Provides pricing of procedure codes which require individual consideration or are listed as "not ... Licenses/Certifications Upon Hire Required: * RN - Registered Nurse - State Licensure And/or ...
Provides pricing of procedure codes which require individual consideration or are listed as "not ... Licenses/Certifications Upon Hire Required: * RN - Registered Nurse - State Licensure And/or ...
Provides pricing of procedure codes which require individual consideration or are listed as not ... Licenses/Certifications Upon Hire Required: * RN - Registered Nurse - State Licensure And/or ...
Provides pricing of procedure codes which require individual consideration or are listed as not ... Licenses/Certifications Upon Hire Required: * RN - Registered Nurse - State Licensure And/or ...
Health Care | Life Sciences, Senior Associate - Registered Nurse / Certified Coder
Washington, DC · Remote
Demonstrates proficiency in medical coding, billing, clinical documentation, and regulatory ... EN1 #LI-Remote Ankura is an Affirmative Action and Equal Opportunity Employer. All qualified ...
Health Care | Life Sciences, Senior Associate - Registered Nurse / Certified Coder
Washington, DC · Remote
Demonstrates proficiency in medical coding, billing, clinical documentation, and regulatory ... EN1 #LI-Remote Ankura is an Affirmative Action and Equal Opportunity Employer. All qualified ...
Compact (NLC) license and/or California RN license required, depending on assignment Physical Demand & Work Environment * Fully remote/home-based role * Private, quiet, and secure home office free ...
Compact (NLC) license and/or California RN license required, depending on assignment Physical Demand & Work Environment * Fully remote/home-based role * Private, quiet, and secure home office free ...
At AMC Health, we are transforming healthcare through advanced remote patient monitoring and ... Collaborate with clinical management, RN Care Managers, providers, and interdisciplinary care teams ...
At AMC Health, we are transforming healthcare through advanced remote patient monitoring and ... Collaborate with clinical management, RN Care Managers, providers, and interdisciplinary care teams ...
RN Field Case Manager
Washington, DC · Remote
$88K - $112K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...
RN Field Case Manager
Washington, DC · Remote
$88K - $112K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...
RN Field Case Manager
Washington, DC · Remote
$88K - $112K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...
RN Field Case Manager
Washington, DC · Remote
$88K - $112K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...
100% Remote Must be able to adhere to a 9am to 5:30pm EST or CST schedule Optum Home & Community ... As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population ...
100% Remote Must be able to adhere to a 9am to 5:30pm EST or CST schedule Optum Home & Community ... As a Telephone Case Manager RN with UnitedHealth Group, you'll support a diverse member population ...
Psychiatric Nurse Practitioner (PMHNP) - Remote
Washington, DC · Remote
$73 - $160/hr
Compensation for CPT codes can vary based on clinician's license and state of licensure ... Remote *Estimated effective hourly earnings are for licensed Psychiatric Mental Health Nurse ...
Quick apply
Psychiatric Nurse Practitioner (PMHNP) - Remote
Washington, DC · Remote
$73 - $160/hr
Compensation for CPT codes can vary based on clinician's license and state of licensure ... Remote *Estimated effective hourly earnings are for licensed Psychiatric Mental Health Nurse ...
Urgent Care Nurse Practitioner
Washington, DC · Remote
$98K - $108K/yr
This role requires an active RN compact license and licensure in multiple states. Ideal candidates ... Remote-first culture 401(k) savings plan through Fidelity Comprehensive medical, vision, and dental ...
Urgent Care Nurse Practitioner
Washington, DC · Remote
$98K - $108K/yr
This role requires an active RN compact license and licensure in multiple states. Ideal candidates ... Remote-first culture 401(k) savings plan through Fidelity Comprehensive medical, vision, and dental ...
Urgent Care Nurse Practitioner
Washington, DC · Remote
$98K - $108K/yr
This role requires an active RN compact license and licensure in multiple states. Ideal candidates ... Remote-first culture 401(k) savings plan through Fidelity Comprehensive medical, vision, and dental ...
