ZipRecruiter

Log In

2

Remote Orthopedic Coder Jobs in Rancho Cordova, CA

Corvel

Professional Review Nurse

Folsom, CA · Remote

$70.30K - $85.47K/yr

This is a remote position in CA. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identify the necessity ... C.D.9 codes preferred * Medical bill auditing experience preferred * Experience in the clinical ...

CorVel

Professional Review Nurse

Folsom, CA · Remote

$70.30K - $85.47K/yr

This is a remote position in CA. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identify the necessity ... C.D.9 codes preferred * Medical bill auditing experience preferred * Experience in the clinical ...

People also search for

All JobsRemote Orthopedic Coder JobsRemote Orthopedic Coder Jobs in Rancho Cordova, CA

Remote Orthopedic Coder information

What are the key skills and qualifications needed to thrive as a Remote Orthopedic Coder, and why are they important?

To thrive as a Remote Orthopedic Coder, you need a thorough understanding of medical coding standards (ICD-10-CM, CPT, and HCPCS), orthopedic terminology, and a relevant certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems, coding software, and secure remote access tools is typically required. Attention to detail, strong organizational skills, and effective independent communication are key soft skills for this role. These abilities ensure accurate coding, compliant billing, and efficient workflow in a remote environment, reducing errors and optimizing revenue cycles.

How does a Remote Orthopedic Coder typically collaborate with healthcare providers and other coding professionals while working offsite?

Remote Orthopedic Coders often communicate regularly with physicians, clinical staff, and other coders via secure email, video calls, and specialized medical coding platforms. They may participate in virtual team meetings to discuss complex cases or clarify documentation. Effective collaboration is essential to ensure accuracy and compliance with coding standards, which may involve sharing feedback, asking for additional clinical details, and staying updated on regulatory changes. Building strong remote relationships and maintaining clear, professional communication channels are key to success in this role.

What is a remote orthopedic coder?

A remote orthopedic coder is a specialized medical coding professional who reviews and assigns standardized codes to orthopedic medical records and procedures from a remote location. They use coding systems such as ICD-10-CM, CPT, and HCPCS to accurately code diagnoses, treatments, and surgical procedures related to bones, joints, and muscles. This work supports billing, insurance claims, and compliance with healthcare regulations, all done from home or another off-site location. Remote orthopedic coders must have a strong understanding of orthopedic terminology, anatomy, and coding guidelines.

How much does a WFH medical coder make?

A remote orthopedic coder typically earns between $40,000 and $70,000 annually, depending on experience, certifications, and workload. Many remote medical coders work flexible hours and use coding software to review medical records and assign appropriate codes.

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

AspectRemote Orthopedic CoderRemote Medical Biller
CertificationsCPMA, CPC, CCS-PCPB, CPC, CBCS
Work EnvironmentHealthcare facilities, insurance companies, remoteMedical practices, billing companies, remote
Industry UsageSpecialized in orthopedic coding and documentationHandles billing, claims submission, and payment processing

Remote Orthopedic Coders focus on translating medical records into standardized codes for orthopedic procedures, while Remote Medical Billers handle the billing process, submitting claims and managing payments. Both roles often require similar certifications and can be performed remotely, but they serve different functions within healthcare revenue cycle management.

What are popular job titles related to Remote Orthopedic Coder jobs in Rancho Cordova, CA? For Remote Orthopedic Coder jobs in Rancho Cordova, CA, the most frequently searched job titles are:
What job categories do people searching Remote Orthopedic Coder jobs in Rancho Cordova, CA look for? The top searched job categories for Remote Orthopedic Coder jobs in Rancho Cordova, CA are:
What cities near Rancho Cordova, CA are hiring for Remote Orthopedic Coder jobs? Cities near Rancho Cordova, CA with the most Remote Orthopedic Coder job openings:
Remote Orthopedic Coder jobs near you
Infographic showing various Remote Orthopedic Coder job openings in Rancho Cordova, CA as of May 2026, with employment types broken down into 89% Full Time, 4% Temporary, and 7% Contract. Highlights an 100% Remote job distribution.

Professional Review Nurse

CorVel Healthcare Corporation

Folsom, CA • Remote

$70.30K - $85.47K/yr

Full-time, Part-time

Posted 25 days ago

Job description

The Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care.

This is a remote position in CA.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and/or direct reporting manager
  • Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans
  • Utilize clinical and/or technical expertise to address the provision of medical care and identify inappropriate billing practices and errors, such as: duplicate billing, unbundling of charges, services not rendered, mathematical and data entry errors, undocumented services, reusable instrumentation, unused services and supplies, unrelated and/or separated charges, quantity and time increment discrepancies, inconsistencies with diagnosis, treatment frequency and duration of care, DRG validation, service/treatment vs. scope of discipline, use of appropriate billing protocols, etc.
  • Document work and final conclusions in designated computer program
  • Additional duties as assigned

KNOWLEDGE & SKILLS:

  • Concise and effective verbal and written communication skills
  • Ability to interface with claims adjusters, attorneys, physicians and their representatives, advisors/clients, and co-workers
  • Ability to effectively promote all Professional Review products with attorneys, claims examiners, customers and management
  • Strong ability to effectively negotiate provider fees
  • Must be proficient with Microsoft Office applications
  • Knowledge of worker's compensation claims preferred

EDUCATION & EXPERIENCE:

  • Must maintain current licensure as a Registered Nurse in the state of employment with a minimum of 4 years clinical experience
  • A minimum of an Associate Degree in Nursing as well as have a thorough knowledge of both C.P.T. and I.C.D.9 codes preferred
  • Medical bill auditing experience preferred
  • Experience in the clinical areas of O.R., I.C.U., C.C.U., E.R., and orthopedics preferred
  • Prospective, concurrent and retrospective utilization review experience preferred

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $70,304 – $85,473

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CORVEL:

CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

#LI-Remote