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Remote R1 Rcm Medical Coding Jobs in San Jose, CA

... RCM function and lead hiring of billing specialist, medical coder, and coding auditor as volume ... S.-based with a dedicated, HIPAA-appropriate remote workspace| Would be a plus * Experience in a ...

San Jose, CA (Remote work available for exceptions) Company: OptraHEALTH, Inc. OptraHEALTH | Home ... S. healthcare systems, including hospitals, labs and RCM companies. * Proven experience of selling ...

Revenue Cycle Manager

San Mateo, CA · Remote

$75K - $100K/yr

Prepare and present key RCM data and insights to broader team * Develop and implement processes to ... Strong knowledge of medical billing, CPT coding, insurance verification, and payer requirements

Perform telehealth-based E/M or Annual Wellness Visits (AWVs) to establish medical necessity for ... Document findings in Baba's platform, ensuring accurate coding and use of SDOH Z-codes, diagnoses ...

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Remote R1 Rcm Medical Coding information

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How much do remote r1 rcm medical coding jobs pay per hour?

As of May 29, 2026, the average hourly pay for remote r1 rcm medical coding in San Jose, CA is $26.28, according to ZipRecruiter salary data. Most workers in this role earn between $21.11 and $28.17 per hour, depending on experience, location, and employer.
What are the most commonly searched types of R1 Rcm Medical Coding jobs in San Jose, CA? The most popular types of R1 Rcm Medical Coding jobs in San Jose, CA are:
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Infographic showing various Remote R1 Rcm Medical Coding job openings in San Jose, CA as of May 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $54,659 per year, or $26.3 per hour.

Revenue Cycle Management Specialist - Care Navigation (Medicare/CHI/PIN)

2070Health

San Francisco, CA • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 21 days ago


Job description

About 2070 Health
W Health Ventures has set up India's first healthcare focused Venture Studio called2070Health - an innovation platform that builds transformative healthcare companies from scratch by discovering disruptive opportunities in whitespaces. Distinct from the accelerator approach, our venture studio is closely involved in idea generation, day-to-day operations, and strategic decisions of growing the new business. Companies incubated in the last 24 months includeEverbright Health, Elevate Now, Nivaan Care, Reveal Healthtech , BabyMD and Everhope Oncology.

This role is for a company we are incubating within the studio.

The Role

This role is part of a new company we are actively incubating in the US care navigation space. We embed fully managed care navigation, including staffing, technology, and compliance, into provider practices so they can stand up CMS-reimbursable Community Health Integration (CHI) and Principal Illness Navigation (PIN) programs for their Medicare patients with zero upfront cost. We exist to make a brand-new Medicare benefit easy to deliver and easy to bill.

This is a chance to be on the ground floor of something being built from scratch.

We are hiring a Revenue Cycle Management (RCM) Specialist with hands-on, in-the-claims experience billing Community Health Integration and Principal Illness Navigation  (HCPCS G0019, G0022, G0023, G0024) for Medicare beneficiaries. This is not a generic billing role. You will own the end-to-end RCM motion for Kero's care navigation services and be the person who makes sure our claims get paid clean, on time, and with zero compliance risk.

What You'll Own

       Own end-to-end RCM for Medicare CHI and PIN claims, from eligibility verification through payment posting and reconciliation.

       Audit charge capture against time logs and clinical documentation to ensure clean CHI / PIN submissions.

       Work clearinghouse edits, manage denials, and run appeals to closure.

       Run AR aging, payment posting, and ERA / EOB reconciliation; flag payer and MAC-specific trends to leadership.

       Partner with care navigators and clinicians to close documentation gaps, and report KPIs back to the team.

Requirements

       2 to 5 years of hands-on US medical billing / revenue cycle experience.

       Direct, demonstrable experience billing Medicare Part B claims. Non-negotiable.

       Hands-on experience with the full CHI and PIN code family:

  PCM: 99424-99427

  CCM: 99490, 99439, 99487, 99489

  TCM: 99495, 99496

  BHI / CoCM: 99484, 99492-99494

  RPM / RTM: 99453-99458

  APCM: G0556, G0557, G0558

  SDOH Risk Assessment: G0136

  CCM initiating visit: G0506

  RHC / FQHC general care management: G0511

       Fluent in HCPCS, CPT, and ICD-10-CM coding for chronic and serious-illness populations.

       Comfortable with EHR / PMS (like Athenahealth, eClinicalWorks, AdvancedMD, DrChrono, Epic, Cerner, Kareo, or similar).

       Strong written and verbal English communication.

       US work authorization.

       Prior experience at a care-navigation company, digital-health platform, value-based-care provider group, or specialty practice that bills CHI / PIN at scale. Current and former employees of such organizations are encouraged to apply.

Benefits

Competitive base salary, health / dental / vision, 401(k), fully remote, flexible PTO, and an annual learning & certification stipend.