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Remote Rn Coding Jobs in Irvine, CA (NOW HIRING)

COMPASSUS

Clinical Documentation Specialist RN

Irvine, CA · Remote

$80K - $90K/yr

This is a remote position. Work schedule M- F 8am to 5pm PST. With a rotating schedule weekend and ... Required - 2 years Clinical Experience as a Registered Nurse * Required - 1 year Home Health ...

DataAnnotation

Registered Nurse - AI Trainer

Riverside, CA · 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

Registered Nurse - AI Trainer

Downey, CA · 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

Registered Nurse - AI Trainer

Irvine, CA · 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

Registered Nurse - AI Trainer

Corona, CA · 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

Registered Nurse - AI Trainer

Orange, CA · 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

Registered Nurse - AI Trainer

Costa Mesa, CA · 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

Registered Nurse - AI Trainer

Pomona, CA · 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 Coding JobsRemote Rn Coding Jobs in Irvine, CA

Remote Rn Coding information

See Irvine, CA salary details

$14

$35

$58

How much do remote rn coding jobs pay per hour?

As of Jul 3, 2026, the average hourly pay for remote rn coding in Irvine, CA is $35.44, according to ZipRecruiter salary data. Most workers in this role earn between $26.83 and $42.84 per hour, depending on experience, location, and employer.

What is the difference between Remote Rn Coding vs Remote Medical Coder?

AspectRemote Rn CodingRemote Medical Coder
CredentialsRN license, coding certifications (e.g., CPC, CCS)Certification (CPC, CCS), no RN license needed
Work EnvironmentHealthcare facilities, insurance companies, remote clinicsInsurance companies, billing companies, healthcare organizations
Industry UsageHospitals, clinics, outpatient facilitiesInsurance, billing, coding services
Job FocusClinical documentation, patient records, coding from RN perspectiveMedical 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?

Remote RN Coders often encounter challenges such as staying updated with frequent coding guideline changes, ensuring accurate documentation, and maintaining productivity without direct on-site supervision. To address these, it's important to actively participate in ongoing training, utilize reliable coding resources, and establish a dedicated, distraction-free workspace. Regular communication with team members and supervisors also helps clarify uncertainties and promote a collaborative environment, even while working remotely.

What is a Remote RN Coder?

A Remote RN Coder is a registered nurse who specializes in medical coding and works from a remote location, often from home. Their primary responsibility is to review patient medical records and assign appropriate diagnosis and procedure codes for billing, insurance, and data collection purposes. They use their clinical expertise to ensure coding accuracy and compliance with healthcare regulations. This role requires both nursing credentials and specialized training or certification in medical coding. Remote RN Coders play a critical role in supporting healthcare revenue cycles and maintaining accurate patient records.

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, often supported by certifications such as CCS or CPC. Familiarity with coding software, electronic medical records (EMRs), and healthcare compliance systems is essential. Strong attention to detail, self-motivation, and effective communication skills help ensure coding accuracy and collaboration with healthcare teams. These competencies are crucial for maintaining accurate medical records, optimizing reimbursement, and ensuring regulatory compliance in a remote work environment.
What are the most commonly searched types of Rn Coding jobs in Irvine, CA? The most popular types of Rn Coding jobs in Irvine, CA are:
What are popular job titles related to Remote Rn Coding jobs in Irvine, CA? For Remote Rn Coding jobs in Irvine, CA, the most frequently searched job titles are:
What job categories do people searching Remote Rn Coding jobs in Irvine, CA look for? The top searched job categories for Remote Rn Coding jobs in Irvine, CA are:
What cities near Irvine, CA are hiring for Remote Rn Coding jobs? Cities near Irvine, CA with the most Remote Rn Coding job openings:
Remote Rn Coding jobs near you
Utilization Management Nurse I, RN

Utilization Management Nurse I, RN

Clever Care Health Plan

Huntington Beach, CA • Remote

$34.98 - $42.85/hr

Full-time

Posted 25 days ago

Job description

Remote in California only

Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.   

Who Are We?  

Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members’ culture and values. 

Why Join Us?  

We’re on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you’ll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation. 

Job Summary

The UM Nurse I - RN performs clinical review of authorization requests to determine medical necessity based on established criteria, regulatory requirements, and organizational policies. This role conducts utilization review activities under established guidelines and escalates complex or non-standard determinations to senior staff or the Medical Director.

Functions & Job Responsibilities

· Conduct clinical review of prior authorization requests using approved criteria (e.g., MCG, InterQual).

· Review outpatient and routine inpatient requests.

· Ensure compliance with CMS, state, and contractual turnaround time requirements.

· Document medical necessity determinations clearly and accurately.

· Communicate authorization decisions to providers, members and internal teams.

· Identify cases requiring physician or Medical Director review.

· Participate in concurrent review and discharge planning coordination as assigned.

· Ensure compliance with regulatory timelines.

· Support audit readiness and documentation integrity.

· Additional duties as assigned.

Qualifications

Education and Experience

· Active, unrestricted RN license.

· Minimum of three (3) years of clinical experience.

· At least one (1) year in utilization management or case management preferred.

Skills

· Knowledge of medical necessity criteria (MCG/InterQual).

· Understanding of CMS/state UM regulations.

· Strong clinical assessment and documentation skills

· Ability to manage caseload efficiently.

· Effective provider communication.

· Bilingual proficiency in Cantonese, Mandarin, Spanish, Vietnamese, or Korean preferred.

Wage Range: $34.98 to $42.85 per hour

Physical & Working Environment.

Physical requirements needed to perform the essential functions of the job, with or without reasonable accommodation:

• Must be able to travel when needed or required

• Ability to operate a keyboard, mouse, phone and perform repetitive motion (keyboard); writing (note-taking)

• Ability to sit for long periods; stand, sit, reach, bend, lift up to fifteen (15) lbs. Ability to express or exchange ideas to impart information to the public and to convey detailed instructions to staff accurately and quickly. Work is performed in an office environment and/or remotely. The job involves frequent contact with staff and public. May occasionally be required to work irregular hours based on the needs of the business.

Clever Care Health Plan is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required. 

  

Salary ranges posted on the job posting are based on California wages. Salary may be higher or lower depending on the candidate’s state residency. 

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