Quick apply
Urgent Care Nurse Practitioner
Washington, DC · Remote
$98K - $108K/yr
This role requires an active RN compact license and licensure in multiple states. Ideal candidates ... Remote-first culture 401(k) savings plan through Fidelity Comprehensive medical, vision, and dental ...
UM Specialist (RN) - Remote / Telecommute
Baltimore, MD · Remote
$46 - $51/hr
Qualification And Education: * RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire. * LPN - Licensed Practical Nurse - State Licensure. * CNS-Clinical Nurse Specialist ...
Quick apply
UM Specialist (RN) - Remote / Telecommute
Baltimore, MD · Remote
$46 - $51/hr
Qualification And Education: * RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire. * LPN - Licensed Practical Nurse - State Licensure. * CNS-Clinical Nurse Specialist ...
Chronic Care Manager (Remote - Compact States)
Washington, DC · Remote
$10/hr
Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...
Chronic Care Manager (Remote - Compact States)
Washington, DC · Remote
$10/hr
Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...
Licenses/Certifications Upon Hired Required: * RN - Registered Nurse - State Licensure And/or Compact State Licensure. Experience: Three (3) years of clinically related experience working in Medical ...
Licenses/Certifications Upon Hired Required: * RN - Registered Nurse - State Licensure And/or Compact State Licensure. Experience: Three (3) years of clinically related experience working in Medical ...
Licenses/Certifications: * RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire Required. * CCM - Certified Case Manager Upon Hire Preferred. * LNCC - Legal Nurse ...
Licenses/Certifications: * RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire Required. * CCM - Certified Case Manager Upon Hire Preferred. * LNCC - Legal Nurse ...
Inpatient Coder, Full Time
Baltimore, MD · Remote
$26.14 - $36.59/hr
... Remote Monday - Friday 6AM-6PM ET (40 hours/week) Must have basic knowledge of inpatient coding ... Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered ...
Inpatient Coder, Full Time
Baltimore, MD · Remote
$26.14 - $36.59/hr
... Remote Monday - Friday 6AM-6PM ET (40 hours/week) Must have basic knowledge of inpatient coding ... Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered ...
Nurse Practitioner - Dialysis job available in Columbia, Maryland
Columbia, MD · Remote
$125K - $145K/yr
Be available for remote clinical support and video consultations as needed Ideal Background * Nurse ... Previous infusion services experience required * 10+ years of RN and/or NP experience preferred ...
Nurse Practitioner - Dialysis job available in Columbia, Maryland
Columbia, MD · Remote
$125K - $145K/yr
Be available for remote clinical support and video consultations as needed Ideal Background * Nurse ... Previous infusion services experience required * 10+ years of RN and/or NP experience preferred ...
***REMOTE*** Sr Risk Management Consultant (RN/Registered Nurse) - Sinai Hospital
Baltimore, MD · On-site +1
$46.79 - $72.52/hr
THIS IS A PRIMARILY REMOTE POSITION THAT ONLY REQUIRES ONSITE WORK QUARTERLY JOB SUMMARY: The ... BSN or higher nursing degree required * Current RN license in Maryland (or compact state as ...
New
***REMOTE*** Sr Risk Management Consultant (RN/Registered Nurse) - Sinai Hospital
Baltimore, MD · On-site +1
$46.79 - $72.52/hr
THIS IS A PRIMARILY REMOTE POSITION THAT ONLY REQUIRES ONSITE WORK QUARTERLY JOB SUMMARY: The ... BSN or higher nursing degree required * Current RN license in Maryland (or compact state as ...
New
Senior Inpatient Coder, Full Time
Baltimore, MD · Remote
$30.26 - $42.37/hr
Job Requirements Senior Inpatient Coder - Remote Monday - Friday 6AM-6PM ET (40 hours/week) Under ... Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered ...
Senior Inpatient Coder, Full Time
Baltimore, MD · Remote
$30.26 - $42.37/hr
Job Requirements Senior Inpatient Coder - Remote Monday - Friday 6AM-6PM ET (40 hours/week) Under ... Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered ...
