This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between ...
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been ... This is a telephonic remote position and productivity is important. Preferred candidates will have ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been ... This is a telephonic remote position and productivity is important. Preferred candidates will have ...
Care Transformation RN
Los Angeles, CA · Remote
$41.14 - $67.88/hr
Job Summary and Responsibilities Thiis is a remote position requring travel to support enterprise ... Serve as a Virtual RN (VIC RN) for 50% of the role, providing direct patient care during ...
Care Transformation RN
Los Angeles, CA · Remote
$41.14 - $67.88/hr
Job Summary and Responsibilities Thiis is a remote position requring travel to support enterprise ... Serve as a Virtual RN (VIC RN) for 50% of the role, providing direct patient care during ...
RN Case Manager
Los Angeles, CA · Remote
$85K/yr
RN Case Manager Remote (Full Time) *Must reside in California* Compensation: $85,000 About Us Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have ...
Quick apply
RN Case Manager
Los Angeles, CA · Remote
$85K/yr
RN Case Manager Remote (Full Time) *Must reside in California* Compensation: $85,000 About Us Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have ...
Verifies that coded diagnoses, procedures, revenue codes, and corresponding reimbursement ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Advanced in ...
Verifies that coded diagnoses, procedures, revenue codes, and corresponding reimbursement ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Advanced in ...
The position is fully remote. Excellent computer skills and attention to detail are very important ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
The position is fully remote. Excellent computer skills and attention to detail are very important ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Validates member medical records and claims submitted/correct coding, to ensure appropriate ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Compact ...
Validates member medical records and claims submitted/correct coding, to ensure appropriate ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Compact ...
Care Review Clinician (RN)
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members ... The position is fully remote. Excellent computer skills and attention to detail are very important ...
Care Review Clinician (RN)
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members ... The position is fully remote. Excellent computer skills and attention to detail are very important ...
RN Case Manager - Managed Care REMOTE
Los Angeles, CA · Remote
$39 - $41/hr
Registered Nurse (RN) Disease Manager Job Overview : The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of patients with chronic or ...
Quick apply
RN Case Manager - Managed Care REMOTE
Los Angeles, CA · Remote
$39 - $41/hr
Registered Nurse (RN) Disease Manager Job Overview : The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of patients with chronic or ...
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
RN Director, Healthcare Services (Remote in California)
Long Beach, CA · On-site +1
$101K - $198K/yr
California - Ability to work remote, but ideal candidate will reside in the state of California. This position requires California RN Licensure. Candidates must have significant IPA delegation ...
RN Director, Healthcare Services (Remote in California)
Long Beach, CA · On-site +1
$101K - $198K/yr
California - Ability to work remote, but ideal candidate will reside in the state of California. This position requires California RN Licensure. Candidates must have significant IPA delegation ...
California - Ability to work remote, but ideal candidate will reside in the state of California. This position requires California RN Licensure. Candidates must have significant IPA delegation ...
California - Ability to work remote, but ideal candidate will reside in the state of California. This position requires California RN Licensure. Candidates must have significant IPA delegation ...
RN Director, Healthcare Services (Remote in California)
Long Beach, CA · Remote
$101K - $198K/yr
California - Ability to work remote, but ideal candidate will reside in the state of California. This position requires California RN Licensure. Candidates must have significant IPA delegation ...
RN Director, Healthcare Services (Remote in California)
Long Beach, CA · Remote
$101K - $198K/yr
California - Ability to work remote, but ideal candidate will reside in the state of California. This position requires California RN Licensure. Candidates must have significant IPA delegation ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members who have recently been ... This is a remote position and productivity is important. Preferred candidates will have previous ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members who have recently been ... This is a remote position and productivity is important. Preferred candidates will have previous ...
RN Case Manager, Home Health
Newport Beach, CA · Remote
$108K - $132K/yr
Newport Beach Position: RN Case Manager, Home Health Position Type: Full-Time Remote/Virtual Position: No Coverage Area: Anaheim & surrounding areas Find Your Passion and Purpose as an Registered ...
