Perform outpatient coding reviews using medical records, itemized bills, claim lines, payer requirements, CPT/HCPCS guidance, ICD-10-CM guidelines, revenue codes, modifier rules, NCCI edits, APC/EAPG ...
Perform outpatient coding reviews using medical records, itemized bills, claim lines, payer requirements, CPT/HCPCS guidance, ICD-10-CM guidelines, revenue codes, modifier rules, NCCI edits, APC/EAPG ...
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the ...
This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the ...
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New York, NY ยท Remote
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From fulfilling a single patient's request for their medical records to powering the AI revolution ... Strong written and verbal communication skills, adeptness in remote work, and exceptional time ...
Quick apply
Profee Coding Consultant - Full Time
New York, NY ยท Remote
$20 - $28/hr
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Remote | Clinical Documentation Integrity Review Consultant Up to $65/hour
Manhattan, NY ยท Remote
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Remote | Clinical Documentation Integrity Review Consultant Up to $65/hour
Manhattan, NY ยท Remote
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... interpret medical records, clinical documentation, and coding-related recommendationsProficiency with CDI platforms such as 3M, Nuance, Optum360, or similar systems, as well as EHR ...
Remote | Clinical Documentation Integrity Review Consultant Up to $65/hour
Manhattan, NY ยท Remote
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Medical Biller Specialist I
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Bronx, NY ยท Remote
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Medical Biller Specialist I
Bronx, NY ยท Remote
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Medical Biller Specialist I
Bronx, NY ยท Remote
$19.50 - $25/hr
... coding and insurance guidelines. The Medical Biller Specialist will join a dedicated team of professionals within our Finance's Practice Management Division. This position is remote, requiring ...
Medical Biller Specialist I
Bronx, NY ยท Remote
$19.50 - $25/hr
... coding and insurance guidelines. The Medical Biller Specialist will join a dedicated team of professionals within our Finance's Practice Management Division. This position is remote, requiring ...
Medical Biller Specialist I
Bronx, NY ยท Remote
$19.50 - $25/hr
... coding and insurance guidelines. The Medical Biller Specialist will join a dedicated team of professionals within our Finance's Practice Management Division. This position is remote, requiring ...
Quick apply
Medical Biller Specialist I
Bronx, NY ยท Remote
$19.50 - $25/hr
... coding and insurance guidelines. The Medical Biller Specialist will join a dedicated team of professionals within our Finance's Practice Management Division. This position is remote, requiring ...
Sr Hospitalist Clinical Reviewer - Remote
New York, NY ยท Remote
$70 - $100/hr
Remote Job Overview We are seeking experienced Senior Hospitalist Clinical Reviewers to support a ... Experience with medical coding, utilization review, or physician audit processes. * Experience ...
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Sr Hospitalist Clinical Reviewer - Remote
New York, NY ยท Remote
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... Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor ... remote with a small travel expectation on an annual basis. Candidates must be willing to travel to ...
Quick apply
REMOTE | Direct HIre - Full Time | Clinical Coding Auditor & Trainer
New York, NY ยท Remote
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... Group (DRG) and Medical Record Audit Programs for Fidelis Care. The Clinical Coding Auditor ... remote with a small travel expectation on an annual basis. Candidates must be willing to travel to ...
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Hierarchical Condition Category (HCC) Coding Specialist
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... medical one, specifically). * Rendering all messages accurately and completely, without adding ... Comply with dress code requirements for video remote interpreting. Your background and experience:
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Fort Lee, NJ ยท Remote
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AR Follow-Up Specialist III - Coding and Complex Denials #Full Time #Remote
Fort Lee, NJ ยท Remote
$28.72 - $36.92/hr
This position is primarily remote, candidates must reside in the Tri-State area. Note: There may be ... Prepare and submit appeals for denied claims, including Letters of Medical Necessity and other ...
AR Follow-Up Specialist III - Coding and Complex Denials #Full Time #Remote
Fort Lee, NJ ยท Remote
$28.72 - $36.92/hr
This position is primarily remote, candidates must reside in the Tri-State area. Note: There may be ... Prepare and submit appeals for denied claims, including Letters of Medical Necessity and other ...
