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Remote Rn Coding Jobs in Pittsburgh, PA (NOW HIRING)

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 ...

RN - AI Trainer

Pittsburgh, PA · 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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Remote Rn Coding information

See Pittsburgh, PA salary details

$13

$32

$52

How much do remote rn coding jobs pay per hour?

As of Jun 18, 2026, the average hourly pay for remote rn coding in Pittsburgh, PA is $32.06, according to ZipRecruiter salary data. Most workers in this role earn between $24.28 and $38.75 per hour, depending on experience, location, and employer.

What can an RN do remotely?

A remote RN can perform tasks such as reviewing medical records, coding diagnoses and procedures, providing patient education, and supporting telehealth services. These roles often require strong clinical knowledge, certification in coding, and proficiency with electronic health record systems.

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.

Can you work remotely as a medical coder?

Remote Rn Coding is a common role in medical coding, allowing professionals to perform coding tasks from home using electronic health records and coding software. It typically requires certification, attention to detail, and knowledge of medical terminology and coding guidelines. Many healthcare organizations offer remote coding positions, making it a flexible career option.

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.

Can an RN work as a medical coder?

Yes, registered nurses (RNs) can work as medical coders, especially if they have knowledge of medical terminology, anatomy, and coding systems like ICD-10 and CPT. Many RNs transition into coding roles by obtaining certification such as the Certified Professional Coder (CPC) to enhance their qualifications and improve job prospects.

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.

Are RN coders in demand?

Registered Nurse (RN) coders are in high demand due to the increasing need for accurate medical coding for billing and documentation. Their skills in clinical knowledge and coding systems like ICD-10 and CPT are essential in healthcare settings, and remote coding positions are growing as healthcare organizations seek flexible staffing options.

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 Pittsburgh, PA? For Remote Rn Coding jobs in Pittsburgh, PA, the most frequently searched job titles are:
What job categories do people searching Remote Rn Coding jobs in Pittsburgh, PA look for? The top searched job categories for Remote Rn Coding jobs in Pittsburgh, PA are:
What cities near Pittsburgh, PA are hiring for Remote Rn Coding jobs? Cities near Pittsburgh, PA with the most Remote Rn Coding job openings:
Infographic showing various Remote Rn Coding job openings in Pittsburgh, PA as of June 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 8% Hybrid, and 92% Remote job distribution, with an average salary of $66,679 per year, or $32.1 per hour.

Remote/Hybrid Registered Nurse (RN) - Advocacy & Program Integrity (Medical Assistance Expert)

The CKHobbie Group

Pittsburgh, PA • On-site, Remote

$40 - $42/hr

Full-time

PTO

Posted 29 days ago


Job description

Job Description
Are you a registered nurse ready to take your career in an exciting newdirection-one where your expertise truly makes a difference? JoinPennsylvania's premier Quality Improvement Organization and step into adynamic role focused on advocacy and program integrity through compliance management. Here, you'll champion the needs of vulnerable populations,safeguard the quality of care, and influence healthcare outcomes on ameaningful scale. Enjoy the freedom of working from home, theflexibility and autonomy to manage your workday, and the opportunity forcontinuous professional growth-all while being part of a passionate,mission-driven team dedicated to improving healthcare across theCommonwealth.
In this rewarding role, you'll use your clinical knowledge outside ofthe traditional bedside setting to review and audit claims, supportprogram integrity initiatives, and advocate for beneficiaries across theCommonwealth. You'll enjoy the flexibility of working from home, theautonomy to manage your work, and meaningful opportunities forprofessional growth-all while contributing to a mission that trulymatters.
What You'll Do
  • Conduct clinical reviews and ensure quality, appropriateness, and compliance with healthcare standards
  • Support program integrity efforts by identifying trends, risks, and opportunities for improvement
  • Advocate for beneficiaries, with a strong focus on protecting and improving care for vulnerable populations
  • Apply nursing judgment to analyze medical records, documentation, and billing data
  • Collaborate with interdisciplinary teams, providers, and stakeholders to promote best practices
  • Contribute to quality improvement initiatives that strengthen healthcare delivery across Pennsylvania

