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Remote Rn Coder Jobs in New Jersey (NOW HIRING)

National Nurse Triage Inc

$15 - $19.75/hr

Agents place inbound calls into a call queue and registered nurses select the calls to make ... THIS IS A REMOTE POSITION** Requirements * Open availability: * Monday through Sunday. * 5 p.m. to ...

National Nurse Triage Inc

$15 - $19.75/hr

Agents place inbound calls into a call queue and registered nurses select the calls to make ... THIS IS A REMOTE POSITION** Requirements * Open availability: * Monday through Sunday. * 5 p.m. to ...

Harris

$10/hr

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

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How much do remote rn coder jobs pay per hour?

As of Jul 5, 2026, the average hourly pay for remote rn coder in New Jersey is $21.83, according to ZipRecruiter salary data. Most workers in this role earn between $18.32 and $23.17 per hour, depending on experience, location, and employer.

What Are Jobs for an RN Coder Who Works Remotely?

A remote RN coder works with medical codes that healthcare providers use for patient records, billing, insurance, and quality assurance. In this career, your duties include using the internet to access patient records and reports. You then assign codes for each diagnosis and procedure that the patient receives in the medical facility’s database. You work with clinical coding systems like the International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) codes. In addition to applying codes, your responsibilities as an RN coder sometimes include auditing the work of other coders to ensure accuracy.

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

To thrive as a Remote RN Coder, you need a current RN license, in-depth clinical knowledge, and expertise in medical coding and documentation standards. Familiarity with coding software (such as 3M or Epic), knowledge of ICD-10-CM/PCS and CPT coding systems, and certifications like CCS or CPC are commonly required. Strong attention to detail, self-motivation, and effective communication are critical soft skills for accuracy and collaboration in a remote environment. These skills ensure precise coding, compliance with healthcare regulations, and efficient remote workflow management.

What are some common challenges faced by Remote RN Coders, and how can they be addressed?

Remote RN Coders often encounter challenges such as staying updated with changing coding regulations, maintaining accuracy while working independently, and ensuring secure handling of patient data. To address these, it's important to participate in regular training sessions, leverage secure coding platforms, and establish clear communication with team members and supervisors. Effective time management and a dedicated home office setup also help maintain productivity and focus in a remote environment.

What is the difference between Remote Rn Coder vs Remote Medical Biller?

AspectRemote Rn CoderRemote Medical Biller
CredentialsCertification in coding (e.g., CPC, CCS)Certification in billing (e.g., Certified Professional Biller)
Work EnvironmentHealthcare facilities, insurance companies, remote coding firmsMedical offices, billing companies, insurance companies
Industry UsageUsed primarily for coding diagnoses and procedures for reimbursementUsed for submitting claims and managing payments

Remote Rn Coders focus on translating medical records into standardized codes for billing and reimbursement, requiring coding certifications. Remote Medical Billers handle the submission of claims and follow-up on payments. While both roles work remotely within healthcare, their core responsibilities differ, with Rn Coders concentrating on coding accuracy and Medical Billers on claims processing.

What is a Remote RN Coder?

A Remote RN Coder is a registered nurse who specializes in reviewing clinical documentation and assigning medical codes to diagnoses and procedures for billing and insurance purposes, all while working remotely. These professionals use their clinical knowledge to ensure accurate coding, which is essential for healthcare reimbursement and compliance. Remote RN Coders often work from home using secure access to patient records and coding software, making this role ideal for nurses seeking flexible work arrangements.
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Remote Rn Coder jobs near you
RN II - Primary Nurse Care (CASE MANAGEMENT-REMOTE)

RN II - Primary Nurse Care (CASE MANAGEMENT-REMOTE)