Quick apply
AR Follow-Up Specialist III - Coding and Complex Denials #Full Time #Remote
Fort Lee, NJ ยท Remote
$28.72 - $36.92/hr
This position is primarily remote, candidates must reside in the Tri-State area. Note: There may be ... Prepare and submit appeals for denied claims, including Letters of Medical Necessity and other ...
AR Follow-Up Specialist III - Coding and Complex Denials #Full Time #Remote
Fort Lee, NJ ยท On-site +1
$28.72 - $36.92/hr
This position is primarily remote, candidates must reside in the Tri-State area. Note: There may be ... Prepare and submit appeals for denied claims, including Letters of Medical Necessity and other ...
AR Follow-Up Specialist III - Coding and Complex Denials #Full Time #Remote
Fort Lee, NJ ยท On-site +1
$28.72 - $36.92/hr
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Resident Medical Expert (MD/DO)
Manhattan, NY ยท Remote
$200 - $300/hr
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Quick apply
Resident Medical Expert (MD/DO)
Manhattan, NY ยท Remote
$200 - $300/hr
... in coding, reasoning, STEM, multilinguality, multimodality, and agents; and second, by applying ... Remote work with flexible scheduling around your clinical commitments. Engagement details:
Coding Auditor and Educator, Physician Billing (PB)
Hasbrouck Heights, NJ ยท Remote
$105K/yr
This is remote position. A day in the life of a Physician Billing (PB) Coding Auditor and Educator ... Coder (CPC) Certification. * Certified Professional Medical Auditor (CPMA) at hire or must obtain ...
Coding Auditor and Educator, Physician Billing (PB)
Hasbrouck Heights, NJ ยท Remote
$105K/yr
This is remote position. A day in the life of a Physician Billing (PB) Coding Auditor and Educator ... Coder (CPC) Certification. * Certified Professional Medical Auditor (CPMA) at hire or must obtain ...
Remote Medical Coder information
See Union City, NJ salary details
$18.92 - $19.56
7% of jobs
$20.18 is the 25th percentile. Wages below this are outliers.
$19.56 - $20.21
19% of jobs
$20.21 - $20.85
5% of jobs
$20.85 - $21.50
3% of jobs
$21.50 - $22.14
14% of jobs
The median wage is $22.30 / hr.
$22.14 - $22.79
6% of jobs
$22.79 - $23.43
0% of jobs
$23.43 - $24.08
0% of jobs
$24.08 - $24.72
0% of jobs
$25.23 is the 75th percentile. Wages above this are outliers.
$24.72 - $25.37
26% of jobs
$25.37 - $26.01
20% of jobs
$18
$23
$26
How much do remote medical coder jobs pay per hour?
What is a remote medical coder?
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?
How do remote medical coders typically communicate and collaborate with healthcare providers and team members?
What is the difference between Remote Medical Coder vs Remote Medical Biller?
| Aspect | Remote Medical Coder | Remote Medical Biller |
|---|---|---|
| Certifications | Certified Professional Coder (CPC), CCS | Certified Medical Reimbursement Specialist (CMRS), CPC |
| Work Environment | Analyzing medical records, coding diagnoses and procedures | Submitting claims, following up on payments |
| Industry Usage | Healthcare providers, hospitals, clinics | Insurance 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?
Is remote medical coding worth it?
What are the most commonly searched types of Medical Coder jobs in Union City, NJ?
The most popular types of Medical Coder jobs in Union City, NJ are:
What are popular job titles related to Remote Medical Coder jobs in Union City, NJ?
For Remote Medical Coder jobs in Union City, NJ, the most frequently searched job titles are:
What job categories do people searching Remote Medical Coder jobs in Union City, NJ look for?
The top searched job categories for Remote Medical Coder jobs in Union City, NJ are:
What cities near Union City, NJ are hiring for Remote Medical Coder jobs?
Cities near Union City, NJ with the most Remote Medical Coder job openings:

Full-time
Posted 16 days ago
Job description
MedReview is looking for a Outpatient Payment Integrity Production Coder. The Outpatient Payment Integrity Production Coder is responsible for completing claim-level outpatient coding reviews to identify inaccurate coding, unsupported billing, documentation gaps, and potential overpayments. This role supports payment integrity operations by applying outpatient coding expertise, client payer policy, CMS guidance, CPT/HCPCS requirements, modifier rules, NCCI edits, and medical record documentation standards to ensure audit findings are accurate, defensible, and client savings consistently recovered.
