Remote Employment Type: Full‑Time Position Summary Health Business Solutions (HBiz) is seeking an ... Professional credentials such as RHIA, RHIT, CCS, CCS ‑P, CPC, CPMA, RN, or equivalent
Remote Employment Type: Full‑Time Position Summary Health Business Solutions (HBiz) is seeking an ... Professional credentials such as RHIA, RHIT, CCS, CCS ‑P, CPC, CPMA, RN, or equivalent
Utilization Review RN (Remote)
Fort Lauderdale, FL · Remote
$80K - $100K/yr
Fully Remote - Utilization Review Schedule: Full-Time, Monday-Friday Hours: Standard business hours Patient Volume: N/A Job Requirements: * Active RN license with Multi-State/Compact license required
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Utilization Review RN (Remote)
Fort Lauderdale, FL · Remote
$80K - $100K/yr
Fully Remote - Utilization Review Schedule: Full-Time, Monday-Friday Hours: Standard business hours Patient Volume: N/A Job Requirements: * Active RN license with Multi-State/Compact license required
Valid unrestricted Registered Nurse (RN) license PREFERRED QUALIFICATIONS * Inpatient ... Certified Coder ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working ...
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Valid unrestricted Registered Nurse (RN) license PREFERRED QUALIFICATIONS * Inpatient ... Certified Coder ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working ...
Remote Utilization Review RN (Hospital-Based Experience Required)
Fort Lauderdale, FL · Remote
$80K - $105K/yr
Fully Remote - Utilization Review Schedule: Full-Time, Monday-Friday Hours: Standard Business Hours Job Requirements: * Active RN license with Multi-State/Compact License required * Minimum 2 years ...
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Remote Utilization Review RN (Hospital-Based Experience Required)
Fort Lauderdale, FL · Remote
$80K - $105K/yr
Fully Remote - Utilization Review Schedule: Full-Time, Monday-Friday Hours: Standard Business Hours Job Requirements: * Active RN license with Multi-State/Compact License required * Minimum 2 years ...
Registered Nurse Utilization Review
Jacksonville, FL · On-site +1
$84K - $118K/yr
Remote | Ascension St. Vincent's Riverside Hospital Schedule: Days | Full-time Salary Range: $84 ... Resolve departmental hurdles related to coding, documentation, and precertification while ...
Registered Nurse Utilization Review
Jacksonville, FL · On-site +1
$84K - $118K/yr
Remote | Ascension St. Vincent's Riverside Hospital Schedule: Days | Full-time Salary Range: $84 ... Resolve departmental hurdles related to coding, documentation, and precertification while ...
Senior Care Manager - RN Duration: 6+ Months Location: Remote FL Miami Time: Start Time:10:30 AM - End Time:07:00 PM Description: * Responsible for the assessment, reassessment, care planning and ...
Senior Care Manager - RN Duration: 6+ Months Location: Remote FL Miami Time: Start Time:10:30 AM - End Time:07:00 PM Description: * Responsible for the assessment, reassessment, care planning and ...
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Registered Nurse (Remote Patient Monitoring and Chronic Care Management)
Tallahassee, FL · On-site +1
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Registered Nurse (Remote Patient Monitoring and Chronic Care Management)
Tallahassee, FL · On-site +1
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...
Registered Nurse Clinical Documentation
Jacksonville, FL · On-site +1
$84K - $118K/yr
Conduct thorough admission reviews and collaborate directly with our coding experts to ensure ... Registered Nurse credentialed from the Florida Board of Nursing obtained prior to hire date or ...
Registered Nurse Clinical Documentation
Jacksonville, FL · On-site +1
$84K - $118K/yr
Conduct thorough admission reviews and collaborate directly with our coding experts to ensure ... Registered Nurse credentialed from the Florida Board of Nursing obtained prior to hire date or ...
Work closely with physicians, nurses, and other healthcare staff to clarify any discrepancies in ... Hybrid/Remote Position * Must reside in the state of Florida * Must have Orthopedic Coding ...
Work closely with physicians, nurses, and other healthcare staff to clarify any discrepancies in ... Hybrid/Remote Position * Must reside in the state of Florida * Must have Orthopedic Coding ...
Case Management RN
Miami, FL · Remote
$32.60 - $42.79/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...
