Researches payer denials related to medical necessity, coding, etc resulting in denials and delays in payment. * Evaluates Outpatient Clinical denials against medical record documentation, the coding ...
Researches payer denials related to medical necessity, coding, etc resulting in denials and delays in payment. * Evaluates Outpatient Clinical denials against medical record documentation, the coding ...
Researches payer denials related to medical necessity, coding, etc resulting in denials and delays in payment. * Evaluates Outpatient Clinical denials against medical record documentation, the coding ...
Researches payer denials related to medical necessity, coding, etc resulting in denials and delays in payment. * Evaluates Outpatient Clinical denials against medical record documentation, the coding ...
Researches payer denials related to medical necessity, coding, etc resulting in denials and delays in payment. * Evaluates Outpatient Clinical denials against medical record documentation, the coding ...
Researches payer denials related to medical necessity, coding, etc resulting in denials and delays in payment. * Evaluates Outpatient Clinical denials against medical record documentation, the coding ...
Profee Coder - Internal Medicine (per diem)
East Haven, CT · Remote
$18.75 - $25/hr
Perform Profee Internal Medicine coding for outpatient/clinic encounters * Ensure accurate ... Remote environment * Priority consideration for future full-time openings * Equipment Provided
Profee Coder - Internal Medicine (per diem)
East Haven, CT · Remote
$18.75 - $25/hr
Perform Profee Internal Medicine coding for outpatient/clinic encounters * Ensure accurate ... Remote environment * Priority consideration for future full-time openings * Equipment Provided
Remote Medical Billing Coder
New Haven, CT · On-site +1
$18.75 - $25.25/hr
Remote in Connecticut, must be able to commute onsite. Job purpose Responsible for maintaining the ... Duties and responsibilities The Medical Billing Coder performs billing and computer functions ...
Remote Medical Billing Coder
New Haven, CT · On-site +1
$18.75 - $25.25/hr
Remote in Connecticut, must be able to commute onsite. Job purpose Responsible for maintaining the ... Duties and responsibilities The Medical Billing Coder performs billing and computer functions ...
Remote Outpatient Coder information
See Hamden, CT salary details
$16.73 - $17.88
0% of jobs
$17.88 - $19.03
1% of jobs
$19.03 - $20.18
2% of jobs
$20.18 - $21.34
4% of jobs
$21.34 - $22.49
3% of jobs
$22.49 - $23.64
2% of jobs
$24.54 is the 25th percentile. Wages below this are outliers.
$23.64 - $24.79
16% of jobs
The median wage is $25.16 / hr.
$24.79 - $25.94
66% of jobs
$25.94 - $27.09
2% of jobs
$27.09 - $28.24
2% of jobs
$28.24 - $29.40
1% of jobs
$16
$25
$29
How much do remote outpatient coder jobs pay per hour?
As of Jul 14, 2026, the average hourly pay for remote outpatient coder in Hamden, CT is $25.09, according to ZipRecruiter salary data. Most workers in this role earn between $25.10 and $25.10 per hour, depending on experience, location, and employer.
What Does a Remote Outpatient Coder Do?
As a remote outpatient coder, you work from home to assign medical codes to health care procedures and services for an outpatient facility. Your duties are to review medical records, assign appropriate codes, ensure accurate documentation, follow up with physicians as needed, and correct documents. You also process invoices, submit the claim to insurance companies, and bill each patient. You choose the right billing code based on the procedures and services done at the time of an appointment. Your responsibilities may also include calling insurance companies or patients regarding the treatments or services rendered.
What are some common challenges faced by Remote Outpatient Coders, and how can they be managed?
Remote Outpatient Coders often encounter challenges such as staying updated with frequent coding guideline changes, ensuring accurate documentation from providers, and maintaining productivity while working independently. To manage these, coders should participate in ongoing education, maintain open communication with clinical staff, and utilize productivity tracking tools. Establishing a dedicated workspace and adhering to a structured daily routine can also help maintain focus and efficiency in a remote setting.
What are the key skills and qualifications needed to thrive as a Remote Outpatient Coder, and why are they important?
To thrive as a Remote Outpatient Coder, you need strong knowledge of medical coding systems (such as CPT, ICD-10-CM, and HCPCS), anatomy, and healthcare regulations, typically supported by certification like CPC or CCS. Proficiency with electronic health record (EHR) systems, coding software, and secure remote work platforms is essential. Attention to detail, self-discipline, and effective communication are crucial soft skills for accuracy and collaboration while working remotely. These skills ensure compliant, precise coding, protect patient data, and support efficient healthcare reimbursement processes.
What is a Remote Outpatient Coder?
A Remote Outpatient Coder is a healthcare professional who reviews and assigns standardized medical codes to outpatient medical records from a remote location, such as their home. These codes are used for billing, insurance claims, and maintaining patient records. Remote coders use specialized software to access patient charts and ensure that diagnoses, procedures, and services are accurately coded according to regulatory guidelines. This role requires strong attention to detail, knowledge of coding systems like ICD-10-CM and CPT, and often certification such as CPC or CCS. Working remotely allows for greater flexibility while still adhering to healthcare privacy and security standards.
