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

DataAnnotation

Registered Nurse - AI Trainer

Pittsburgh, PA · 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 ...

DataAnnotation

RN - AI Trainer

Pittsburgh, PA · 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 ...

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All JobsRemote Rn Coder JobsRemote Rn Coder Jobs in Pittsburgh, PA

Remote Rn Coder information

See Pittsburgh, PA salary details

$16

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$23

How much do remote rn coder jobs pay per hour?

As of Jun 19, 2026, the average hourly pay for remote rn coder in Pittsburgh, PA is $20.87, according to ZipRecruiter salary data. Most workers in this role earn between $17.50 and $22.16 per hour, depending on experience, location, and employer.

Can an RN work as a medical coder?

A registered nurse (RN) can work as a medical coder by leveraging their clinical knowledge to accurately translate medical records into standardized codes. Many RNs pursue additional certification, such as Certified Professional Coder (CPC), to qualify for coding roles, often working remotely or in healthcare settings. Strong attention to detail and familiarity with coding systems like ICD-10 and CPT are essential for success in this role.

What can an RN do remotely?

A Remote RN can perform tasks such as reviewing patient records, providing telehealth consultations, coordinating care, and documenting medical information. These roles often require strong communication skills, familiarity with electronic health records, and relevant licensure. Remote nursing allows for flexible schedules and the use of telecommunication tools to support patient care from a distance.

Are RN coders in demand?

Registered Nurse (RN) coders are in high demand due to the increasing need for accurate medical coding for insurance reimbursement and healthcare documentation. Their skills in clinical knowledge and coding systems like ICD-10 and CPT are essential in healthcare settings, and employment opportunities are expected to grow as healthcare organizations prioritize compliance and efficiency.

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.

Will a medical coder be replaced by AI?

Remote Rn Coders, like other medical coders, perform tasks that involve interpreting medical records and assigning codes, which require clinical knowledge and judgment. While AI tools can assist with coding accuracy and efficiency, they are unlikely to fully replace human coders due to the need for critical thinking, understanding complex cases, and ensuring compliance with regulations. Human oversight remains essential in maintaining quality and accuracy in medical coding.

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
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Remote Rn Coder jobs near you
Infographic showing various Remote Rn Coder job openings in Pittsburgh, PA as of June 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 8% Hybrid, and 92% Remote job distribution, with an average salary of $43,419 per year, or $20.9 per hour.

Remote/Hybrid Registered Nurse (RN) - Advocacy & Program Integrity (Medical Assistance Expert)

The CKHobbie Group

Pittsburgh, PA • On-site, Remote

$40 - $42/hr

Full-time

PTO

Posted 9 hours ago

Job description

Job Description
Are you a registered nurse ready to take your career in an exciting newdirection-one where your expertise truly makes a difference? JoinPennsylvania's premier Quality Improvement Organization and step into adynamic role focused on advocacy and program integrity through compliance management. Here, you'll champion the needs of vulnerable populations,safeguard the quality of care, and influence healthcare outcomes on ameaningful scale. Enjoy the freedom of working from home, theflexibility and autonomy to manage your workday, and the opportunity forcontinuous professional growth-all while being part of a passionate,mission-driven team dedicated to improving healthcare across theCommonwealth.
In this rewarding role, you'll use your clinical knowledge outside ofthe traditional bedside setting to review and audit claims, supportprogram integrity initiatives, and advocate for beneficiaries across theCommonwealth. You'll enjoy the flexibility of working from home, theautonomy to manage your work, and meaningful opportunities forprofessional growth-all while contributing to a mission that trulymatters.
What You'll Do
  • Conduct clinical reviews and ensure quality, appropriateness, and compliance with healthcare standards
  • Support program integrity efforts by identifying trends, risks, and opportunities for improvement
  • Advocate for beneficiaries, with a strong focus on protecting and improving care for vulnerable populations
  • Apply nursing judgment to analyze medical records, documentation, and billing data
  • Collaborate with interdisciplinary teams, providers, and stakeholders to promote best practices
  • Contribute to quality improvement initiatives that strengthen healthcare delivery across Pennsylvania