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Case Management RN
Miami, FL · Remote
$32.60 - $42.79/hr
This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...
Remote Nurse Practitioner Contractor- Multi-State
Tampa, FL · Remote
$30/hr
Remote -- United States THE HIGHLIGHTS * Anticipated Start Date: Summer 2026 * Role Type ... Collaborate with the broader care team -- including RNs, RDs, and Accountability Coaches -- to ...
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Remote Nurse Practitioner Contractor- Multi-State
Tampa, FL · Remote
$30/hr
Remote -- United States THE HIGHLIGHTS * Anticipated Start Date: Summer 2026 * Role Type ... Collaborate with the broader care team -- including RNs, RDs, and Accountability Coaches -- to ...
Medical Records Coder II (REMOTE)
Clearwater, FL · On-site +1
$17.25 - $23/hr
Remote/BayCare System Office West * Status: Full Time * Schedule: Monday - Friday, 7:00 AM - 3:30 ... Certified Coding Specialist (CCS) * Registered Health Information Technician (RHIT) BayCare offers ...
Medical Records Coder II (REMOTE)
Clearwater, FL · On-site +1
$17.25 - $23/hr
Remote/BayCare System Office West * Status: Full Time * Schedule: Monday - Friday, 7:00 AM - 3:30 ... Certified Coding Specialist (CCS) * Registered Health Information Technician (RHIT) BayCare offers ...
Work closely with physicians, nurses, and other healthcare staff to clarify any discrepancies in ... Hybrid/Remote Position * Must reside in the state of Florida * Must have General Surgery Coding ...
Work closely with physicians, nurses, and other healthcare staff to clarify any discrepancies in ... Hybrid/Remote Position * Must reside in the state of Florida * Must have General Surgery Coding ...
RN Utilization Review
Southport, FL · On-site +1
$84K - $118K/yr
Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l ... coding, medical records/documentation, precertification, reimbursement and claim denials/appeals.
RN Utilization Review
Southport, FL · On-site +1
$84K - $118K/yr
Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l ... coding, medical records/documentation, precertification, reimbursement and claim denials/appeals.
Nurse Reviewer - Sarasota, FL
Sarasota, FL · Remote
$40/hr
... HCPCS codes to determine medical necessity * Maintain expert knowledge of evolving multi-state ... BSN with active RN licensure in good standing Physical Demands: Remote Work, Prolonged Sitting ...
Nurse Reviewer - Sarasota, FL
Sarasota, FL · Remote
$40/hr
... HCPCS codes to determine medical necessity * Maintain expert knowledge of evolving multi-state ... BSN with active RN licensure in good standing Physical Demands: Remote Work, Prolonged Sitting ...
Remote Rn Coding information
What is a remote RN coder?
What are the key skills and qualifications needed to thrive as a remote RN coder?
What are some common challenges faced by remote RN coders and how can they be addressed?
What is the difference between Remote Rn Coding vs Remote Medical Coder?
| Aspect | Remote Rn Coding | Remote Medical Coder |
|---|---|---|
| Credentials | RN license, coding certifications (e.g., CPC, CCS) | Certification (CPC, CCS), no RN license needed |
| Work Environment | Healthcare facilities, insurance companies, remote clinics | Insurance companies, billing companies, healthcare organizations |
| Industry Usage | Hospitals, clinics, outpatient facilities | Insurance, billing, coding services |
| Job Focus | Clinical documentation, patient records, coding from RN perspective | Medical coding from documentation, billing codes, insurance claims |
Remote Rn Coding involves licensed RNs with coding certifications working primarily on clinical documentation and patient records, often within healthcare settings. Remote Medical Coder roles focus on coding insurance claims and billing documentation, typically requiring coding certifications but not an RN license. Both roles are essential in healthcare revenue cycle management but differ in credentials, work environment, and job focus.
Are remote RN coders in demand?
Is it difficult to get a remote registered nurse coding job?
What are popular job titles related to Remote Rn Coding jobs in Florida?
For Remote Rn Coding jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Remote Rn Coding jobs in Florida look for?
The top searched job categories for Remote Rn Coding jobs in Florida are:
What cities in Florida are hiring for Remote Rn Coding jobs?