Key Responsibilities
- Perform outpatient coding reviews using medical records, itemized bills, claim lines, payer requirements, CPT/HCPCS guidance, ICD-10-CM guidelines, revenue codes, modifier rules, NCCI edits, APC/EAPG logic, and supporting documentation.
- Validate whether billed outpatient services are supported by documentation and whether the correct procedure codes, modifiers, units, revenue codes, and billing combinations were reported.
- Identify coding discrepancies, unsupported services, unbundling, inappropriate modifier usage, incorrect procedure code selection, unit errors, documentation deficiencies, and other outpatient payment integrity findings.
- Apply approved audit target guidance, job aids, payer policy, coding hierarchy, and documentation standards consistently across assigned claims.
- Document audit rationale clearly and defensibly, including supported findings, unsupported findings, code changes, modifier issues, documentation gaps, and references used to support the review decision.
- Meet production, quality, turnaround time, and general professional expectations while maintaining accuracy and consistency.
- Escalate complex coding, payer policy, reimbursement, pricing, workflow, or documentation questions to the appropriate lead, manager, or subject matter expert.
- Participate in training, calibration reviews, quality feedback sessions, and target refreshers to support consistent application of outpatient audit concepts.
- Maintain current knowledge of outpatient coding guidelines, payer policies, CMS guidance, NCCI edits, LCDs/NCDs, modifier requirements, and reimbursement methodologies relevant to outpatient payment integrity.
Required Qualifications
- Current nonexpired coding certification credential required: CPC, COC, CCS, RHIT, RHIA or equivalent.
- Minimum of 3 years of outpatient coding experience required.
- Strong knowledge of CPT, HCPCS, ICD-10-CM, revenue codes, modifier usage, NCCI edits, outpatient documentation standards, and payer-specific coding requirements.
- Experience reviewing outpatient facility claims, medical records, operative reports, emergency department records, observation records, ancillary services, injections and infusions, surgical procedures, or other outpatient service lines.
- Ability to interpret payer policy, CMS guidance, LCDs/NCDs, coding references, and documentation requirements and apply them to claim-level reviews.
- Ability to distinguish between coding validation and payment integrity auditing by evaluating what was billed, what is supported, and why a billed service may be incorrect or unsupported.
- Strong written communication skills with the ability to document clear, concise, and defensible audit rationale.
- High attention to detail, analytical thinking, sound judgment, and ability to work independently in a production environment.
- Ability to meet productivity and quality expectations while managing multiple claims, priorities, and deadlines.
- Proficiency with Microsoft Outlook, Word, Excel, coding tools, claim review platforms, and electronic medical record documentation systems.
Preferred Qualifications
- Previous payment integrity, audit, outpatient facility audit, payer review, or claims review experience preferred.
- Experience with outpatient reimbursement methodologies such as APC, EAPG, OPPS, multiple procedure reductions, packaging, bundling, and payer-specific reimbursement rules.
- Experience using coding references, encoder tools, 3M, TruCode, WebStrat, payer portals, claim systems, or similar applications.
- Optum platforms experience
Production and Quality Expectations
The Outpatient Payment Integrity Production Coder is expected to complete assigned claims in accordance with approved workflow, target guidance, quality standards, and turnaround time expectations. The coder must maintain accurate notes, apply coding guidance consistently, participate in quality review and calibration activities, and respond to feedback in a timely and professional manner. Production expectations may vary based on claim complexity, target type, medical record size, payer requirements, and training status.
Core Competencies
- Outpatient coding accuracy
- Policy and documentation interpretation
- Clear audit rationale writing
- Production discipline and time management
- Attention to detail
- Adaptability in a growing outpatient audit program
Compliance and Professional Standards
This position requires adherence to company policies, client requirements, confidentiality standards, HIPAA requirements, coding compliance expectations, and professional standards for accurate and ethical claim review. The coder is expected to maintain confidentiality, exercise objective judgment, and support accurate payment outcomes through consistent application of approved coding and audit criteria.
Salary - $58,000 - $65,000
About MedReview
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
New York, NY, US
Year founded
1974