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Remote Rn Coding Jobs in Towson, MD (NOW HIRING)

CareFirst

Care Manager (Remote)

Baltimore, MD · Remote

CCM/ACM or other RN Board Certified certification in case management. * Previous experience with Medicare and/or Medicare Advantage patient populations with multiple co-morbidities, complex needs ...

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Post- Acute Care Clinical Navigator (RN) manages the timely and smooth transition from inpatient care to home or other levels of care utilizing experience and skills in both care management and ...

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the timely and smooth transition from inpatient care to home or other levels of care. Utilizing experience ...

CareFirst

Care Manager (Remote)

Baltimore, MD · Remote

Licenses/Certifications : * RN - Registered Nurse - State Licensure And/or Compact State Licensure RN- Registered Nurse in MD, VA or Washington, DC Upon Hire Required * Must have CCM or other RN ...

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the timely and smooth transition from inpatient care to home or other levels of care. Utilizing experience ...

CareFirst

Clinical Navigator (Remote)

Baltimore, MD · Remote

The Clinical Navigator (RN) conducts concurrent review of inpatient level of care, managing the timely and smooth transition from inpatient care to home or other levels of care. Utilizing experience ...

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Remote Rn Coding information

See Towson, MD salary details

$12

$31

$52

How much do remote rn coding jobs pay per hour?

As of May 30, 2026, the average hourly pay for remote rn coding in Towson, MD is $31.63, according to ZipRecruiter salary data. Most workers in this role earn between $23.94 and $38.22 per hour, depending on experience, location, and employer.

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 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 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 popular job titles related to Remote Rn Coding jobs in Towson, MD? For Remote Rn Coding jobs in Towson, MD, the most frequently searched job titles are:
What job categories do people searching Remote Rn Coding jobs in Towson, MD look for? The top searched job categories for Remote Rn Coding jobs in Towson, MD are:
What cities near Towson, MD are hiring for Remote Rn Coding jobs? Cities near Towson, MD with the most Remote Rn Coding job openings:
Remote Rn Coding jobs near you
Care Manager (Remote)

Care Manager (Remote)

CareFirst

Baltimore, MD • Remote

Other

Medical, Retirement

Posted 21 days ago

CareFirst BlueCross BlueShield rating

7.4

Company rating: 7.4 out of 10

Based on 30 frontline employees who took The Breakroom Quiz

204th of 259 rated insurance

Job description

Resp & Qualifications

PURPOSE: 

This role supports the Dual Special Needs Population (DSNP) in Maryland. Under minimal supervision, the Care Manager conducts thorough research and analysis of members medical and behavioral health needs, along with the key drivers influencing healthcare utilization and costs. The Care Manager partners closely with members and the interdisciplinary care team to develop and implement person-centered plans of care that promote a positive member experience, improved health outcomes, and costeffective service delivery. We are seeking a bilingual Care Manager to enhance communication, cultural responsiveness, and engagement with our diverse DSNP member population. This position is remote, with the expectation that the selected candidate resides within the greater Baltimore metropolitan area. The incumbent will be required to attend periodic inperson meetings, training sessions, or other business-related activities at a CareFirst location.
ESSENTIAL FUNCTIONS:

  • Identifies members with acute/complex medical and/or behavioral health conditions. Engages onsite and/or telephonically with member, family and providers to develop a comprehensive plan of care to address the member's needs at various stages along the care continuum. Identifies relevant CareFirst and community resources and facilitates program, network, and community referrals.
  • Collaborates with member and the interdisciplinary care team to develop a comprehensive plan of care to identify key strategic interventions to address member's medical, behavioral and/or social determinant of health needs. Engage members and providers to review and clarify treatment plans ensuring alignment with medical benefits and policies to facilitate care between settings. Monitors, evaluates, and updates plan of care over time focused on member's stabilization and ability to self-manage. Ensures member data is documented according to CareFirst application protocol and regulatory standards.

QUALIFICATIONS:
Education Level: High School Diploma or GED.

Licenses/Certifications Upon Hire Required:

  • RN  - Registered Nurse - State Licensure And/or Compact State Licensure RN- Registered Nurse in MD, VA or Washington, DC 

Experience: 5 years clinically related experience working in Care Management, Discharge Coordination, Home Health, Utilization Review, Disease Management or other direct patient care experience. Bilingual - fluent in Spanish
Preferred Qualifications:

  • Bachelors degree in nursing
  • CCM/ACM or other RN Board Certified certification in case management.
  • Previous experience with Medicare and/or Medicare Advantage patient populations with multiple co-morbidities, complex needs, social determinants of health and/or barriers to care.
  • Bilingual - fluent in Spanish
  • Skilled in typing and working within various web-based platforms

Knowledge, Skills and Abilities (KSAs)

  • Knowledge of clinical standards of care and disease processes.
  • Ability to produce accurate and comprehensive work products with minimal direction.
  • Ability to triage immediate member health and safety risks.
  • Basic understanding of the strategic and financial goals of a health care system or payor organization, as well as health plan or health insurance operations (e.g. networks, eligibility, benefits).
  • Excellent verbal and written communication skills, along with the telephonic and keyboarding skills necessary to assess, coordinate and document services for members.
  • Knowledgeable of available community resources and programs.
  • Proficient in the use of web-based technology and Microsoft Office applications such as Word, Excel and PowerPoint.
  • Ability to provide excellent internal and external customer service.
  • 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: 72,216 - 143,429

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).

Department

DSNP Care Management

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.

Where To Apply

Please visit our website to apply: www.carefirst.com/careers

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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