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RN Case Manager, Home Health
Newport Beach, CA · Remote
$108K - $132K/yr
Newport Beach Position: RN Case Manager, Home Health Position Type: Full-Time Remote/Virtual Position: No Coverage Area: Anaheim & surrounding areas Find Your Passion and Purpose as an Registered ...
Chronic Care Management LVN - REMOTE (California License Required)
Los Angeles, CA · On-site +1
$25/hr
*FULL TIME REMOTE POSITION* $25hr Who We Are: Orb Health's Enterprise Virtual Care™ enables the ... In this role the Care Management (LVN, LPN, or RN) will be responsible for providing telephonic ...
Chronic Care Management LVN - REMOTE (California License Required)
Los Angeles, CA · On-site +1
$25/hr
*FULL TIME REMOTE POSITION* $25hr Who We Are: Orb Health's Enterprise Virtual Care™ enables the ... In this role the Care Management (LVN, LPN, or RN) will be responsible for providing telephonic ...
Care Review Clinician (RN) Remote (AZ)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Care Review Clinician (RN) Remote (AZ)
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Care Review Clinician (RN) Remote (AZ)
Long Beach, CA · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Care Review Clinician (RN) Remote (AZ)
Long Beach, CA · Remote
$26.41 - $51.49/hr
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Auditor, Healthcare Services (RN) (Remote) Must Live In Nebraska
Omaha, NE · On-site +1
$27.59 - $56.63/hr
This position will offer remote work flexibility, but the selected candidate must reside in Michigan. Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid ...
Auditor, Healthcare Services (RN) (Remote) Must Live In Nebraska
Omaha, NE · On-site +1
$27.59 - $56.63/hr
This position will offer remote work flexibility, but the selected candidate must reside in Michigan. Opportunity for a Registered Nurse who has a US license in good standing to join our Medicaid ...
Remote Rn Coder information
See Los Alamitos, CA salary details
$18.18 - $18.80
7% of jobs
$19.39 is the 25th percentile. Wages below this are outliers.
$18.80 - $19.42
19% of jobs
$19.42 - $20.04
5% of jobs
$20.04 - $20.66
3% of jobs
$20.66 - $21.28
14% of jobs
The median wage is $21.43 / hr.
$21.28 - $21.90
6% of jobs
$21.90 - $22.52
0% of jobs
$22.52 - $23.14
0% of jobs
$23.14 - $23.76
0% of jobs
$24.25 is the 75th percentile. Wages above this are outliers.
$23.76 - $24.38
26% of jobs
$24.38 - $25
20% of jobs
$18
$22
$24
How much do remote rn coder jobs pay per hour?
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?
What are some common challenges faced by Remote RN Coders, and how can they be addressed?
What is the difference between Remote Rn Coder vs Remote Medical Biller?
| Aspect | Remote Rn Coder | Remote Medical Biller |
|---|---|---|
| Credentials | Certification in coding (e.g., CPC, CCS) | Certification in billing (e.g., Certified Professional Biller) |
| Work Environment | Healthcare facilities, insurance companies, remote coding firms | Medical offices, billing companies, insurance companies |
| Industry Usage | Used primarily for coding diagnoses and procedures for reimbursement | Used 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?

Full-time
Posted 29 days ago
Molina Healthcare rating
8.0
Based on 197 frontline employees who took The Breakroom Quiz
161st of 300 rated insurance
Job description
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between systems, talk with providers on the phone, and adhere to Medicare guidelines.
This is a remote position and productivity is important. Preferred candidates will have previous utilization management, managed care, or post-acute experience.
Schedule: Monday through Friday 8:30AM to 5:00PM EST (Occasional weekends, no nights, occasional holidays.)
Job Summary
Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
Processes requests within required timelines.
Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.
Requests additional information from members or providers as needed.
Makes appropriate referrals to other clinical programs.
Collaborates with multidisciplinary teams to promote the Molina care model.
Adheres to utilization management (UM) policies and procedures.
Required Qualifications
At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Registered Nurse (RN). License must be active and unrestricted in state of practice.
Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.
Strong written and verbal communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Certified Professional in Healthcare Management (CPHM).
Recent hospital experience in an intensive care unit (ICU) or emergency room.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
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About Molina Healthcare
Sourced by ZipRecruiter
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980