Senior Inpatient Coder, Full Time
Baltimore, MD · Remote
$30.26 - $42.37/hr
Job Requirements Senior Inpatient Coder - Remote Monday - Friday 6AM-6PM ET (40 hours/week) Under ... Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered ...
Senior Inpatient Coder, Full Time
Baltimore, MD · Remote
$30.26 - $42.37/hr
Job Requirements Senior Inpatient Coder - Remote Monday - Friday 6AM-6PM ET (40 hours/week) Under ... Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered ...
Remote Rn Coding information
See Annapolis, MD salary details
$13.33 - $17.03
0% of jobs
$17.03 - $20.72
0% of jobs
$20.72 - $24.42
16% of jobs
$25.25 is the 25th percentile. Wages below this are outliers.
$24.42 - $28.12
40% of jobs
$28.12 - $31.82
5% of jobs
$31.82 - $35.52
9% of jobs
$37.60 is the 75th percentile. Wages above this are outliers.
$35.52 - $39.22
9% of jobs
$39.22 - $42.92
10% of jobs
$42.92 - $46.62
6% of jobs
$46.62 - $50.32
3% of jobs
$50.32 - $54.02
2% of jobs
$13
$32
$54
How much do remote rn coding jobs pay per hour?
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.
What are some common challenges faced by Remote RN Coders and how can they be addressed?
What is a Remote RN Coder?
What are the key skills and qualifications needed to thrive as a Remote RN Coder, and why are they important?
Other
Retirement
Posted 12 days ago
CareFirst BlueCross BlueShield rating
7.3
Based on 31 frontline employees who took The Breakroom Quiz
219th of 281 rated insurance
Job description
Resp & Qualifications
PURPOSE:
The Clinical Medical Review Nurse handles day to day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims processing and/or adjudication. The incumbent will handle post claim medical review for Commercial lines of business. This position assists in determining acceptable medical risk to the organization by analyzing medical information of applicants for enrollment in specific policies. This role will also understand the merits of legal or accreditation actions. We are looking for an experienced professional to work remotely from within the greater Baltimore metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. The ideal candidate will have previous experience making clinical decisions related to post claim submission and/or appeals and grievances within a health payer organization.
ESSENTIAL FUNCTIONS:
- Receives, research, reviews and analyzes professional and institutional claims using critical thinking, nursing clinical judgment and corporate/medical policies for claims processing and/or adjudication. Performs high-level research on topics identified as actual or potential medical policies. Assesses and communicates impact of information on medical policy.
- Provides pricing of procedure codes which require individual consideration or are listed as "not otherwise classified" in CPT manual. Interprets the descriptive or medical information utilizing the CPT and HCPCS manuals.
- Participates in medical policy meetings, nurses' forums, and review sessions with Medical and Dental directors, special projects and task forces committees as assigned.
QUALIFICATIONS:
Education Level: Bachelor's Degree in Nursing OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Licenses/Certifications Upon Hire Required:
- RN - Registered Nurse - State Licensure And/or Compact State Licensure RN-VA, DC and or MD.
Experience: 3 years acute clinical experience, previous case management, discharge planning or utilization review experience.
Preferred Qualifications:
- Bachelor's degree in Nursing.
- Previous experience making clinical decisions related to post claim submission and/or appeals and grievances within a health payer organization.
Knowledge, Skills and Abilities (KSAs)
- Ability to effectively communicate and provide positive customer service to every internal and external customer.
- Strong interpersonal skills. Ability to work independently, as well as a member of a team.
- Current knowledge of clinical practices and related medical policies.
- Strong organizational skills, ability to prioritize responsibilities with attention to detail.
- Experience in using Microsoft Office (Excel, Word, Power Point, etc.) and web-based technology.
- Must possess excellent verbal and written communication skills.
- Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
Salary Range: 67,320 - 133,705
Salary Range Disclaimer
The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
Equal Employment Opportunity
CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Federal Disc/Physical Demand
Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
PHYSICAL DEMANDS:
The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
Sponsorship in US
Must be eligible to work in the U.S. without Sponsorship
#LI-SS1
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