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Remote Rn Coder Jobs in Anaheim, CA (NOW HIRING)

Molina Healthcare

Care Manager, LTSS (RN)

Long Beach, CA · On-site +1

$26.41 - $51.49/hr

***Remote with travel throughout Dane County, WI for member visits*** Job Summary Provides support for ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...

Molina Healthcare

Care Manager, LTSS (RN)

Long Beach, CA · On-site +1

$26.41 - $51.49/hr

***Remote with travel throughout Dane County, WI for member visits*** Job Summary Provides support for ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...

Molina Healthcare

Care Manager, LTSS (RN)

Long Beach, CA · On-site +1

$26.41 - $51.49/hr

***Remote and will travel throughout the Southwest and Western regions of Wisconsin for member ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...

Molina Healthcare

Care Manager, LTSS (RN)

Long Beach, CA · On-site +1

$26.41 - $51.49/hr

***Remote with travel throughout St. Croix County, WI for member visits*** Job Summary Provides ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...

Molina Healthcare

Care Manager, LTSS (RN)

Long Beach, CA · On-site +1

$26.41 - $51.49/hr

This is a remote position with substantial field work and productivity is important. Preferred ... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be ...

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Remote Rn Coder information

See Anaheim, CA salary details

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$22

$24

How much do remote rn coder jobs pay per hour?

As of Jul 23, 2026, the average hourly pay for remote rn coder in Anaheim, CA is $22.51, according to ZipRecruiter salary data. Most workers in this role earn between $18.89 and $23.89 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.
More about Remote Rn Coder jobs
What are the most commonly searched types of Rn Coder jobs in Anaheim, CA? The most popular types of Rn Coder jobs in Anaheim, CA are:
What are popular job titles related to Remote Rn Coder jobs in Anaheim, CA? For Remote Rn Coder jobs in Anaheim, CA, the most frequently searched job titles are:
What job categories do people searching Remote Rn Coder jobs in Anaheim, CA look for? The top searched job categories for Remote Rn Coder jobs in Anaheim, CA are:
What cities near Anaheim, CA are hiring for Remote Rn Coder jobs? Cities near Anaheim, CA with the most Remote Rn Coder job openings:
Remote Rn Coder jobs near you
Infographic showing various Remote Rn Coder job openings in Anaheim, CA as of July 2026, with employment types broken down into 6% Locum Tenens, 82% Full Time, 10% Part Time, and 2% Contract. Highlights an 65% Physical, 2% Hybrid, and 33% Remote job distribution, with an average salary of $46,822 per year, or $22.5 per hour.
Utilization Management Nurse I, RN

Utilization Management Nurse I, RN

Clever Care Health Plan

Huntington Beach, CA • Remote

$34.98 - $42.85/hr

Full-time

Posted 16 days ago

Job description

Remote in California only

Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.   

Who Are We?  

Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members’ culture and values. 

Why Join Us?  

We’re on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you’ll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation. 

Job Summary

The UM Nurse I - RN performs clinical review of authorization requests to determine medical necessity based on established criteria, regulatory requirements, and organizational policies. This role conducts utilization review activities under established guidelines and escalates complex or non-standard determinations to senior staff or the Medical Director.

Functions & Job Responsibilities

· Conduct clinical review of prior authorization requests using approved criteria (e.g., MCG, InterQual).

· Review outpatient and routine inpatient requests.

· Ensure compliance with CMS, state, and contractual turnaround time requirements.

· Document medical necessity determinations clearly and accurately.

· Communicate authorization decisions to providers, members and internal teams.

· Identify cases requiring physician or Medical Director review.

· Participate in concurrent review and discharge planning coordination as assigned.

· Ensure compliance with regulatory timelines.

· Support audit readiness and documentation integrity.

· Additional duties as assigned.

Qualifications

Education and Experience

· Active, unrestricted RN license.

· Minimum of three (3) years of clinical experience.

· At least one (1) year in utilization management or case management preferred.

Skills

· Knowledge of medical necessity criteria (MCG/InterQual).

· Understanding of CMS/state UM regulations.

· Strong clinical assessment and documentation skills

· Ability to manage caseload efficiently.

· Effective provider communication.

· Bilingual proficiency in Cantonese, Mandarin, Spanish, Vietnamese, or Korean preferred.

Wage Range: $34.98 to $42.85 per hour

Physical & Working Environment.

Physical requirements needed to perform the essential functions of the job, with or without reasonable accommodation:

• Must be able to travel when needed or required

• Ability to operate a keyboard, mouse, phone and perform repetitive motion (keyboard); writing (note-taking)

• Ability to sit for long periods; stand, sit, reach, bend, lift up to fifteen (15) lbs. Ability to express or exchange ideas to impart information to the public and to convey detailed instructions to staff accurately and quickly. Work is performed in an office environment and/or remotely. The job involves frequent contact with staff and public. May occasionally be required to work irregular hours based on the needs of the business.

Clever Care Health Plan is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required. 

  

Salary ranges posted on the job posting are based on California wages. Salary may be higher or lower depending on the candidate’s state residency. 

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