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Remote Pharmaceutical Coding Jobs in Colorado (NOW HIRING)

Amerita

Margin Specialist / Remote

Englewood, CO · On-site +1

$55K/yr

Ability to travel up to 10% About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and ...

BrightSpring

Margin Specialist / Remote

Englewood, CO · Remote

$60K/yr

Ability to travel up to 10% About our Line of Business Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and ...

Amerita

Margin Specialist / Remote

Englewood, CO · Remote

$55K - $60K/yr

Ability to travel up to 10% About our Line of BusinessAmerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and ...

DaVita, Inc.

Clinical Support Auditor (IKC)

Denver, CO · On-site +1

$35.75 - $48/hr

Fully remote with the ability to travel as needed to present in-person training (travel is 2-4 ... Experience in ICD-10 coding and documentation requirements and risk adjustment. * Knowledge of ...

DaVita, Inc.

Clinical Support Auditor (IKC)

Denver, CO · On-site +1

$35.75 - $48/hr

Fully remote with the ability to travel as needed to present in-person training (travel is 2-4 ... Experience in ICD-10 coding and documentation requirements and risk adjustment. * Knowledge of ...

DaVita, Inc.

Clinical Support Auditor (IKC)

Denver, CO · On-site +1

$35.75 - $48/hr

Fully remote with the ability to travel as needed to present in-person training (travel is 2-4 ... Experience in ICD-10 coding and documentation requirements and risk adjustment. * Knowledge of ...

DaVita, Inc.

Nurse Practitioner Educator

Denver, CO · On-site +1

Fully remote with the ability to travel as needed to present in-person training (travel is 2-4 ... Experience in ICD-10 coding and documentation requirements and risk adjustment. * Knowledge of ...

DaVita, Inc.

Nurse Practitioner Educator

Denver, CO · On-site +1

Fully remote with the ability to travel as needed to present in-person training (travel is 2-4 ... Experience in ICD-10 coding and documentation requirements and risk adjustment. * Knowledge of ...

CRB

Senior Mechanical Engineer

Denver, CO · Remote

$107K - $142K/yr

... building codes. Preferred Qualifications * Experience in life sciences (pharmaceutical, biotech ... Remote CRB is committed to hiring and retaining a diverse workforce. We are proud to be an Equal ...

All JobsPharmaceutical Coding JobsRemote Pharmaceutical Coding JobsRemote Pharmaceutical Coding Jobs in Colorado

Remote Pharmaceutical Coding information

Will AI eventually replace medical coders?

Remote pharmaceutical coders perform specialized tasks that require understanding complex drug information and coding guidelines. While AI tools can assist with routine coding, human oversight remains essential for accuracy and handling complex cases, making complete replacement unlikely in the near future.

What pays more, CCS or CPC?

In pharmaceutical coding, Certified Coding Specialists (CCS) typically earn higher salaries than Certified Professional Coders (CPC) due to their specialized focus on hospital and inpatient coding. However, CPCs, who often work in outpatient and physician office settings, may have more opportunities for entry-level positions. Salary differences can also depend on experience, certifications, and work environment.

What are some common challenges faced by remote pharmaceutical coders, and how can they be addressed?

Remote pharmaceutical coders often encounter challenges such as staying updated with frequent changes in pharmaceutical coding standards and maintaining effective communication with clinical and billing teams. Working remotely can also make it harder to quickly resolve ambiguities in documentation. To address these challenges, coders should participate in regular training, utilize collaboration tools for seamless communication, and establish clear protocols for clarifying discrepancies. Proactively engaging with peers and supervisors can help ensure accuracy and compliance in coding tasks.

What is remote pharmaceutical coding?

Remote pharmaceutical coding involves assigning standardized codes to medications and pharmacy-related services for billing, insurance claims, and regulatory compliance, all performed from a remote or home office location. Professionals in this role translate prescription and medication information into codes recognized by healthcare systems and insurance companies. This ensures accurate processing of pharmacy claims and helps healthcare organizations maintain proper records. Remote work allows for flexibility while still requiring attention to detail, knowledge of coding systems, and compliance with regulations such as HIPAA.

How much do medical coders make WFH?

Remote pharmaceutical coders typically earn between $40,000 and $60,000 annually, depending on experience, certifications, and employer. Many work flexible hours and use coding software like ICD-10 and CPT, with some roles offering higher pay for specialized knowledge or senior positions.

What is the difference between Remote Pharmaceutical Coding vs Remote Medical Billing?

