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Remote Medical Data Encoder Jobs in Nevada (NOW HIRING)

Deloitte

Epic Denials Management Operator

Las Vegas, NV · Remote

$17.25 - $23/hr

Experience analyzing billing workflows, claim issues, or operational data For individuals assigned and/or hired to work in a remote role, Deloitte is required by law to include a reasonable estimate ...

micro1 AI

AI Trainer - Microbiology Expert

Reno, NV · Remote

$70 - $90/hr

Remote micro1 is engaging Microbiologists to contribute their scientific expertise to a unique ... Document experimental findings and processes with a focus on clarity for AI training data.

micro1 AI

AI Trainer - Microbiology Expert

Sparks, NV · Remote

$70 - $90/hr

Remote micro1 is engaging Microbiologists to contribute their scientific expertise to a unique ... Document experimental findings and processes with a focus on clarity for AI training data.

Renown Health

Professional Services Coder

Reno, NV · Remote

$18.75 - $25/hr

This position is open to remote candidates who reside in one of the following states only: Nevada ... This will also include translating patient information into alpha-numeric medical codes using ...

Renown Health

Professional Services Coder

Reno, NV · Remote

$18.75 - $25/hr

This position is open to remote candidates who reside in one of the following states only: Nevada ... This will also include translating patient information into alpha-numeric medical codes using ...

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All JobsMedical Data Encoder JobsRemote Medical Data Encoder JobsRemote Medical Data Encoder Jobs in Nevada

Remote Medical Data Encoder information

What is the difference between Remote Medical Data Encoder vs Remote Medical Coder?

AspectRemote Medical Data EncoderRemote Medical Coder
CertificationsTypically AHIMA or AAPC certification, coding credentialsSame certifications, often AHIMA or AAPC
Work EnvironmentRemote, healthcare facilities, insurance companiesRemote, hospitals, clinics, insurance companies
Job FocusConverting medical records into coded data for databasesAssigning codes to diagnoses and procedures for billing
Industry UsageHealthcare, insurance, data managementHealthcare, billing, insurance claims

Both roles require similar certifications and work remotely within healthcare settings. The main difference is that Remote Medical Data Encoders focus on converting medical records into coded data for databases, while Remote Medical Coders assign codes directly for billing and insurance purposes. Understanding these distinctions helps job seekers identify the best fit for their skills and career goals.

What are popular job titles related to Remote Medical Data Encoder jobs in Nevada? For Remote Medical Data Encoder jobs in Nevada, the most frequently searched job titles are:
What job categories do people searching Remote Medical Data Encoder jobs in Nevada look for? The top searched job categories for Remote Medical Data Encoder jobs in Nevada are:
What cities in Nevada are hiring for Remote Medical Data Encoder jobs? Cities in Nevada with the most Remote Medical Data Encoder job openings:
Remote Medical Data Encoder jobs near you
Infographic showing various Remote Medical Data Encoder job openings in Nevada as of June 2026, with employment types broken down into 2% As Needed, 14% Full Time, 56% Part Time, 14% Temporary, 1% Contract, and 13% Nights. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution.

Medical Director, Utilization Management (Commercial & MA)

HJ Staffing

Henderson, NV • Remote

Full-time

Medical

Posted 16 days ago

Job description

We are seeking a Medical Director of Utilization Management to lead and support the clinical integrity of our utilization management (UM) functions, with a primary focus on inpatient and post-acute care reviews.

In this role, you will ensure timely, consistent, and appropriate care determinations for Commercial and Medicare Advantage members. By leveraging evidence-based practices, CMS regulations, and health plan benefit structures, you will evaluate the medical necessity of care, participate in peer-to-peer consultations, and collaborate with multidisciplinary teams to drive optimal clinical outcomes, regulatory compliance, and cost efficiency.

Duration: August 10, 2026 - February 10, 2027

Location: Henderson, NV (100% Fully Remote Opportunity)

Reporting To: Chief Medical Officer

Start Date: Immediate Need

Key Responsibilities
  • Utilization Review & Medical Necessity: Conduct timely medical necessity determinations for inpatient admissions, continued stays, and post-acute care settings (SNF, IRF, LTACH, Home Health) for Commercial and Medicare Advantage populations.
  • Evidence-Based Evaluation: Apply nationally recognized guidelines (MCG, InterQual), CMS coverage criteria, and health plan policies to ensure appropriate level-of-care determinations.
  • Complex Case Escalation: Serve as the lead physician reviewer for complex, high-risk, or potentially adverse UM cases requiring clinical judgment.
  • Peer-to-Peer Engagement: Conduct peer-to-peer discussions with attending and treating physicians to clarify documentation, discuss options, and align on appropriate care plans.
  • Cross-Functional Collaboration: Partner with Care Management and UM teams to identify utilization trends, reduce avoidable readmissions/extended stays, and streamline care transitions.
  • Policy & Quality Support: Offer clinical expertise to support quality improvement initiatives, regulatory audit preparedness (CMS/NCQA), policy development, and UM committee activities.
  • Documentation & Compliance: Maintain precise, compliant, and timely documentation of all reviews and rationales in accordance with federal, state, and organizational guidelines.
Must-Have Qualifications
  • Education & Licensure: Active M.D. or D.O. degree with an active, unrestricted medical license in good standing (in state of residence).
  • Board Certification: Current Board Certification in an appropriate medical specialty.
  • Clinical & Leadership Experience: Minimum of 5 years of clinical practice, including at least 3 years of direct experience in utilization management, physician review, or medical leadership within a managed care or health plan setting.
  • Population Expertise: Demonstrated physician-level experience supporting Commercial and/or Medicare Advantage lines of business.
What Will Make You Successful
  • Criteria Proficiency: Advanced expertise with MCG guidelines and strong working knowledge of InterQual and CMS criteria.
  • Regulatory Knowledge: Deep understanding of Medicare Advantage regulations, Commercial health plan benefit structures, and state/federal UM mandates.
  • Technical Skills: Experience navigating medical management platforms, enterprise applications, and Microsoft Office products.
  • Communication & Negotiation: Exceptional written and oral communication skills, with a proven ability to handle delicate peer-to-peer discussions and articulate complex clinical rationales clearly.
  • Analytical Mindset: Strong problem-solving abilities, attention to detail, and a data-driven approach to identifying utilization trends and quality gaps.
Preferred Qualifications
  • Master's degree in Public Health, Business Administration, or Health Administration (MPH, MBA, or MHA).
  • Certification by the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP).
Why Apply?

This is a 100% remote, high-impact contract opportunity starting immediately, offering you the flexibility of working from home while managing key clinical determinations for a dynamic health plan environment.

Employment Type: FULL_TIME

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