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Remote Rn Coder Jobs in Levittown, PA (NOW HIRING)

ZoraMD

Medical Virtual Assistant (Remote)

Philadelphia, PA · Remote

$20.25 - $27.25/hr

... A Registered Nurse in the Philippines -Experience working in the hospital set-up for at least 6 months -Knowledgeable of HIPAA privacy and security rules, including safeguarding patient information ...

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Remote Rn Coder information

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How much do remote rn coder jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for remote rn coder in Levittown, PA is $20.66, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $21.92 per hour, depending on experience, location, and employer.

What are jobs for a remote RN coder?

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?

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- CASE MGR.Transplant/ICU/Critical Care-(REMOTE)

Horizon Blue Cross Blue Shield of New Jersey

Hopewell, NJ • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 22 hours 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

163rd of 304 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 using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care. Performs duties and types of care management as assigned by management. Serves as mentor/trainer to new RN's and other staff as needed. Subject matter expert for the various projects and committees as needed.
What You'll Do
SHIFT TIME: 8am-5pm
The Transplant Case Manager acts as an individual's primary advocate and care coordinator throughout the entire transplant journey, from initial evaluation and education to post-transplant recovery and long-term care. The Transplant Case Manager navigates complex medical, social, and financial barriers by coordinating with multiple providers and agencies, ensuring appropriate care access, and providing crucial support to individuals and their families during a challenging and emotional process.
Responsibilities:
  • Responsible for managing inbound clinical calls and maintaining a direct case management caseload. Performs telephonic clinical triage, risk assessment, care coordination, member education, and referral management. Conducts proactive outbound outreach to members, caregivers, providers, and community resources to support engagement, address barriers to care, facilitate transitions of care, and improve health outcomes through comprehensive case management services.
  • Assesses patient's clinical need against established guidelines and/or standards to ensure that the level of care and length of stay of the patient are medically appropriate for inpatient stay.
  • Evaluates the necessity, appropriateness and efficiency of medical services and procedures provided.
  • Coordinates and assists in implementation of plan for members.
  • Monitors and coordinates services rendered outside of the network, as well as outside the local area, and negotiate fees for such services as appropriate. Coordinates with patient, 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.
  • Monitors patient'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.
  • Understands fiscal accountability and its impact on the utilization of resources, proceeding to self-care outcomes.
  • 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.
  • Acts as subject matter expert for respective area for projects.
  • May assume leadership type activities in team leads absence.
  • Represent clinical teams within committee meetings
  • Present reports required at committee meetings.
  • Subject matter expert for user acceptance testing for medical management system.

Addendum for Horizon Clinical Advocate Roles:
  • Outreaches to members identified by Horizon as needing Clinical Advocate services.
  • Applies critical thinking and clinical expertise to maximize outcomes while interacting with members and their families in a fast-paced environment.
  • Builds trusting relationships with members and their families utilizing Motivational Interviewing techniques.
  • Becomes knowledgeable in ASO client employer -sponsored benefits to assist members with questions related to medical benefits, claims, care coordination and other complex needs through explaining benefits and providing education and resources in plain language.
  • Advocates for members consistently throughout their healthcare journey by coordinating with members, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome.
  • Focuses on whole person approach, by eliminating "homework" or unnecessary burdens on the members, we can provide a more supportive and engaging experience that addresses overall well-being physical, mental, and emotional.
  • Schedule: 8- or 10-hour workday Monday through Friday varying between 8am and 11pm.

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.
  • Requires minimum of two (2) years' experience with health care payer experience.

Additional licensing, certifications, registrations:
  • Active Unrestricted NJ RN License or active Compact License Required.

Addendum for Horizon Clinical Advocate roles:
  • CCM certification preferred.

Knowledge:
  • Must be proficient in the use of personal computers and supporting software in a Windows based environment, including MS Office products (Word, Excel, PowerPoint and Outlook). Should be knowledgeable in the use of intranet and internet applications.
  • Requires knowledge of hospital structures and payment systems.
  • Requires working knowledge of case/care/disease management principles.
  • Requires working knowledge of operations of utilization, case and/or disease management processes.
  • Requires knowledge of health care contracts and benefit eligibility requirements.
  • Requires mentoring knowledge on the operations of utilization/case/disease management.

Addendum for Horizon Clinical Advocate roles:
  • Requires ability to be an empathetic critical thinker.
  • Requires excellent communication and organizational skills and a high tolerance for ambiguity.
  • Ability to understand and communicate members benefits, claims and coordination focusing on advocacy principals and effective utilization.
  • Experience in active listening and motivational interviewing strongly preferred.
  • Requires a candidate that can work in a collaborative team environment and is a team player who possesses strong analytical, critical thinking and interpersonal skills.
  • Requires exceptional multi-channel Communication and Interpersonal skills, including the ability to explain complex concepts clearly with compassion.

Skills and Abilities:
  • Adaptability/Flexibility
  • Analytical
  • Compassion
  • Interpersonal & Client Relationship Skills
  • Information/Knowledge Sharing
  • Judgment
  • Listening
  • Planning/Priority Setting
  • Problem Solving
  • Team Player
  • Time Management
  • Written/Oral Communication & Organizational Skills

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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