AspectRemote Pharmaceutical CodingRemote Medical Billing
Required CertificationsCertified Professional Coder (CPC), Certified Coding Specialist (CCS)Certified Professional Biller (CPB), Certified Coding Associate (CCA)
Work EnvironmentHome-based, healthcare organizations, coding companiesHome-based, healthcare providers, billing companies
Industry UsagePharmaceutical companies, healthcare providers, insuranceHospitals, clinics, physician practices

Remote Pharmaceutical Coding involves assigning codes to pharmaceutical products and medications for billing and regulatory purposes, requiring specific certifications. Remote Medical Billing focuses on processing healthcare claims and payments, often requiring similar billing certifications. Both roles are home-based, serve healthcare organizations, but differ in their focus—coding medications versus billing claims.

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

To thrive as a Remote Pharmaceutical Coder, you need a deep understanding of medical terminology, pharmacology, and coding systems such as ICD-10, CPT, and HCPCS, often supported by certification like CPC or CPhT. Familiarity with electronic health records (EHRs), pharmacy management software, and coding databases is crucial. Strong attention to detail, analytical thinking, and effective communication are key soft skills for accurate coding and collaboration with healthcare providers. These skills ensure billing accuracy, regulatory compliance, and seamless remote operations in the pharmaceutical sector.

Can a medical coder work remotely?

Yes, remote pharmaceutical coding is common in the industry, allowing medical coders to perform their duties from home using coding software and electronic health records. Many employers offer remote positions for certified coders with knowledge of coding guidelines and compliance requirements.
What are the most commonly searched types of Pharmaceutical Coding jobs in Colorado? The most popular types of Pharmaceutical Coding jobs in Colorado are:
What are popular job titles related to Remote Pharmaceutical Coding jobs in Colorado? For Remote Pharmaceutical Coding jobs in Colorado, the most frequently searched job titles are:
What job categories do people searching Remote Pharmaceutical Coding jobs in Colorado look for? The top searched job categories for Remote Pharmaceutical Coding jobs in Colorado are:
What cities in Colorado are hiring for Remote Pharmaceutical Coding jobs? Cities in Colorado with the most Remote Pharmaceutical Coding job openings:
Remote Pharmaceutical Coding jobs near you

Margin Specialist / Remote

Amerita

Englewood, CO • On-site, Remote

$55K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 7 days ago

Job description

Our Company
Amerita
Overview
The Margin Optimization Specialist will be a part of the Margin Optimization team, responsible for reviewing internal performance and service improvement efforts by using superior analytical skills and logic to analyze business problems, develop solutions, and present recommendations to senior leadership. They will also ensure that approved proposals are implemented, and yield promoted value. This position involves reviewing margins for all dispenses to drive optimal margins. They will apply their knowledge and experience to reviewing the data and submitting their findings to the margin team management for a secondary review. This position is responsible for engaging the sales team to convert medications to clinically approved substitutes. They will identify areas for conversion opportunities and track their process in converting each patient.
Our Benefits Include:
  • Competitive pay
  • Health, dental, & vision
  • Company paid STD & LTD
  • Paid Time Off
  • Flexible Schedules
  • Tuition Reimbursement
  • 401k
  • Employee Discount Program
  • Pet Insurance

Responsibilities
  • Reports directly to the Margin Optimization Manager
  • Provide support for the infusion dispensing and fulfillment operations across the pharmacy network. They will engage in business improvement and sustainability, cost reduction projects and process flow optimization
  • Collaborate with internal and external operational, business and technical teams in the process of managing activities associated with balancing volumes in multiple facilities and maximizing profitability
  • Responsible for the hourly oversight of the negative margin process to ensure the business maintains a healthy probability
  • Make decisions to approve or deny each claim that is reviewed accurately
  • Audit previous approvals to ensure losses are appropriate and the reimbursement is up to date
  • Identify product substitution opportunities to enhance probability and minimize copay costs to patients
  • Ensure regular compliance to state licensure regulations to governmental standards
  • Conduct analysis and consult business leadership and partners on findings and insights. Present and communicate findings to recommend changes to the margin team
  • Identify problem areas with effective follow-through to quickly address the root causes and coordinate activities with cross functional team members from Operations, IT, Finance and Procurement/Corporate Inventory

Qualifications
  • Bachelor's degree or equivalent pharmacy experience.
  • Licensed as a certified pharmacy technician desired
  • 3 + years in the pharmacy field with Infusion Pharmacy focus.
  • 7+ years' experience in working in a professional services environment with internal client / stakeholder management, analytical skills, and issue resolution / management desired
  • Superior analytical skills, self-motivation, detail oriented, quantitative skills, logic, and problem-solving skills, PBM billing experience.
  • Medical billing experience desired
  • Ability to travel up to 10%

About our Line of Business
Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X.
Salary Range
USD $55,000.00 - $60,000.00 / Year

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