ZipRecruiter

Log In

2

Remote Rn Coding Jobs in Los Angeles, CA (NOW HIRING)

Cedars Sinai

Coding Audit Supervisor

Los Angeles, CA · Remote

Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon ... Certified Coder Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information ...

Zócalo Health

RN Case Manager

Los Angeles, CA · Remote

$85K/yr

RN Case Manager Remote (Full Time) Compensation: $85,000 About Us Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved ...

next page

Showing results 1-20

All JobsRn Coding JobsRemote Rn Coding JobsRemote Rn Coding Jobs in Los Angeles, CA

Remote Rn Coding information

See Los Angeles, CA salary details

$14

$35

$58

How much do remote rn coding jobs pay per hour?

As of Jul 10, 2026, the average hourly pay for remote rn coding in Los Angeles, CA is $35.58, according to ZipRecruiter salary data. Most workers in this role earn between $26.92 and $42.98 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 popular job titles related to Remote Rn Coding jobs in Los Angeles, CA? For Remote Rn Coding jobs in Los Angeles, CA, the most frequently searched job titles are:
What job categories do people searching Remote Rn Coding jobs in Los Angeles, CA look for? The top searched job categories for Remote Rn Coding jobs in Los Angeles, CA are:
What cities near Los Angeles, CA are hiring for Remote Rn Coding jobs? Cities near Los Angeles, CA with the most Remote Rn Coding job openings:
Remote Rn Coding jobs near you
Infographic showing various Remote Rn Coding job openings in Los Angeles, CA as of July 2026, with employment types broken down into 1% Internship, 1% As Needed, 83% Full Time, 11% Part Time, 1% Temporary, and 3% Contract. Highlights an 83% Physical, 3% Hybrid, and 14% Remote job distribution, with an average salary of $74,007 per year, or $35.6 per hour.
Remote DRG Clinical Validation Reviewer (Coding RN)

Remote DRG Clinical Validation Reviewer (Coding RN)

Molina Healthcare

Long Beach, CA • On-site, Remote

$26.14 - $56.64/hr

Full-time

Posted 14 days ago

Molina Healthcare rating

8.1

Company rating: 8.1 out of 10

Based on 193 frontline employees who took The Breakroom Quiz

133rd of 278 rated insurance

Job description


Job Description
Job Summary
Performs focused clinical reviews of inpatient and outpatient claims to verify that coded diagnoses, procedures, revenue codes, and corresponding reimbursement methodologies accurately reflect the patient's documented clinical condition, services rendered, and billed charges. Assesses medical records for clinical accuracy, acuity alignment, and documentation integrity. Identifies inconsistencies that impact reimbursement such as unsupported diagnoses, incorrect procedure coding, or inaccurate revenue code assignment and determines whether billed services meet coding and billing guidelines, payer policy, and regulatory requirements.
Job Duties
  • Reviews inpatient and/or outpatient claims to ensure diagnoses, procedures, revenue codes, itemized charges, and Diagnostic Related Groups (DRG) assignments accurately reflect the documented clinical condition and services provided.
  • Integrates ICD-10 coding principles, DRG methodologies, revenue code logic, and evidence-based clinical guidelines when reviewing claims for accuracy, appropriateness, and alignment with documentation.
  • Performs DRG validation reviews by verifying principal and secondary diagnoses, complications/comorbidities, procedure coding, severity level, and correct grouping logic.
  • Conducts itemized bill reviews to confirm that charges are supported by clinical documentation, compliant with billing standards, and appropriate for the level of care delivered.
  • Identifies unsupported, inaccurate, or inappropriate coding or billing elements such as unsubstantiated diagnoses, incorrect procedures, or incorrect revenue code usage.
  • Develops clear, evidence-based written rationales supporting diagnosis, procedure, revenue code, or DRG recommendations and determinations.
  • Substantiates all review outcomes using clinical indicators, documentation, coding guidelines, payer policy, and regulatory requirements.
  • Performs review work independently, applying sound clinical judgment and specialized expertise to evaluate complex claim scenarios.
  • Applies applicable federal/state regulations, official coding guidelines, payer policies, and Molina Payment Integrity standards during all reviews.
  • Ensures compliance with DRG and itemized bill review criteria, clinical validation rules, and reimbursement methodologies.
  • Collaborates with coding, payment integrity analytics, SIU, and physician advisors to clarify complex clinical documentation, coding discrepancies, or reimbursement determinations.
  • Provides subject-matter expertise on DRG validation, revenue code accuracy, itemized bill review, and documentation integrity to internal partners as needed.
  • Meets or exceeds established productivity goals set by Payment Integrity leadership for clinical validation and claim review activities.
  • Achieves the required accuracy and quality standards for review, diagnosis/procedure validation, and/or itemized bill reviews.
  • Participates in quality checks, calibration sessions, and ongoing training to maintain consistency and strengthen review competency.
  • Completes special projects and additional review assignments as delegated by leadership.
  • Identifies patterns and trends in documentation, coding, or billing that may require internal escalation, provider education, or process improvement.
  • Supports continuous improvement efforts by contributing insights that enhance review processes, criteria application, and workflow efficiency.

Job Qualifications
REQUIRED QUALIFICATIONS:
  • Registered Nurse (RN). License must be active and unrestricted in state of practice.
  • Requires a minimum of 2 years of experience in inpatient payment integrity medical claim review including DRG Validation or Itemized Bill Review, including 2 years' experience working with ICD-10, MS-DRG, AP-DRG and APR-DRG, CPT, HCPCS; or any combination of education and experience, which would provide an equivalent background.
  • Expert in DRG methodologies (e.g., MS & APR)
  • Expertise in UHDDS definitions, Official Inpatient Coding Guidelines, CMS and Medicaid State Guidelines for billing and coding, and AHA's Coding Clinic Guidelines
  • Expertise in evidence-based clinical decision support tools and clinical reference resources such as UpToDate, Merck Manual or similar
  • In-depth knowledge of clinical criteria and documentation requirements to support code assignments.
  • Proven ability to apply critical judgment in clinical and coding determinations.
  • Experience working within applicable state, federal, and third-party regulations.
  • Analytic, problem-solving, and decision-making skills.
  • Organizational and time-management skills.
  • Attention to detail.
  • Critical-thinking and active listening skills.
  • Effective verbal and written communication skills.
  • Microsoft Office suite and applicable software program(s) proficiency.

PREFERRED QUALIFICATIONS:
  • Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Inpatient Coder (CIC), Clinical Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC), or other advanced HIM/coding certifications.
  • Nursing experience in critical care, emergency medicine, medical/surgical, or pediatrics (including high-acuity areas such as ICU, ED, PICU, or NICU).

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.

What Molina Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Molina Healthcare logo

About Molina Healthcare

Sourced by ZipRecruiter

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

Social media

FacebookTwitter

View All Molina Healthcare Jobs

Apply