user level as ...

Patient Support Medical Claims Processing Representative Contract Remote Role - Location (Open to ... Coding Certification required * Ability to interpret Explanation of Benefits (EOB) * HIPPA ...

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Remote Icd 10 Coding information

See Miami, FL salary details

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How much do remote icd 10 coding jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for remote icd 10 coding in Miami, FL is $20.57, according to ZipRecruiter salary data. Most workers in this role earn between $17.26 and $21.83 per hour, depending on experience, location, and employer.

Is it easy to get a remote job as a remote ICD 10 coder?

Securing a remote ICD 10 coding position typically requires certification, such as CPC or CCS, and proficiency with coding software. While demand for remote medical coders is growing, competition can be moderate, and strong attention to detail and accuracy are essential for success.

What cities near Miami, FL are hiring for Remote Icd 10 Coding jobs?

Cities near Miami, FL with the most Remote Icd 10 Coding job openings:

Infographic showing various Remote Icd 10 Coding job openings in Miami, FL as of August 2026, with employment types broken down into 88% Full Time, 8% Part Time, and 4% Contract. Highlights an 100% Remote job distribution, with an average salary of $42,776 per year, or $20.6 per hour.

Manager, Clinical Appeals

Health Business Solutions LLC

Cooper City, FL • Remote

Full-time

Re-posted yesterday


Job description

Job Summary:

We are seeking an experienced and highly organized Manager of Clinical Appeals to lead our clinical appeals operations across commercial and government payers. This role is responsible for overseeing day-to-day activities of clinical appeal specialists, managing appeal strategy execution, ensuring quality and compliance, and meeting client-specific performance goals.

The ideal candidate brings a strong background in clinical review, medical necessity denials, payer appeal processes, and team leadership—ideally across both U.S. and offshore teams (e.g., Philippines). This position is critical to ensuring timely and effective resolution of denied claims, supporting revenue recovery efforts, and maintaining payer and regulatory compliance.

Key Responsibilities:

  • Manage the full-cycle clinical appeals process across multiple payer types, with a focus on government (e.g., Medicare, Medicaid) and commercial payers.
  • Lead and support a team of nurses, clinical reviewers, and appeal specialists—including potential offshore (Philippines-based) staff.
  • Monitor appeal workloads, productivity, and turnaround times to ensure all appeal deadlines and client service level agreements (SLAs) are met.
  • Review and approve complex or high-value clinical appeal cases, ensuring clinical accuracy and compliance with payer guidelines.
  • Maintain up-to-date knowledge of medical necessity criteria, payer policies, NCDs/LCDs, and applicable CMS regulations.
  • Train new and existing team members on clinical guidelines, appeal writing standards, and regulatory requirements.
  • Work cross-functionally with audit, legal, compliance, and operations teams to align on strategy and escalate trends or systemic payer issues.
  • Identify and implement process improvements to increase efficiency, reduce denials, and improve overturn rates.
  • Support the creation and refinement of appeal templates, clinical arguments, and documentation standards.
  • Generate and deliver performance and quality reports to leadership, identifying risks and opportunities for improvement.

Qualifications:

  • Registered Nurse (RN) or clinical degree required; Bachelor's degree in Nursing, Health Administration, or related field preferred.
  • 5+ years of experience in clinical appeals, utilization review, or medical necessity denials.
  • 2+ years in a leadership or supervisory role, preferably within a revenue cycle or payer appeals setting.
  • In-depth understanding of payer denial processes, especially Medicare Advantage, Medicaid Managed Care, and commercial plans.
  • Experience managing remote and/or offshore teams (Philippines experience preferred).
  • Strong working knowledge of ICD-10, CPT, and HCPCS coding as they relate to clinical justifications.
  • Excellent writing skills and the ability to clearly communicate complex clinical reasoning.
  • Familiarity with appeal submission portals, EHRs, and workflow platforms.
  • Knowledge of HIPAA, CMS, and NCQA standards.