ZipRecruiter

Log In

2

Remote Rn Insurance Jobs in Edwardsville, IL (NOW HIRING)

Lantern

Strategy Analyst

Edwardsville, IL · Remote

Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the ... This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties:

Lantern

Strategy Analyst

Saint Louis, MO · Remote

Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the ... This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties:

next page

Showing results 1-20

All JobsRn Insurance JobsRemote Rn Insurance JobsRemote Rn Insurance Jobs in Edwardsville, IL

Remote Rn Insurance information

See Edwardsville, IL salary details

$6

$39

$67

How much do remote rn insurance jobs pay per hour?

As of Jun 18, 2026, the average hourly pay for remote rn insurance in Edwardsville, IL is $39.64, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $46.92 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote RN Insurance Nurse, and why are they important?

To thrive as a Remote RN Insurance Nurse, you need an active RN license, a strong grasp of clinical practice, and experience in case management or utilization review. Familiarity with claims processing systems, telehealth platforms, and knowledge of medical coding (ICD-10, CPT) are typically required, along with certifications like CCM or URAC being advantageous. Exceptional communication, critical thinking, and time management skills help you collaborate with patients, providers, and insurance teams effectively. These competencies ensure accurate assessments, efficient case handling, and high-quality service in a remote, compliance-driven environment.

What is the difference between Remote Rn Insurance vs Remote Rn Case Manager?

AspectRemote Rn InsuranceRemote Rn Case Manager
CertificationsRN license, insurance knowledgeRN license, case management certification
Work EnvironmentInsurance companies, telehealthHealthcare facilities, telehealth
Employer & IndustryInsurance providers, telehealth companiesHospitals, insurance companies, healthcare agencies

Remote Rn Insurance focuses on assessing insurance claims and policy coverage, while Remote Rn Case Managers coordinate patient care plans. Both roles require RN licensure and involve telehealth work, but their primary responsibilities and employer settings differ.

What is a Remote RN Insurance nurse?

A Remote RN Insurance nurse is a registered nurse who works with insurance companies to review medical claims, assess patient care needs, and help determine the medical necessity of treatments—often from a home office. Their responsibilities may include case management, utilization review, and providing telephonic support to patients or healthcare providers. This role requires strong clinical experience, excellent communication skills, and the ability to analyze medical records and insurance policies. Working remotely, these nurses help ensure patients receive appropriate care while also managing healthcare costs for insurance providers.

What are some common challenges faced by Remote RN Insurance professionals, and how can they be managed effectively?

Remote RN Insurance professionals often encounter challenges such as managing a high volume of case reviews, maintaining clear communication with both patients and insurance teams, and staying updated with changing insurance policies and regulations. To manage these challenges, it’s important to develop strong organizational skills, utilize effective digital communication tools, and participate in ongoing training. Engaging with a supportive team and seeking mentorship within the organization can also help in adapting to the remote environment and ensuring quality outcomes.
What are popular job titles related to Remote Rn Insurance jobs in Edwardsville, IL? For Remote Rn Insurance jobs in Edwardsville, IL, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Edwardsville, IL look for? The top searched job categories for Remote Rn Insurance jobs in Edwardsville, IL are:
What cities near Edwardsville, IL are hiring for Remote Rn Insurance jobs? Cities near Edwardsville, IL with the most Remote Rn Insurance job openings:
Remote Rn Insurance jobs near you
Coding Quality Audit Inpatient Coordinator

Coding Quality Audit Inpatient Coordinator

BJC HealthCare

Saint Louis, MO • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

BJC Healthcare rating

7.6

Company rating: 7.6 out of 10

Based on 219 frontline employees who took The Breakroom Quiz

187th of 873 rated healthcare providers

Job description

Additional Information About the Role

BJC is hiring for a Coding Quality Audit Inpatient Coordinator.  We are looking for 2-5 years of Inpatient Coding in a hospital environment.   Must have one of the following certifications: RHIT, RHIA, or CCS.  Remote position. 

Remote eligible states: 

  • Alabama            Kentucky            Oklahoma          
  • Arkansas           Louisiana            South Carolina
  • Florida               Mississippi          Tennessee
  • Georgia             Louisiana            Texas
  • Indiana              North Carolina     Wisconsin
  • Iowa                  Ohio            

Overview

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.

BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.

BJC’s patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children’s Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.


Preferred Qualifications

Role Purpose

The Inpatient Coding Quality Auditor is responsible for second level coding audits and real time education supporting on-going quality assurance activities for the Coding Department. Quality audits are inclusive of assessing compliance with federal and state regulatory coding guidelines, focusing on appropriate assignment of all diagnoses, procedures and DRG's to ensure accurate coding for reimbursement and clinical services (Quality Measures, Severity of Illness, Risk of Mortality). Coding auditing and education encompasses all the Inpatient services of our large health system including critical access, community and Academic hospitals (pediatric and adult). Audit findings are analyzed to identify risk areas and develop educational materials. Educational materials may include individualized coder development plans, regulatory updates, or for cause education to support BJC as a best-in-class organization.

