This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between ...
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between ...
Remote Triage, RN - Per Diem
Los Angeles, CA · On-site +1
$47.74 - $63.02/hr
The Advocate Nurse, RN provides outstanding continuity of care when the PACE center is closed ... Work fully remote and are not on call * Build relationships with participants rather than providing ...
New
Remote Triage, RN - Per Diem
Los Angeles, CA · On-site +1
$47.74 - $63.02/hr
The Advocate Nurse, RN provides outstanding continuity of care when the PACE center is closed ... Work fully remote and are not on call * Build relationships with participants rather than providing ...
New
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been ... This is a telephonic remote position and productivity is important. Preferred candidates will have ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$26.41 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicaid members who have recently been ... This is a telephonic remote position and productivity is important. Preferred candidates will have ...
Care Transformation RN
Los Angeles, CA · Remote
$41.14 - $67.88/hr
Job Summary and Responsibilities Thiis is a remote position requring travel to support enterprise ... Serve as a Virtual RN (VIC RN) for 50% of the role, providing direct patient care during ...
New
Care Transformation RN
Los Angeles, CA · Remote
$41.14 - $67.88/hr
Job Summary and Responsibilities Thiis is a remote position requring travel to support enterprise ... Serve as a Virtual RN (VIC RN) for 50% of the role, providing direct patient care during ...
New
Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon ... Certified Coder Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information ...
Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon ... Certified Coder Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information ...
Verifies that coded diagnoses, procedures, revenue codes, and corresponding reimbursement ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Advanced in ...
Verifies that coded diagnoses, procedures, revenue codes, and corresponding reimbursement ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Advanced in ...
RN Case Manager
Los Angeles, CA · Remote
$85K/yr
RN Case Manager Remote (Full Time) *Must reside in California* Compensation: $85,000 About Us Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have ...
Quick apply
RN Case Manager
Los Angeles, CA · Remote
$85K/yr
RN Case Manager Remote (Full Time) *Must reside in California* Compensation: $85,000 About Us Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have ...
Remote Clinical Validation Reviewer (RN)
$26.14 - $56.64/hr
Verifies that coded diagnoses, procedures, revenue codes, and corresponding reimbursement ... (RN). License must be active and unrestricted in state of practice. • Advanced in DRG ...
Remote Clinical Validation Reviewer (RN)
$26.14 - $56.64/hr
Verifies that coded diagnoses, procedures, revenue codes, and corresponding reimbursement ... (RN). License must be active and unrestricted in state of practice. • Advanced in DRG ...
Validates member medical records and claims submitted/correct coding, to ensure appropriate ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Compact ...
Validates member medical records and claims submitted/correct coding, to ensure appropriate ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Compact ...
The position is fully remote. Excellent computer skills and attention to detail are very important ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
The position is fully remote. Excellent computer skills and attention to detail are very important ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...
Care Review Clinician (RN)
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members ... The position is fully remote. Excellent computer skills and attention to detail are very important ...
Care Review Clinician (RN)
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members ... The position is fully remote. Excellent computer skills and attention to detail are very important ...
(RN) Appeals Medical Review Nurse - REMOTE- PST Schedule
Long Beach, CA · On-site +1
$26.14 - $56.64/hr
... and coding regulations, and Molina policies; validates the medical record and claim submitted ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Compact ...
(RN) Appeals Medical Review Nurse - REMOTE- PST Schedule
Long Beach, CA · On-site +1
$26.14 - $56.64/hr
... and coding regulations, and Molina policies; validates the medical record and claim submitted ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Compact ...
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
We are seeking a candidate with an Arizona RN licensure. The ideal candidate will have experience ... Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members who have recently been ... This is a remote position and productivity is important. Preferred candidates will have previous ...
Care Review Clinician (RN) Remote
Long Beach, CA · On-site +1
$23.76 - $51.49/hr
This RN will act as a Care Review Clinician supporting our Medicare members who have recently been ... This is a remote position and productivity is important. Preferred candidates will have previous ...
Chronic Care Management LVN - REMOTE (California License Required)
Los Angeles, CA · On-site +1
$25/hr
*FULL TIME REMOTE POSITION* $25hr Who We Are: Orb Health's Enterprise Virtual Care™ enables the ... In this role the Care Management (LVN, LPN, or RN) will be responsible for providing telephonic ...