Cities in Florida with the most Remote Rn Coding job openings:

Full-time
Posted 19 days ago
Job description
Location: Remote Employment Type: Full‑Time
Position SummaryHealth Business Solutions (HBiz) is seeking an experienced and strategic Senior Manager, Clinical & Coding to lead and oversee clinical and coding operations across government and commercial payers, including post-pay audit. This role is responsible for managing end‑to‑end clinical and coding audit activities, ensuring regulatory compliance, driving audit accuracy, and optimizing financial and operational outcomes for our clients. The Senior Manager will provide leadership to multidisciplinary audit teams, support complex audit responses, analyze trends, and partner with internal and external stakeholders to mitigate risk and improve documentation, coding, and reimbursement practices.
The ideal candidate is a strong people leader with deep expertise in clinical validation, coding compliance, and post‑pay audit methodologies, who thrives in a fast‑paced, remote environment and can manage multiple priorities while maintaining high quality standards.
Key ResponsibilitiesAudit Oversight & Strategy
- Lead and oversee clinical and coding audits, including government and commercial payer audits (e.g., RAC, MAC, CERT, PERM, TPE, and commercial payer reviews).
- Direct audit intake, medical record review, clinical validation, coding accuracy assessments, quality assurance, and final deliverables.
- Ensure audits are conducted in accordance with CMS regulations, official coding guidelines, payer policies, and internal compliance standards.
Clinical & Coding Expertise
- Provide subject‑matter expertise in ICD‑10‑CM/PCS, CPT, HCPCS, MS‑DRG/APR‑DRG validation, and clinical documentation integrity.
- Review complex, high‑risk audit findings and support defensible, well‑documented outcomes.
- Partner with clinical, coding, and appeals teams to support rebuttals, appeals, and education initiatives as needed.
Leadership & Team Management
- Manage, mentor, and develop a team of clinical auditors, coding auditors, and audit leads, including onshore and offshore resources where applicable.
- Assign workloads, monitor productivity and quality metrics, and ensure timely completion of audits.
- Foster a culture of collaboration, accountability, and continuous improvement.
Reporting, Analytics & Risk Mitigation
- Track audit outcomes, denial trends, and financial impact across clients and payers.
- Develop and present audit performance reports, dashboards, and executive‑level summaries.
- Identify systemic risks and recommend proactive strategies to reduce future audit exposure and improve compliance.
Client & Stakeholder Collaboration
- Serve as a senior point of contact for clients, providing guidance on audit strategy, findings, and risk mitigation.
- Collaborate with internal leadership, operations, and clinical teams to align audit activities with organizational goals.
- Support business development efforts by contributing audit expertise to proposals, client discussions, and service enhancements.
Lead complex DRG denial reviews and appeals, conducting comprehensive clinical and coding validation to identify inaccurate payer determinations, support overturn efforts, and maximize reimbursement recovery for inpatient claims.
- Establish and maintain standardized denial management workflows, audit programs, and escalation processes to improve appeal success rates and reduce future denials.
- Develop and monitor DRG denial metrics, recovery rates, and payer performance dashboards, presenting findings and strategic recommendations to executive leadership.
- Provide expert oversight of clinical documentation, coding practices, and regulatory requirements affecting DRG assignment and reimbursement.
Required
- Bachelor’s degree in Health Information Management, Nursing, Healthcare Administration, or a related field.
- 7+ years of progressive experience in healthcare auditing, with significant focus on clinical and coding post‑pay audits.
- 1+ years of experience in people leadership with responsibility for training, coaching, and providing performance feedback
- Demonstrated leadership experience managing audit teams and complex audit programs.
- Strong working knowledge of CMS regulations, official coding guidelines, and payer audit processes.
- Professional credentials such as RHIA, RHIT, CCS, CCS‑P, CPC, CPMA, RN, or equivalent.
Preferred
- Experience with audit tracking systems, EHRs, and performance dashboards.
- Prior experience supporting audit appeals and rebuttals.
Skills & Competencies
- Excellent analytical, communication, and presentation skills.
- Ability to manage multiple projects and deadlines in a remote environment.
- High attention to detail with strong problem‑solving and decision‑making capabilities.
- Collaborative leadership style with a client‑focused mindset.
About Health Business Solutions
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Cooper City, FL, US
Year founded
2002