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Remote Revenue Cycle Management Jobs in Oregon (NOW HIRING)

EnableComp

DRG Validator/Reviewer (REMOTE)

OR · On-site +1

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations ... This role is primarily office-based or remote, depending on company policy, with extensive computer ...

Dreem Health

Medical Billing Team Lead

OR · On-site +1

$53K - $70K/yr

We're looking for a Medical Billing Team Lead to guide our remote team of Billing Associates within Revenue Cycle Management, someone who brings clarity to complex billing work and helps their team ...

Sunrise Group

Medical Billing Team Lead

OR · On-site +1

$53K - $70K/yr

We're looking for a Medical Billing Team Lead to guide our remote team of Billing Associates within Revenue Cycle Management, someone who brings clarity to complex billing work and helps their team ...

Deloitte

Epic Denials Manager

Portland, OR · Remote

... revenue cycle management (RCM) services, including denials and claims submission, denials ... This is a remote role with minimal travel requirements. A successful candidate would possess these ...

Elation Health

RCM Sales Engineer

OR · On-site +1

Support sales enablement by sharing RCM expertise with AEs, CSMs and other customer-facing team members Professional Experience & Skills * 5+ years of experience in revenue cycle management ...

BetterHelp

Senior Manager, Commercial Finance

OR · On-site +1

$108K - $148K/yr

... revenue cycle management, claims, collections, and the operational drivers that influence insurance ... Remote work with regular in-person bonding experiences sponsored by the company * Competitive ...

Deloitte

Epic Denials Management Operator

Portland, OR · Remote

$19 - $25.50/hr

... to deliver back-end Revenue Cycle Management (RCM) services, including Billing and Claims ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

Sutherland

VP CDE - TTHL

OR · On-site +1

$138K - $177K/yr

Our offerings deliver on this whether they are Sutherland Anywhere, enabling a secure remote work ... Management, Revenue Cycle Management and Healthcare Customer support solutions to the healthcare ...

Planet

FP&A Revenue Manager

OR · On-site +1

This is a full-time, remote position based in the United States. If located near an office, you are ... Own the end-to-end annual budgeting and monthly/quarterly forecasting cycles for all revenue and ...

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All JobsRevenue Cycle Management JobsRemote Revenue Cycle Management JobsRemote Revenue Cycle Management Jobs in Oregon

Remote Revenue Cycle Management information

What is remote revenue cycle management?

A Remote Revenue Cycle Management (RCM) job involves overseeing and optimizing the financial processes of healthcare organizations from a remote location. This includes tasks like medical billing, coding, claims processing, payment posting, and revenue analysis. Professionals in this role ensure healthcare providers receive accurate and timely reimbursements from insurance companies and patients. Strong knowledge of healthcare regulations, billing software, and insurance policies is essential. Remote RCM professionals use digital tools to collaborate with medical offices and maintain compliance with industry standards.

What are the main responsibilities of someone working in remote revenue cycle management?

Professionals in Remote Revenue Cycle Management are primarily responsible for overseeing the entire process of billing, coding, insurance claim submission, payment posting, and managing denials from payers. Daily tasks typically include reviewing patient accounts, entering accurate charge information, verifying insurance coverage, and communicating with healthcare providers and insurance companies to resolve discrepancies. While the work is remote, team members often collaborate closely with billing teams, healthcare staff, and sometimes patients, using virtual communication tools. This role helps ensure that the organization's financial operations run smoothly and that reimbursements are received in a timely manner. Progression in this field can lead to supervisory or leadership positions in revenue cycle or healthcare administration.

What are the key skills and qualifications needed to thrive in remote revenue cycle management?

To excel in Remote Revenue Cycle Management, candidates should possess a thorough understanding of medical billing, coding procedures (such as ICD-10 and CPT), and insurance claim processes, often supported by a degree in healthcare administration or a related field. Familiarity with revenue cycle management software, electronic health record (EHR) systems, and certifications like Certified Professional Coder (CPC) are highly valued. Strong attention to detail, analytical thinking, and effective written communication are important soft skills for success in this remote role. These competencies ensure accurate, compliant, and efficient management of the healthcare revenue cycle, leading to timely reimbursement and financial stability for healthcare organizations.

What are the most commonly searched types of Revenue Cycle Management jobs in Oregon?

The most popular types of Revenue Cycle Management jobs in Oregon are:

What are popular job titles related to Remote Revenue Cycle Management jobs in Oregon?

For Remote Revenue Cycle Management jobs in Oregon, the most frequently searched job titles are:

What job categories do people searching Remote Revenue Cycle Management jobs in Oregon look for?

The top searched job categories for Remote Revenue Cycle Management jobs in Oregon are:

What cities in Oregon are hiring for Remote Revenue Cycle Management jobs?

Cities in Oregon with the most Remote Revenue Cycle Management job openings:

Remote Revenue Cycle Management jobs near you
Infographic showing various Remote Revenue Cycle Management job openings in Oregon as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 2% Contract, and 1% Nights. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution.

