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Remote Orthopedic Coder Jobs in Rancho Cucamonga, CA

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... Must have thorough knowledge of both CPT and ICD coding * Ability to interface with claims staff ...

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Remote Orthopedic Coder information

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 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 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.

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 Cucamonga, CA? For Remote Orthopedic Coder jobs in Rancho Cucamonga, CA, the most frequently searched job titles are:
What job categories do people searching Remote Orthopedic Coder jobs in Rancho Cucamonga, CA look for? The top searched job categories for Remote Orthopedic Coder jobs in Rancho Cucamonga, CA are:
What cities near Rancho Cucamonga, CA are hiring for Remote Orthopedic Coder jobs? Cities near Rancho Cucamonga, CA with the most Remote Orthopedic Coder job openings:
Remote Orthopedic Coder jobs near you
CA Utilization Review Nurse I

CA Utilization Review Nurse I

Corvel

Rancho Cucamonga, CA • Remote

$30.64 - $45.80/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago

CorVel rating

7.9

Company rating: 7.9 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

84th of 150 rated financial services

Job description

The Utilization Review Nurse gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay while supporting the goals of the Case Management department and of CorVel.

This is a remote position.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Identifies the necessity of the review process and communicates issues of concern to the appropriate claims staff/customer
  • Collects data and analyzes information to make decisions regarding certification or denial of treatment
  • Documents all work in the appropriate manner
  • Promotes utilization review services with stakeholders
  • Complies with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
  • Additional duties as assigned

KNOWLEDGE & SKILLS: 

  • Must have thorough knowledge of both CPT and ICD coding
  • Ability to interface with claims staff, attorneys, physicians and their representatives, as well as advisors/clients and coworkers
  • Effective organization skills in a high-volume, fast-paced environment
  • Strong time management skills with the ability to meet designated deadlines
  • Excellent written and verbal communication skills
  • Ability to work both independently and within a team environment
  • Strong interpersonal skills
  • Ability to utilize Microsoft Office including Excel spreadsheets
  • Knowledge of the workers’ compensation claims process preferred
  • Knowledge of outpatient utilization review preferred

EDUCATION & EXPERIENCE: 

  • Graduate of accredited school of nursing with an associate’s degree, Bachelor of Science degree or Bachelor of Science in Nursing
  • Current Nursing licensure in the state of operation required; RN is required unless local state regulations permit LVN/LPN
  • 4 or more years of recent clinical experience
  • Prospective, concurrent, and retrospective utilization review experience preferred
  • Experience in the clinical areas of OR, ICU, CCU, ER and/or orthopedics 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: $30.64 - $45.80 per hour

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.

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