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Remote Rn Case Review Jobs in Rochester, NY (NOW HIRING)

Rochester Regional Health

Coder - Lead

Rochester, NY · On-site +1

$23.10 - $33.60/hr

Remote Hours Per Week: 40 hours/week Schedule: Day shift SUMMARY: The Lead Coder, under the ... Maintains regular hands-on coding responsibilities and supports complex or high-risk case review as ...

DataAnnotation

RN - AI Trainer

Rochester, NY · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

ZOLL Medical

Patient Service Representative

Rochester, NY · Remote

$17.25 - $22/hr

Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ... All candidates reviewed on an individual basis. Summary Description: The Cardiac Management ...

Varsity Tutors

NCLEX Tutor

Rochester, NY · Remote

$40/hr

Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario ... as registered nurses or licensed practical nurses. * Effective Teaching Methods: Ability to ...

Varsity Tutors

NCLEX-PN Tutor

Rochester, NY · Remote

$40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

Rochester Regional Health

Coder - Inpatient

Rochester, NY · On-site +1

$21.50 - $26/hr

SUMMARY Review clinical documentation and diagnostic results to extract data and apply appropriate ... Riedman- Remote SCHEDULE: Day shift ATTRIBUTES * Abides by the Standards of Ethical Coding as set ...

Deloitte

Hospital Billing Operator

Rochester, NY · Remote

$18 - $23.25/hr

This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Review patient accounts, charge details, coding inputs, and supporting documentation for billing ...

Deloitte

Hospital Billing Coordinator

Rochester, NY · Remote

$50K - $60K/yr

This is a primarily remote role supporting enterprise Epic implementation, with minimal travel and ... Review patient accounts, charge details, coding inputs, and supporting documentation for billing ...

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Remote Rn Case Review information

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$78

How much do remote rn case review jobs pay per hour?

As of Jun 18, 2026, the average hourly pay for remote rn case review in Rochester, NY is $46.90, according to ZipRecruiter salary data. Most workers in this role earn between $34.86 and $56.68 per hour, depending on experience, location, and employer.

What is the difference between Remote Rn Case Review vs Remote Rn Utilization Review?

AspectRemote Rn Case ReviewRemote Rn Utilization Review
CredentialsRegistered Nurse (RN), licensure, case review certificationsRegistered Nurse (RN), licensure, utilization review certifications
Work EnvironmentRemote, healthcare settings, insurance companiesRemote, healthcare settings, insurance companies
Employer & IndustryHospitals, insurance firms, healthcare providersInsurance companies, healthcare management organizations

Remote Rn Case Review and Remote Rn Utilization Review roles both involve remote nursing work within the healthcare and insurance industries. While they share similar credentials and work environments, case review focuses on evaluating individual patient cases, whereas utilization review assesses the necessity and appropriateness of healthcare services. Understanding these distinctions helps job seekers identify the right role based on their skills and career goals.

What are the most commonly searched types of Rn Case Review jobs in Rochester, NY? The most popular types of Rn Case Review jobs in Rochester, NY are:
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What cities near Rochester, NY are hiring for Remote Rn Case Review jobs? Cities near Rochester, NY with the most Remote Rn Case Review job openings:
Remote Rn Case Review jobs near you
Coder - Lead

Coder - Lead

Rochester Regional Health

Rochester, NY • On-site, Remote

$23.10 - $33.60/hr

Full-time

Posted 20 days ago

Rochester Regional Health rating

7.4

Company rating: 7.4 out of 10

Based on 212 frontline employees who took The Breakroom Quiz

258th of 873 rated healthcare providers

Job description

Job Title: Lead Coder
Location: Remote
Hours Per Week: 40 hours/week
Schedule: Day shift
SUMMARY:
The Lead Coder, under the direction of the HIM Coding Manager, provides leadership and subject matter expertise to the coding team across inpatient and/or outpatient care settings. This role ensures daily operational functions are met, supports coding quality and compliance, and provides continuity during the training and onboarding of staff. The Lead Coder serves as a super user and resource for both internal and external stakeholders, assisting with complex coding questions, workflow improvements, and regulatory compliance. This position balances hands-on coding responsibilities with mentoring, auditing, and operational oversight to ensure accuracy, timeliness, and compliance in coding practices.
RESPONSIBILITIES:
  • Adheres to the Standards of Ethical Coding as set forth by AHIMA and/or AAPC and remains current with official coding guidelines, regulatory updates, and payer requirements
  • Works collaboratively with HIM management to support coding audit processes that promote quality, accuracy, and compliance
  • Monitors daily activity of coding work queues to support productivity benchmarks and turnaround times; communicates trends, barriers, or risks to HIM management
  • Provides technical guidance, recommendations, and feedback regarding workflow efficiencies, process improvements, and denial prevention opportunities
  • Serves as a mentor and resource to coding staff; assists with onboarding, training, and cross-training to support departmental coverage needs
  • Collaborates with Patient Financial Services, Revenue Integrity, Compliance, CDI, and other stakeholders to identify and resolve coding-related issues impacting reimbursement or compliance
  • Demonstrates advanced technical expertise in ICD-10-CM, CPT/HCPCS, and PCS coding, as well as applicable reimbursement methodologies (e.g., DRG, APC/E-APG)
  • Formulates compliant coding queries when provider documentation is incomplete, ambiguous, or unclear
  • Assists with review and correction of claim edits, error reports, and denials; identifies error patterns and partners with management on corrective actions
  • Provides education and guidance to providers and clinical teams related to documentation, coding, and reimbursement best practices
  • Maintains regular hands-on coding responsibilities and supports complex or high-risk case review as assigned
  • Escalates operational, compliance, or performance-related concerns to the Coding Supervisor and/or HIM Coding Manager
  • Performs other duties as assigned by HIM leadership

REQUIRED QUALIFICATIONS:
  • Minimum of 3 years of professional coding experience in inpatient and/or outpatient settings.
  • RHIA, RHIT, CCS, or CPC credential.

PREFERRED QUALIFICATIONS:
  • Associate's degree.
  • Demonstrated knowledge of State, Federal, and payer-specific regulations pertaining to documentation, coding, and billing.
  • Advanced knowledge of ICD-10-CM, CPT, and PCS coding guidelines.
  • Strong understanding of reimbursement methodologies (DRG, APC/E-APG, etc.) and revenue cycle workflows.
  • Proficiency in EHR and coding systems (e.g., Care Connect, UDS, Clintegrity).
  • Demonstrated ability to mentor, train, and support staff in coding best practices.
  • Excellent problem-solving, communication, and collaboration skills.

EDUCATION:
LICENSES / CERTIFICATIONS:
PHYSICAL REQUIREMENTS:
S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.
PAY RANGE:
$23.10 - $33.60
CITY:
Rochester
POSTAL CODE:
14617
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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