What We're Looking For
  • Active, unrestricted Registered Nurse (RN) license
  • Strong clinical background with the ability to apply nursing judgment analytically
  • Interest in advocacy, quality improvement, and healthcare program integrity
  • Excellent written and verbal communication skills
  • Ability to work independently while managing multiple priorities
  • Comfort with technology and electronic medical records

Experience in utilization review, case management, quality improvement, compliance, or claims review is a plus-but not required.
Why Join Us
  • Mission-driven work with Pennsylvania's leading Quality Improvement Organization
  • Make a real impact on healthcare quality and outcomes for vulnerable populations
  • Remote work - enjoy the convenience and balance of working from home
  • Autonomy and flexibility in how you manage your workday
  • Advocacy-focused role that values your nursing voice and expertise
  • Career development opportunities to grow beyond traditional nursing roles
  • Supportive, collaborative team culture committed to excellence and integrity

If you're a registered nurse seeking purpose-driven work,professional growth, and the flexibility to balance your life andcareer-this is your opportunity. Apply today and help shape the future of healthcare quality in Pennsylvania.
Requirements
Be available as a full-time consultant, approximately 37.5 hours per week;
• Possess a current license to practice as a Registered Nurse issued by the Pennsylvania
State Board of Nursing; or possess a non-renewable temporary practice permit issued
by the Pennsylvania State Board of Nursing. Resources possessing non-renewable
temporary practice permits must obtain licensing as a Registered Nurse within the
one-year period as defined by the Pennsylvania State Board of Nursing;
• Possess a documented work history of three (3) or more years of professional
experience with medical assistance, health care services or human services or any
equivalent combination of experience and training;
• Possess basic computer skills, including familiarity with Microsoft Office programs.
Principal Duties and Responsibilities (RN - Utilization Review / Program Integrity)
  • Conduct clinical utilization reviews by evaluating medical records, treatment plans, and supporting documentation to determine medical necessity, appropriateness, quality, and level of care in accordance with Medical Assistance (MA) program requirements.
  • Apply nursing judgment and evidence-based clinical standards to ensure MA recipients receive safe, appropriate, and high-quality care while supporting program integrity and regulatory compliance.
  • Assess provider billing and documentation to verify compliance with MA policies and identify potential fraud, waste, or abuse.
  • Review clinical documentation submitted through electronic provider portals, telephone communications, fax, and U.S. mail, ensuring completeness and accuracy for utilization determinations.
  • Make authorization determinations by approving, modifying, or denying service requests within RN scope of practice, or refer cases to physician advisors for secondary medical review when medical necessity or level of care is unclear.
  • Collaborate with physician/medical consultants to support peer-to-peer reviews and facilitate discussions with ordering providers regarding clinical justification, appropriate care settings, and service coverage.
  • Accurately document utilization review decisions and clinical rationale in electronic systems, generating authorization notices, denial letters, reason codes, and appeal rights in compliance with regulatory standards.
  • Participate in retrospective, concurrent, and prospective utilization reviews, including re-evaluations of previously denied services upon request by providers or facilities.
  • Review and prepare appeal cases by analyzing medical records, developing exhibits and correspondence, and providing testimony at administrative hearings using knowledge of MA regulations, utilization management principles, and appeal processes.
  • Interpret MA policies, regulations, and utilization management guidelines for internal staff, providers, and stakeholders through consultation, meetings, and educational sessions.
  • Engage in interdisciplinary collaboration with internal departments, medical consultants, legal staff, and external stakeholders to support consistent and defensible utilization determinations.
  • Maintain ongoing professional development through continuing education, conferences, and review of current medical literature to remain current with standards of care, clinical guidelines, and utilization review best practices.
  • Provide cross-coverage in other program areas as needed, maintaining competency through training and updates to ensure continuity of program operations.
  • Respond to inquiries from recipients, providers, legislators, legal offices, and external agencies to explain utilization decisions, coverage policies, and administrative processes.
  • Maintain accurate case records and documentation in accordance with MA regulations, accreditation standards, and organizational policies.
  • Perform related duties and special projects as assigned, with expectations and performance standards communicated for each assignment.
  • When required, work at Department-designated locations. The primary duty location is Pittsburgh, PA, where appropriate workspace, technology, and resources will be provided to support assigned responsibilities.

Benefits
Attractive Compensation plan.Holiday and Vacation program.