DRG Validator/Reviewer (REMOTE)

EnableComp

OR • On-site, Remote

Full-time

Re-posted 7 days ago

EnableComp rating

8.7

Company rating: 8.7 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

51st of 500 rated business services

Job description

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes. By partnering with clients to supercharge the reimbursement process, EnableComp removes the burden of payment from patients and provider organizations while enabling accelerated cash, higher and more accurate yield, clean AR management, reduced denials, and data-rich performance management. EnableComp is a multi-year recipient the Top Workplaces award and was recognized as Black Book's #1 Specialty Revenue Cycle Management Solution provider in 2024 and is among the top one percent of companies to make the Inc. 5000 list of the fastest-growing private companies in the United States for the last eleven years. 
 
Position Summary
 
The DRG Validator/Reviewer is responsible for reviewing post-billed inpatient claims to identify and validate missed reimbursement opportunities based on diagnosis and procedure coding. Working within a specialized DRG (Diagnosis-Related Group) database, DRG Reviewers utilize their technical expertise in ICD-10 coding to analyze medical records, determine coding accuracy, and make recommendations that optimize hospital reimbursement. This role requires certification as a Certified Coding Specialist (CCS) and a deep understanding of medical record documentation, clinical coding guidelines, and DRG reimbursement methodology. This position is responsible for handling patient health information (PHI) and maintaining extreme privacy and security as it relates to confidential and proprietary information.
Key Responsibilities
  • Review inpatient claims imported into the DRG database, focusing on diagnosis, procedures, grouping logic, and reimbursement accuracy.
  • Analyze weekly hospital billing files, identifying underpaid claims based on ICD-10 diagnosis and procedure codes.
  • Conduct detailed medical record reviews post-bill to determine if submitted diagnosis and procedure codes are accurate and complete.
  • Navigate medical records efficiently, targeting specific sections (e.g., discharge summary, operative reports) based on system edits and flagged items.
  • Match clinical documentation in the medical record to corresponding ICD-10 codes, ensuring DRG accuracy.
  • Identify and correct errors such as under coded or misclassified diagnoses and procedures.
  • Utilize Health ROI system edits to detect specific high-value opportunities (e.g., dialysis, occlusion, embolization, catheterization).
  • Make reimbursement improvement recommendations and submit findings for client review and approval.
  • Collaborate with leadership on case prioritization and workflow management.
  • Stay informed on coding updates, payer guidelines, and DRG changes to support accurate recommendations.
  • Analyze client reporting.
  • Identify new revenue opportunities related to all inpatient DRG related components.
  • Other duties as required.
Requirements and Qualifications
  • Associate's or bachelor's degree in health information management or related field required. (RHIT or RHIA credentialed individuals encouraged).
  • Certified Coding Specialist (CCS) certification required.
  • 2-3 years' experience in DRG validation, inpatient medical coding, or related coding review.
  • Strong understanding of ICD-10-CM/PCS coding guidelines, DRG reimbursement methodology, and hospital billing processes.
  • Proficient in reading and interpreting clinical documentation across multiple departments (e.g., nursing, operative, radiology, pharmacy).
  • Experience working in a post-bill coding environment and familiarity with DRG grouping software and billing databases.
  • Analytical thinker with a focus on financial impact and reimbursement accuracy.
  • Comfortable navigating multiple digital platforms, EMRs, and data systems.
  • Must have strong computer proficiency and understand how to use basic office applications, including MS Office (Word, Excel, and Outlook).
  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Special Considerations and Prerequisites
  • This role is primarily office-based or remote, depending on company policy, with extensive computer and document review work.
  • Must be comfortable working independently in a detail-oriented, data-driven environment.
  • Excellent communication and documentation skills to support client reporting and recommendations.
  • High integrity and professionalism in handling PHI and confidential information.
  • Strong collaboration and responsiveness to feedback from leadership and client partners.
  • Ability to review and analyze large volumes of medical and billing data.
  • Strong focus and attention to detail in identifying discrepancies and ensuring compliance.
  • Ability to manage high volumes of case processing with accuracy and efficiency.
  • Ability to meet deadlines and handle time-sensitive workloads in a high-volume environment.
  • Proven written and verbal communication skills.
  • Strong analytical and problem-solving skills.
  • Ability to prioritize and manage multiple competing priorities and projects concurrently.
  • Proven experience working with external clients; strong customer service skills and business acumen.
  • Timely and regular attendance.
EnableComp is an Equal Opportunity Employer M/F/D/V. All applicants will be considered for this position based upon experience and knowledge, without regard to race, color, religion, national origin, sexual orientation, ancestry, marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment.
 
EnableComp recruits, develops and retains the industry's top talent.  As the employer of choice in the complex claims industry, EnableComp takes pride in our continuous commitment to building and maintaining a culture centered around fostering the professional growth and development of our people.  We believe that investing in our employees is the key to our success, and we are dedicated to providing them with the tools, resources, and support they need to thrive and grow their career here. At EnableComp, we are committed to living up to our core values each and every day, and we believe that this commitment is what sets us apart from other companies.  If you are looking for a company that values its employees and is dedicated to helping them achieve their full potential, then EnableComp is the place for you.
 
 Don't just take our word for it!  Hear what our people are saying:
"I love my job because everyone shares the same vision and is determined and dedicated. People care about you as a person and your professional growth. There is a genuine spirit of cooperation and shared goals all revolving around helping each other." - Revenue Specialist
 
"I enjoy working for EnableComp because of the Core Values we believe in. EnableComp stands true to these values from empowering employees to ecstatic clients. This company is family oriented and flexible, along with understanding the balance of work, life, and fun." - Supervisor, Operations
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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