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Remote Medical Coder Jobs in Exton, PA (NOW HIRING)

YO AI Labs

Technical Writer - Remote

Philadelphia, PA · Remote

$30 - $60/hr

Design realistic technical evaluation tasks using CSVs, PDFs, spreadsheets, code samples, and ... medical devices, or regulated industries. * Strong ability to create precise, testable technical ...

micro1 AI

Medical Billing Specialist

Philadelphia, PA · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer's project focused on developing advanced AI-assisted writing tools for clinical documentation. In ...

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All JobsMedical Coder JobsRemote Medical Coder JobsRemote Medical Coder Jobs in Exton, PA

Remote Medical Coder information

See Exton, PA salary details

$16

$20

$22

How much do remote medical coder jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for remote medical coder in Exton, PA is $20.75, according to ZipRecruiter salary data. Most workers in this role earn between $17.40 and $22.02 per hour, depending on experience, location, and employer.

What is a remote medical coder?

A remote medical coder is a healthcare professional who reviews clinical documents and assigns standardized codes for diagnoses, procedures, and medical services, all while working from a remote location such as their home. These codes are essential for billing, insurance claims, and maintaining patient records. Remote medical coders typically use electronic health records (EHR) and must have a strong understanding of medical terminology, coding systems like ICD-10 and CPT, and relevant regulations. Working remotely offers flexibility but still requires attention to detail, confidentiality, and adherence to industry standards.

What does a remote medical coder do?

Remote medical coders are medical coders who work from home or locations outside of healthcare facilities. They process patient information, such as diagnosis, services rendered, and equipment used to conduct tests, in order to translate it into medical codes consisting of numbers and letters. Billing and coding specialists manage this information so that patients or their insurance companies can be billed appropriately. Remote medical coders may be self-employed or work for large coding firms that contract with hospitals or healthcare facilities.

What are the key skills and qualifications needed to thrive as a remote medical coder, and why are they important?

To thrive as a Remote Medical Coder, you need a solid understanding of medical terminology, anatomy, and coding systems such as ICD-10 and CPT, usually supported by a coding certification (e.g., CPC, CCS). Familiarity with electronic health records (EHRs) and coding software like 3M or Epic is essential for accurate and efficient work. Attention to detail, time management, and strong written communication skills help remote coders excel in independent, deadline-driven environments. These abilities ensure accurate billing, compliance with regulations, and minimal claim denials, which are critical for healthcare organizations' operational and financial success.

How do remote medical coders typically communicate and collaborate with healthcare providers and team members?

Remote Medical Coders often collaborate with healthcare providers, billing teams, and other coders through secure digital platforms, email, and scheduled video conferences. Clear communication is essential to clarify documentation, resolve coding discrepancies, and ensure accurate billing. Many employers use specialized health information systems and project management tools to streamline workflow and maintain HIPAA compliance. Frequent virtual meetings and messaging help foster teamwork and keep everyone aligned, even when working from different locations.

What is the difference between Remote Medical Coder vs Remote Medical Biller?

AspectRemote Medical CoderRemote Medical Biller
CertificationsCertified Professional Coder (CPC), CCSCertified Medical Reimbursement Specialist (CMRS), CPC
Work EnvironmentAnalyzing medical records, coding diagnoses and proceduresSubmitting claims, following up on payments
Industry UsageHealthcare providers, hospitals, clinicsInsurance companies, billing services, healthcare providers

Remote Medical Coders and Remote Medical Billers often work together but focus on different tasks. Coders assign codes based on medical records, while Billers handle claims submission and payment follow-up. Both roles require similar certifications and are essential in healthcare revenue cycle management.

How to get a remote job as a remote medical coder?

To secure a remote medical coder position, obtain relevant certifications such as CPC or CCS, gain experience with coding software and electronic health records, and build a strong resume highlighting your coding skills. Job seekers should search for openings on healthcare job boards and company websites, and demonstrate attention to detail and knowledge of medical terminology during the application process.

Is remote medical coding worth it?

Remote medical coding is a viable career option that offers flexibility and the ability to work from home. It requires certification, attention to detail, and proficiency with coding software, making it suitable for those seeking a flexible schedule and independent work environment.
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Remote Medical Coder jobs near you
Infographic showing various Remote Medical Coder job openings in Exton, PA as of August 2026, with employment types broken down into 56% Full Time, 11% Part Time, 6% Temporary, and 27% Contract. Highlights an 100% Remote job distribution, with an average salary of $43,165 per year, or $20.8 per hour.