Responsibilities

  • Serves as subject matter and decision support experts for Enterprise Coding. Actively participates in committees, project teams and other meetings to support issue resolution, process improvement and process development. Proactively identifies issues or trends and reports to Coding Leadership as appropriate.
  • Completes timely and accurate quality assurance coding audits in accordance with IPPS using ICD-10-CM and ICD-10 PCS Coding Classification Systems. Adheres to federal and state regulatory and payer guidelines. Translates quality auditing results into practical and actionable recommendations for improvements in further standardizing audit policies and procedures.
  • Develops and delivers focused coding education, training plans and tools to address areas at risk, regulatory updates, and continuous opportunities for improving coding and compliance outcomes.
  • Builds and maintainscollaborative relationships intradepartmentally as well as with CDI, Quality, Compliance, Revenue Management, providers and other departments as appropriate.

    • Minimum Requirements

    Education

  • High School Diploma or GED

    • Experience

  • 2-5 years

    • Licenses & Certifications

  • Registered Health Info Admin
  • RHIT, CCS

    • Preferred Requirements

    Education

  • Associate's Degree
  • Bachelor's Degree

    • Experience

  • 5-10 years

    • Supervisor Experience

  • No Experience

    • Benefits and Legal Statement

    BJC Total Rewards

    At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

    • Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
    • Disability insurance* paid for by BJC
    • Annual 4% BJC Automatic Retirement Contribution
    • 401(k) plan with BJC match
    • Tuition Assistance available on first day
    • BJC Institute for Learning and Development
    • Health Care and Dependent Care Flexible Spending Accounts
    • Paid Time Off benefit combines vacation, sick days, holidays and personal time
    • Adoption assistance

    To learn more, go to our Benefits Summary.

    *Not all benefits apply to all jobs

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

    Qualifications:

    Role Purpose

    The Inpatient Coding Quality Auditor is responsible for second level coding audits and real time education supporting on-going quality assurance activities for the Coding Department. Quality audits are inclusive of assessing compliance with federal and state regulatory coding guidelines, focusing on appropriate assignment of all diagnoses, procedures and DRG's to ensure accurate coding for reimbursement and clinical services (Quality Measures, Severity of Illness, Risk of Mortality). Coding auditing and education encompasses all the Inpatient services of our large health system including critical access, community and Academic hospitals (pediatric and adult). Audit findings are analyzed to identify risk areas and develop educational materials. Educational materials may include individualized coder development plans, regulatory updates, or for cause education to support BJC as a best-in-class organization.

    Responsibilities

  • Serves as subject matter and decision support experts for Enterprise Coding. Actively participates in committees, project teams and other meetings to support issue resolution, process improvement and process development. Proactively identifies issues or trends and reports to Coding Leadership as appropriate.
  • Completes timely and accurate quality assurance coding audits in accordance with IPPS using ICD-10-CM and ICD-10 PCS Coding Classification Systems. Adheres to federal and state regulatory and payer guidelines. Translates quality auditing results into practical and actionable recommendations for improvements in further standardizing audit policies and procedures.
  • Develops and delivers focused coding education, training plans and tools to address areas at risk, regulatory updates, and continuous opportunities for improving coding and compliance outcomes.
  • Builds and maintainscollaborative relationships intradepartmentally as well as with CDI, Quality, Compliance, Revenue Management, providers and other departments as appropriate.

    • Minimum Requirements

    Education

  • High School Diploma or GED

    • Experience

  • 2-5 years

    • Licenses & Certifications

  • Registered Health Info Admin
  • RHIT, CCS

    • Preferred Requirements

    Education

  • Associate's Degree
  • Bachelor's Degree

    • Experience

  • 5-10 years

    • Supervisor Experience

  • No Experience
    • Education:UNAVAILABLEEmployment Type: FULL_TIME

    What BJC Healthcare employees say

    Pay

    Benefits

    Hours and flexibility

    Workplace

    Get the full story on Breakroom

    BJC Healthcare logo

    About BJC Healthcare

    Sourced by ZipRecruiter

    BJC Healthcare, situated in Saint Louis, MO, US, is one of the largest healthcare organizations in the United States. Launched in 1993, BJC encompasses 15 hospitals and multiple health service organizations covering the metropolitan St. Louis area, mid-Missouri and Southern Illinois. This healthcare titan's services cover a vast field, from community health and wellness, to pediatric care, to advanced specialty care. BJC is well-known for its two nationally recognized hospitals, Barnes-Jewish Hospital and St. Louis Children's Hospital, both affiliated with Washington University School of Medicine. Its mission revolves around improving the health and well-being of the communities it serves through leadership, education, innovation, and excellence in medicine.

    Industry

    Health care and social assistance

    Company size

    10,000+ Employees

    Headquarters location

    Saint Louis, MO, US

    View All BJC Healthcare Jobs

    Apply