Horizon Blue Cross Blue Shield of New Jersey

Hopewell, NJ • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 17 days ago

Horizon Blue Cross Blue Shield of New Jersey rating

8.0

Company rating: 8.0 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

143rd of 277 rated insurance

Job description

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey's health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds.
About the Role
This position is responsible for performing RN duties for the Primary Nurse population using established guidelines to ensure appropriate level of care, as well as, planning for the transition to the continuum of care and developing a member centric plan of care. Primary Nurses will outreach to high risk members and will work to engage members in preventative care opportunities & screenings when possible. This position will perform duties and types of care management as assigned by management. Serves as a mentor/trainer to new RN's and other staff as needed. Positions involving ASO accounts may require some travel for on-site availability.
What You'll Do
Responsibilities:
  • Assesses member's clinical need against established guidelines and/or standards to ensure that the services provided are medically appropriate to member's needs and aligned with the benefit structure.
  • Facilitates response to gaps in care and identified high risk members to appropriate settings of care for annual wellness visits including collaboration with treating provider.
  • Evaluates the necessity, appropriateness and efficiency of medical services and procedures provided for both acute and chronic health care needs.
  • Develops, coordinates and assists in implementation of individualized plan of care for members and identification of barriers towards Self-Management and optimal wellness.
  • Coordinates with members, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome.
  • Coordinates the delivery of high quality, cost-effective care supported by clinical practice guidelines established by the plan addressing the entire continuum of care including transitional care.
  • Monitors member's medical care activities, regardless of the site of service, and outcomes for appropriateness and effectiveness.
  • Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided.
  • Encourages member participation and compliance in the case/disease management program efforts.
  • Documents accurately and comprehensively based on the standards of practice and current organization policies.
  • Interacts and communicates with multidisciplinary teams either telephonically and/or in person striving for continuity and efficiency as the member is managed along the continuum of care.
  • Evaluates care by problem solving, analyzing variances and participating in the quality improvement program to enhance member outcomes.
  • Serves as mentor/trainer to new RN's and other staff as needed
  • Presents clinical cases during audits conducted by external review organizations.
  • Performs other duties as assigned by management.

Disclaimer:
This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.
What You Bring
Education/Experience:
  • High School Diploma/GED required.
  • Bachelor degree preferred or relevant experience in lieu of degree.
  • Requires a minimum of two (2) years clinical experience. Experience with both acute and chronic conditions preferred.
  • Requires a minimum of three (3) years' experience in the health care delivery system/industry.
  • Experience with health care payer experience strongly preferred.

Additional licensing, certifications, registrations:
  • Active Unrestricted RN License Required; NJ License required and/or Compact License.
  • Requires a valid Driver's License and Insurance.

Knowledge:
  • Requires proficiency in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, and PowerPoint) and Microsoft Outlook. Prefers knowledge in the use of intranet and internet applications.
  • Requires working knowledge of case/care/disease management principles.
  • Requires working knowledge of operations of utilization, case and/or disease management processes.
  • Requires working knowledge of principles of utilization management.
  • Requires basic knowledge of health care contracts and benefit eligibility requirements.
  • Requires knowledge of hospital structures and payment systems.
  • Prefers understanding of fiscal accountability and its impact on the utilization of resources, proceeding to self-care outcomes.

Skills and Abilities:
  • Bi-lingual proficiency preferred.
  • Adaptability/Flexibility.
  • Analytical.
  • Compassion.
  • Information/Knowledge Sharing.
  • Interpersonal & Client Relationship.
  • Sound decision making.
  • Active listening.
  • Organization Planning/Priority Setting.
  • Problem Solving/Critical Thinking.
  • Team Player.
  • Time Management.
  • Written/Oral Communications.

Travel:
  • Travel primarily within State of NJ may be required. Occasional travel in the tri-state area may also be required.

Why Horizon?
At Horizon, you'll do meaningful work that directly improves lives-while being supported by a mission-driven organization that values expertise, collaboration, and growth. We believe that when our people thrive, our communities do too. If you are passionate about making an impact, we'd love to hear from you!
Salary Range:
$79,100 - $105,945
This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes:
  • Comprehensive health benefits (Medical/Dental/Vision)
  • Retirement Plans
  • Generous PTO
  • Incentive Plans
  • Wellness Programs
  • Paid Volunteer Time Off
  • Tuition Reimbursement

Disclaimer:
Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this job.
Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.

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