Medical Director, Payment Integrity - Remote (PA/NJ/DE)

Independence Blue Cross

Philadelphia, PA • On-site, Remote

Full-time

Posted 10 days ago

Independence Blue Cross rating

8.8

Company rating: 8.8 out of 10

Based on 26 frontline employees who took The Breakroom Quiz

57th of 315 rated insurance

Job description

The Medical Director, Clinical Payment Integrity provides clinical oversight of payment integrity programs, reimbursement policy interpretation, provider engagement, and payment accuracy initiatives. This role serves as the clinical bridge between the health plan, providers, and internal stakeholders, ensuring payment integrity activities are clinically sound, operationally effective, and aligned with contractual and regulatory requirements.
Partners closely with Utilization Management, Quality, Network Management, Payment Integrity, Informatics, Legal, and Compliance teams to advance payment accuracy, affordability, provider collaboration, and healthcare quality.
This is an opportunity to help establish and expand a growing Clinical Payment Integrity function, influencing future strategy, governance, program development, and provider engagement capabilities.
Key Responsibilities
Clinical Payment Integrity Oversight & Reviews
  • Conduct physician-level clinical reviews and render medical determinations for post-service payment reviews, clinical validation audits, appeals, disputes, and escalated reimbursement matters.
  • Interpret clinical documentation, claims data, coding practices, and reimbursement policies to determine alignment with clinical findings and payment guidelines.
  • Support development of payment integrity policies, audit methodologies, clinical review processes, and reimbursement strategies.
  • Partner with analytics, operations, payment integrity, and policy teams to identify trends, improve review accuracy, and strengthen programs.
  • Serve as the physician escalation point for complex clinical payment integrity cases requiring medical judgment and interpretation.
  • Support efforts to prevent fraud, waste, and abuse while ensuring fair and accurate reimbursement practices.

Provider Engagement & Partnership
  • Serve as a senior clinical liaison to provider organizations, fostering relationships with physicians, revenue cycle leaders, coding teams, and healthcare executives.
  • Lead provider discussions regarding payment policies, audit methodologies, coding interpretations, reimbursement decisions, and review findings.
  • Partner with providers to resolve recurring billing, coding, documentation, and reimbursement issues through education and collaboration.
  • Represent the organization in executive-level meetings, Joint Value Committees (JVCs), Joint Operating Committees (JOCs), and other provider forums to discuss payment accuracy, utilization trends, quality outcomes, claim reviews, disputes, appeals, and improvement opportunities.
  • Act as the physician escalation point for provider concerns, balancing clinical appropriateness, coding standards, contractual requirements, reimbursement policy, and provider perspectives.
  • Solicit provider feedback and incorporate insights into education and operational improvement efforts.

Clinical Leadership, Strategy & Cross-Functional Collaboration
  • Collaborate with Utilization Management Medical Directors, Quality Clinical Leaders, Network Management, Provider Relations, Analytics, Legal, Compliance, and Operational teams to align payment integrity activities, reimbursement policies, medical necessity determinations, and provider communications.
  • Ensure provider perspectives and clinical workflows inform payment integrity initiatives, reimbursement policies, and review processes.
  • Serve as a clinical leader in the development and governance of payment integrity policies, audit methodologies, reimbursement strategies, and clinical review frameworks.
  • Lead root-cause analyses of audit findings, provider disputes, and payment integrity trends to improve processes and payment accuracy.
  • Develop clinical guidance, best practices, and educational resources for internal teams.
  • Coach and mentor clinical reviewers, nurses, coding specialists, and other payment integrity professionals.
  • Partner with organizational leaders to shape and expand the Clinical Payment Integrity function, including its strategy, governance, operating model, review methodologies, and physician review capabilities.
  • Champion solutions that improve payment accuracy, operational effectiveness, provider experience, affordability, and healthcare value.

Required Qualifications
  • Active, unrestricted physician license and current board certification.
  • Minimum seven (7) years of clinical practice experience.
  • Experience in managed care, utilization management, payment integrity, revenue cycle management, health plan operations, clinical auditing, or related healthcare leadership functions.
  • Demonstrated experience conducting clinical reviews and rendering medical determinations in support of utilization management, payment integrity, reimbursement review, or clinical audit activities.
  • Strong knowledge of CPT, ICD-10, HCPCS, clinical documentation requirements, and healthcare reimbursement methodologies.
  • Experience interpreting and applying payment policies, clinical guidelines, medical necessity criteria, and regulatory requirements.
  • Experience managing complex provider disputes, appeals, and reimbursement-related escalations.
  • Strong communication and relationship management skills with the ability to effectively engage providers, executives, and cross-functional stakeholders.
  • Ability to work effectively in a dynamic, matrixed healthcare environment.

Preferred Qualifications
  • Experience as a Health Plan Medical Director, Physician Advisor, or comparable physician leadership role.
  • Experience with clinical validation audits, DRG validation, reimbursement policy, payment integrity operations, or healthcare payment review programs.
  • Experience participating in Joint Value Committees (JVCs), provider governance forums, and executive-level provider engagement activities.
  • Knowledge of value-based care, provider economics, quality measurement, healthcare affordability initiatives, and payment integrity strategies.
  • Experience building new programs, leading change initiatives, or establishing clinical governance and review capabilities.

Fully Remote:
This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence's physical office locations to perform the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

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