Chronic Care Management LVN - REMOTE (California License Required)
Los Angeles, CA · On-site +1
$25/hr
*FULL TIME REMOTE POSITION* $25hr Who We Are: Orb Health's Enterprise Virtual Care™ enables the ... In this role the Care Management (LVN, LPN, or RN) will be responsible for providing telephonic ...
California - Ability to work remote, but ideal candidate will reside in the state of California. This position requires California RN Licensure. Candidates must have significant IPA delegation ...
California - Ability to work remote, but ideal candidate will reside in the state of California. This position requires California RN Licensure. Candidates must have significant IPA delegation ...
RN Director, Healthcare Services (Remote in California)
Long Beach, CA · Remote
$101K - $198K/yr
California - Ability to work remote, but ideal candidate will reside in the state of California. This position requires California RN Licensure. Candidates must have significant IPA delegation ...
RN Director, Healthcare Services (Remote in California)
Long Beach, CA · Remote
$101K - $198K/yr
California - Ability to work remote, but ideal candidate will reside in the state of California. This position requires California RN Licensure. Candidates must have significant IPA delegation ...
RN Director, Healthcare Services (Remote in California)
Los Angeles, CA · Remote
$101K - $198K/yr
California - Ability to work remote, but ideal candidate will reside in the state of California. This position requires California RN Licensure. Candidates must have significant IPA delegation ...
RN Director, Healthcare Services (Remote in California)
Los Angeles, CA · Remote
$101K - $198K/yr
California - Ability to work remote, but ideal candidate will reside in the state of California. This position requires California RN Licensure. Candidates must have significant IPA delegation ...
Care Manager, LTSS (RN) Remote (Detroit MI)
Detroit, MI · On-site +1
$26.41 - $51.49/hr
This RN will act as a Care Coordinator (Long Term Care Services) supporting our Medicaid and ... This is a remote position with substantial field work and productivity is important. Preferred ...
Care Manager, LTSS (RN) Remote (Detroit MI)
Detroit, MI · On-site +1
$26.41 - $51.49/hr
This RN will act as a Care Coordinator (Long Term Care Services) supporting our Medicaid and ... This is a remote position with substantial field work and productivity is important. Preferred ...
Remote Rn Coding information
See Long Beach, CA salary details
$14.15 - $18.08
0% of jobs
$18.08 - $22.01
0% of jobs
$22.01 - $25.94
16% of jobs
$26.82 is the 25th percentile. Wages below this are outliers.
$25.94 - $29.87
40% of jobs
$29.87 - $33.80
5% of jobs
$33.80 - $37.73
9% of jobs
$39.94 is the 75th percentile. Wages above this are outliers.
$37.73 - $41.66
9% of jobs
$41.66 - $45.59
10% of jobs
$45.59 - $49.52
6% of jobs
$49.52 - $53.45
3% of jobs
$53.45 - $57.38
2% of jobs
$14
$34
$57
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?

Full-time
Posted 28 days ago
Molina Healthcare rating
8.0
Based on 197 frontline employees who took The Breakroom Quiz
160th of 299 rated insurance
Job description
This RN will act as a Care Review Clinician supporting our Medicare members. The position is fully remote. Excellent computer skills and attention to detail are very important to multitask between systems, talk with providers on the phone, and adhere to Medicare guidelines.
This is a remote position and productivity is important. Preferred candidates will have previous utilization management, managed care, or post-acute experience.
Schedule: Monday through Friday 8:30AM to 5:00PM EST (Occasional weekends, no nights, occasional holidays.)
Job Summary
Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.
Essential Job Duties
Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.
Analyzes clinical service requests from members or providers against evidence based clinical guidelines.
Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.
Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.
Processes requests within required timelines.
Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner.
Requests additional information from members or providers as needed.
Makes appropriate referrals to other clinical programs.
Collaborates with multidisciplinary teams to promote the Molina care model.
Adheres to utilization management (UM) policies and procedures.
Required Qualifications
At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
Registered Nurse (RN). License must be active and unrestricted in state of practice.
Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving and critical-thinking skills.
Strong written and verbal communication skills.
Microsoft Office suite/applicable software program(s) proficiency.
Preferred Qualifications
Certified Professional in Healthcare Management (CPHM).
Recent hospital experience in an intensive care unit (ICU) or emergency room.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
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About Molina Healthcare
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Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Long Beach, CA, US
Year founded
1980