What is the difference between Remote Outpatient Coder vs Remote Inpatient Coder?
| Aspect | Remote Outpatient Coder | Remote Inpatient Coder |
|---|---|---|
| Certifications | AHIMA CCS, CPC or CPC-H | AHIMA CCS, CPC or CPC-H |
| Work Environment | Outpatient clinics, physician offices, outpatient departments | Hospitals, inpatient facilities, acute care settings |
| Industry Usage | Ambulatory care, outpatient services | Hospital inpatient coding, acute care |
| Job Focus | Outpatient procedures, diagnoses, billing | Inpatient diagnoses, procedures, DRG assignment |
Remote Outpatient Coders and Remote Inpatient Coders share similar certifications and work environments but focus on different healthcare settings. Outpatient coders handle outpatient services, while inpatient coders work primarily in hospitals with inpatient records. Understanding these differences helps healthcare organizations assign the right coding professionals for each setting.
More about Remote Outpatient Coder jobs
What are popular job titles related to Remote Outpatient Coder jobs in Hamden, CT? For Remote Outpatient Coder jobs in Hamden, CT, the most frequently searched job titles are:
What cities near Hamden, CT are hiring for Remote Outpatient Coder jobs? Cities near Hamden, CT with the most Remote Outpatient Coder job openings:
Full-time
Re-posted 12 days ago
Yale New Haven Health rating
7.3
Based on 228 frontline employees who took The Breakroom Quiz
265th of 884 rated healthcare providers
Job description
Overview
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
The OP Clinical Denial Specialist supports the organization by reducing financial liability and recovering lost revenue for coding and medical necessity denials. This individual is responsible for, but not limited to: managing medical denials by conducting a comprehensive review of clinical documentation, writing compelling arguments based on the clinical documentation and the medical policies of the payor, submitting appeals in a timely manner, and identifying/resolving denial trends to mitigate potential loss. The OP Clinical Denial Specialist will also handle audit-related / compliance responsibilities and other administrative duties as required. This individual works closely with colleagues within the organization and with managed care payers to resolve issues and expedite reimbursement on overturned appeals.
EEO/AA/Disability/Veteran
Responsibilities
Qualifications
EDUCATION
EXPERIENCE
LICENSURE
SPECIAL SKILLS
YNHHS Requisition ID
180073
To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.
The OP Clinical Denial Specialist supports the organization by reducing financial liability and recovering lost revenue for coding and medical necessity denials. This individual is responsible for, but not limited to: managing medical denials by conducting a comprehensive review of clinical documentation, writing compelling arguments based on the clinical documentation and the medical policies of the payor, submitting appeals in a timely manner, and identifying/resolving denial trends to mitigate potential loss. The OP Clinical Denial Specialist will also handle audit-related / compliance responsibilities and other administrative duties as required. This individual works closely with colleagues within the organization and with managed care payers to resolve issues and expedite reimbursement on overturned appeals.
EEO/AA/Disability/Veteran
Responsibilities
- Researches payer denials related to medical necessity, coding, etc resulting in denials and delays in payment.
- Evaluates Outpatient Clinical denials against medical record documentation, the coding of the encounter, payer policies and contracts, and coverage determinations to determine the viability of an appeal
- Compiles the supporting documentation by working in partnership with internal departments and uses technology, drafts detailed, customized appeal letters to payers in accordance with Medicare, Medicaid, Commercial, and YNHHS policies and procedures.
- Ensures and tracks receipt of appeals and timely follow-up with all submissions until determination is made.
- Identifies payer denial trends, triage discrepancies, ongoing medical necessity, coding, or service issues, and collaborate or escalate appropriately for resolution.
- Collaborate internally to provide educational opportunities derived from common themes discovered through the appeal process in an effort to prevent future denials.
- Track key denial data as they relate to departmental metrics and performance. Develop and maintain key metrics report including the identification of trends, action plans, etc. Attend organizational committees to present data, as required.
- Communicate directly with payer and coordinate meetings with contracting and payers as needed to support appeals process.
- Perform other duties as assigned.
Qualifications
EDUCATION
- Two (2) years of college or equivalent with familiarity with medical terminology and anatomy. Knowledge of coding, billing and the revenue cycle. Working knowledge of human anatomy and physiology, Disease process, demonstrated knowledge of medical terminology and the medical record.
EXPERIENCE
- Three to five years of coding and/or billing experience required.
- Previous experience with governmental and managed care denial/appeal process including familiarity with RAC.
- Experience with medical and insurance terminology, CPT, ICD coding structures, and billing forms (UB, 1500).
- Epic HB billing knowledge preferred.
LICENSURE
- Certified Coding Specialist (CCS), Certified Coding Specialist Physician based (CCS-P) certification through the American Health Information Management Association (AHIMA) and/or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) through American Academy of Professional Coders (AAPC) or similar certification is required, or must be obtained within a year of hire.
SPECIAL SKILLS
- In-depth knowledge of documentation elements within the medical record
- Expertise in governmental payment policies and regulations including medical necessity, NCCI, OCE, and MUE policies and procedures
- Ability to analyze and resolve coding and medical necessity payer denials through in depth knowledge of payer policies and appeal procedures
- Previous experience with clinical denials and appeals for all payers is preferred
YNHHS Requisition ID
180073
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About Yale New Haven Health
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Industry
Health care and social assistance and hospitals
Company size
10,000+ Employees
Headquarters location
New Haven, CT, US