What We're Looking For
  • Active, unrestricted Registered Nurse (RN) license
  • Strong clinical background with the ability to apply nursing judgment analytically
  • Interest in advocacy, quality improvement, and healthcare program integrity
  • Excellent written and verbal communication skills
  • Ability to work independently while managing multiple priorities
  • Comfort with technology and electronic medical records

Experience in utilization review, case management, quality improvement, compliance, or claims review is a plus-but not required.
Why Join Us
  • Mission-driven work with Pennsylvania's leading Quality Improvement Organization
  • Make a real impact on healthcare quality and outcomes for vulnerable populations
  • Remote work - enjoy the convenience and balance of working from home
  • Autonomy and flexibility in how you manage your workday
  • Advocacy-focused role that values your nursing voice and expertise
  • Career development opportunities to grow beyond traditional nursing roles
  • Supportive, collaborative team culture committed to excellence and integrity

If you're a registered nurse seeking purpose-driven work,professional growth, and the flexibility to balance your life andcareer-this is your opportunity. Apply today and help shape the future of healthcare quality in Pennsylvania.
Requirements
Be available as a full-time consultant, approximately 37.5 hours per week;
• Possess a current license to practice as a Registered Nurse issued by the Pennsylvania
State Board of Nursing; or possess a non-renewable temporary practice permit issued
by the Pennsylvania State Board of Nursing. Resources possessing non-renewable
temporary practice permits must obtain licensing as a Registered Nurse within the
one-year period as defined by the Pennsylvania State Board of Nursing;
• Possess a documented work history of three (3) or more years of professional
experience with medical assistance, health care services or human services or any
equivalent combination of experience and training;
• Possess basic computer skills, including familiarity with Microsoft Office programs.
Principal Duties and Responsibilities (RN - Utilization Review / Program Integrity)
  • Conduct clinical utilization reviews by evaluating medical records, treatment plans, and supporting documentation to determine medical necessity, appropriateness, quality, and level of care in accordance with Medical Assistance (MA) program requirements.
  • Apply nursing judgment and evidence-based clinical standards to ensure MA recipients receive safe, appropriate, and high-quality care while supporting program integrity and regulatory compliance.
  • Assess provider billing and documentation to verify compliance with MA policies and identify potential fraud, waste, or abuse.
  • Review clinical documentation submitted through electronic provider portals, telephone communications, fax, and U.S. mail, ensuring completeness and accuracy for utilization determinations.
  • Make authorization determinations by approving, modifying, or denying service requests within RN scope of practice, or refer cases to physician advisors for secondary medical review when medical necessity or level of care is unclear.
  • Collaborate with physician/medical consultants to support peer-to-peer reviews and facilitate discussions with ordering providers regarding clinical justification, appropriate care settings, and service coverage.
  • Accurately document utilization review decisions and clinical rationale in electronic systems, generating authorization notices, denial letters, reason codes, and appeal rights in compliance with regulatory standards.
  • Participate in retrospective, concurrent, and prospective utilization reviews, including re-evaluations of previously denied services upon request by providers or facilities.
  • Review and prepare appeal cases by analyzing medical records, developing exhibits and correspondence, and providing testimony at administrative hearings using knowledge of MA regulations, utilization management principles, and appeal processes.
  • Interpret MA policies, regulations, and utilization management guidelines for internal staff, providers, and stakeholders through consultation, meetings, and educational sessions.
  • Engage in interdisciplinary collaboration with internal departments, medical consultants, legal staff, and external stakeholders to support consistent and defensible utilization determinations.
  • Maintain ongoing professional development through continuing education, conferences, and review of current medical literature to remain current with standards of care, clinical guidelines, and utilization review best practices.
  • Provide cross-coverage in other program areas as needed, maintaining competency through training and updates to ensure continuity of program operations.
  • Respond to inquiries from recipients, providers, legislators, legal offices, and external agencies to explain utilization decisions, coverage policies, and administrative processes.
  • Maintain accurate case records and documentation in accordance with MA regulations, accreditation standards, and organizational policies.
  • Perform related duties and special projects as assigned, with expectations and performance standards communicated for each assignment.
  • When required, work at Department-designated locations. The primary duty location is Pittsburgh, PA, where appropriate workspace, technology, and resources will be provided to support assigned responsibilities.

Benefits
Attractive Compensation plan.Holiday and Vacation program.

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