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Remote Medical Billing Rcm Jobs in Rancho Murieta, CA

CommonSpirit Health

QCDI Coder

Rancho Cordova, CA · Remote

$20 - $26.75/hr

... medical and billing records, and identifying reimbursement/quality of care opportunities ... As a remote employee, we will provide you with the equipment needed to work from home, including a ...

New

Adventist Health

Manager, Coding (Remote)

Roseville, CA · On-site +1

$98K - $148K/yr

... providers, billing staff and ancillary departments. Ensures the appropriate dissemination and ... Reviews claim denials and rejections pertaining to coding and medical necessity issues and, when ...

Adventist Health

Manager, Coding (Remote)

Roseville, CA · Remote

... providers, billing staff and ancillary departments. Ensures the appropriate dissemination and ... Reviews claim denials and rejections pertaining to coding and medical necessity issues and, when ...

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All JobsMedical Billing Rcm JobsRemote Medical Billing Rcm JobsRemote Medical Billing Rcm Jobs in Rancho Murieta, CA

Remote Medical Billing Rcm information

See Rancho Murieta, CA salary details

$15

$24

$33

How much do remote medical billing rcm jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for remote medical billing rcm in Rancho Murieta, CA is $24.95, according to ZipRecruiter salary data. Most workers in this role earn between $21.35 and $27.50 per hour, depending on experience, location, and employer.

What is a remote medical billing RCM specialist?

Remote Medical Billing RCM (Revenue Cycle Management) professionals are specialists who manage and optimize the financial processes involved in healthcare billing from a remote location. Their responsibilities include submitting medical claims to insurance companies, following up on unpaid claims, verifying patient insurance coverage, and ensuring accurate coding and billing. By working remotely, they support healthcare providers in maintaining steady cash flow and compliance with industry regulations. These roles typically require knowledge of medical terminology, billing software, and healthcare regulations such as HIPAA. Remote work allows for flexibility while still providing essential support to healthcare organizations.

What skills and qualifications are needed to thrive as a remote medical billing RCM specialist?

A Remote Medical Billing RCM Specialist needs knowledge of medical billing procedures, coding standards (such as ICD-10, CPT, and HCPCS), and a background in healthcare administration or billing certification. Familiarity with billing software, electronic health records (EHR) systems, and claims management platforms is essential, often supplemented by certifications like Certified Professional Biller (CPB) or Certified Revenue Cycle Representative (CRCR). Attention to detail, organization, and strong communication skills help specialists resolve claim issues and interact effectively with patients and payers. These skills ensure accurate claim processing, timely reimbursements, and compliance with regulations—crucial for the financial health of healthcare practices.

What are common challenges faced by remote medical billing RCM specialists, and how can they be addressed?

Remote Medical Billing RCM (Revenue Cycle Management) professionals often encounter challenges such as keeping up with frequent changes in insurance policies, managing claim denials, and maintaining clear communication with healthcare providers and payers. Working remotely can add complexity, as team collaboration and access to sensitive data must be handled securely and efficiently. Staying organized with a robust workflow, leveraging secure billing software, and participating in regular virtual meetings can help address these challenges and ensure effective revenue cycle management.

What is the difference between Remote Medical Billing Rcm vs Remote Medical Coding Specialist?

AspectRemote Medical Billing RcmRemote Medical Coding Specialist
Primary RoleManaging billing processes, submitting claims, and ensuring payment collectionReviewing medical records and assigning appropriate codes for billing and documentation
Required CertificationsCPB, CPC, or similar billing certificationsCPC, CCS, or coding certifications
Work EnvironmentRemote or office-based, healthcare or billing companiesRemote or office-based, healthcare providers or coding companies
Industry UsageWidely used in healthcare billing and revenue cycle managementCommon in medical record documentation and coding departments

While both roles are essential in healthcare revenue cycle management, Remote Medical Billing Rcm focuses on submitting claims and collecting payments, whereas Remote Medical Coding Specialist concentrates on accurately coding medical records. They often collaborate but require different certifications and skill sets.

What cities near Rancho Murieta, CA are hiring for Remote Medical Billing Rcm jobs?

Cities near Rancho Murieta, CA with the most Remote Medical Billing Rcm job openings:

Remote Medical Billing Rcm jobs near you
Infographic showing various Remote Medical Billing Rcm job openings in Rancho Murieta, CA as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $51,904 per year, or $25 per hour.

QCDI Coder

CommonSpirit Health

Rancho Cordova, CA • Remote

$20 - $26.75/hr

Full-time

Posted 3 days ago

New

CommonSpirit Health rating

7.0

Company rating: 7.0 out of 10

Based on 543 frontline employees who took The Breakroom Quiz

421st of 898 rated healthcare providers

Job description

Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled, qualities that are vital to maintaining excellence in care and service.


As our Quality Clinical Documentation Improvement (QCDI) Coding Specialist, your primary focus will be to facilitate and ensure the comprehensive capture of billing data for the purpose of accurately reporting HCC's, participating in the reconciliation of patient medical and billing records, and identifying reimbursement/quality of care opportunities. Additionally this role will provide provider education and review trends of assigned provider or medical groups.  The Hierarchical Condition Category (HCC) Quality Program was developed by CMS to promote quality care for Medicare Advantage members. By focusing on comprehensive documentation to identify, evaluate and assess chronic conditions at the appropriate specificity, patient medical needs are met at the highest level.
Every day you will perform comprehensive chart reviews to ensure documentation required to facilitate the reporting of HCC diagnoses to payer.  You will also identify claims correction opportunities and submit to appropriate personnel for processing.
To be successful in this role, you will have an extensive knowledge of payer contract guidelines, a strong background in coding, and a high level of attention to detail.
As a remote employee, we will provide you with the equipment needed to work from home, including a laptop, docking station, dual monitors, and accessories.


This position is work from home for residents of CA.

  • Performs comprehensive chart reviews to ensure documentation required to facilitate the reporting of HCC diagnoses to payer
  • Identifies claims correction opportunities and submits to appropriate personnel for processing
  • Demonstrates analytical and problem-solving ability regarding review of submitted diagnosis codes versus services reflected in the documentation in the patient's chart note
  • Follows department policies and guidelines on appropriate documentation to billing codes, abstracting information from chart notes based on performance program measures
  • Partners with QCDI Nurse, as necessary, to identify trends and gaps for creating better process efficiency and provider performance
  • Assists in the development and reporting of HCC and Pay for Performance Metrics

Required
  • 5 years experience as a clinic coder
  • Extensive knowledge of payer contract guidelines
  • Certified Professional Coder (CPC) or Certified Coding Specialist (CCS)
  • Analytical and problem solving skills with the ability to understand clinical compliance guidelines, complex reimbursement structures and to apply contractual and governmental regulations to internal processes. Superior organizational skills. Superior written and verbal communication skills. Able to work with minimum daily supervision.

Preferred
  • Bachelors degree or equivalent work experience preferred
  • HCC, risk adjustment, or specialty coding experience preferred
  • Experience with MSSP preferred
  • Technical/software acumen preferred

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