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Remote Rn Coder Jobs in Springfield, IL (NOW HIRING)

AltaStaff, LLC

Care Review Clinician

Springfield, IL · Remote

$40 - $42/hr

This is a fully remote role but candidates must have a valid RN license in Illinois*** Position Purpose: Care Review Clinician works with the Utilization Management team primarily responsible for ...

Humana

Manager, Care Management

Springfield, IL · Remote

Active Registered Nurse (RN) license or Social Work (SW) license * 5+ years of professional ... This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions ...

Humana

Manager, Care Management

Springfield, IL · Remote

Active Registered Nurse (RN) license or Social Work (SW) license * 5+ years of professional ... This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions ...

Humana

Manager, Care Management

Springfield, IL · Remote

Active Registered Nurse (RN) license or Social Work (SW) license * 5+ years of professional ... This is a remote position that requires travel. * Travel: 50 - 75% field-based interactions ...

All JobsRn Coder JobsRemote Rn Coder JobsRemote Rn Coder Jobs in Springfield, IL

Remote Rn Coder information

See Springfield, IL salary details

$17

$21

$23

How much do remote rn coder jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for remote rn coder in Springfield, IL is $21.31, according to ZipRecruiter salary data. Most workers in this role earn between $17.88 and $22.64 per hour, depending on experience, location, and employer.

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.

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.

Are remote RN coders in demand?

Remote RN coders are in high demand due to the increasing need for accurate medical coding in healthcare. Their skills in medical terminology, coding systems like ICD-10, and certification requirements contribute to strong job prospects in remote healthcare settings.

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 coding certifications such as CPC or CCS to qualify for coding roles, often working remotely in healthcare settings. Strong attention to detail and understanding of medical terminology are essential for success in this field.
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Remote Rn Coder jobs near you
Infographic showing various Remote Rn Coder job openings in Springfield, IL as of August 2026, with employment types broken down into 2% As Needed, 52% Full Time, 19% Part Time, and 27% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $44,326 per year, or $21.3 per hour.

Care Review Clinician

AltaStaff, LLC

Springfield, IL • Remote

$40 - $42/hr

Full-time

Posted 8 days ago

Job description

AltaStaff is a staffing agency currently looking for a Care Review Clinician I to work with our Managed Care Client!

Pay Rate: $40 - 42.00 hourly

Schedule: Monday-Friday 9am-5:30pm CST, Rotating Saturday 7-11am CST, Rotating Holidays

***This is a fully remote role but candidates must have a valid RN license in Illinois***

Position Purpose: Care Review Clinician works with the Utilization Management team primarily responsible for medical necessity/utilization review aimed at providing members with the right care.

  • Assess and analyze clinical service requests (e.g., surgeries, outpatient therapies, DME) using evidence-based MCP/MCG criteria.

  • Verify member benefits and eligibility and Process prior authorization determinations within regulatory timelines

  • Collaborate with multidisciplinary teams

  • Completes/reviews Authorizations, reviewing faxes that can be 50-100 pages long

  • Will be expected to manage 25-30 cases successfully daily.

  • Should be able to quickly and accurately determine whether the criteria meet medical necessity.

  • Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review.

  • Assesses services for Molina Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and

  • guidelines.

  • Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team.

  • Additional duties assigned

Education/Experience: 

  • RN license in IL required

  • Must have 2+ years clinical practice experience (hospital, case management, utilization management)

  • Must have 1-3+ years of hospital or medical clinic, utilization review

  • Must have 2-3 years of Prior Authorization OR Med-Surg experience; Familiarity with Inpatient Medical Necessity

  • Must have solid experience within a clinical setting as RN’s must be able to use their knowledge to extrapolate key information during the authorization process

If you've applied and would like to view your application status, please visit: https://altastaff.zenople.com/login/ALTA

AltaStaff is an Equal Employment Opportunity Employer. We provide equal employment opportunities to all qualified applicants for employment without regard to age, race, color, creed, religion, sex, marital status, national origin, ancestry, citizenship, disability, veteran status, sexual orientation, or any other protected status, in accordance with applicable federal, state, and local laws.

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