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Remote Utilization Review information

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$41

$67

How much do remote utilization review jobs pay per hour?

As of Jul 11, 2026, the average hourly pay for remote utilization review in Decatur, GA is $41.28, according to ZipRecruiter salary data. Most workers in this role earn between $32.64 and $47.40 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Remote Utilization Review position, and why are they important?

To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.

What does a typical day look like for someone in a Remote Utilization Review role?

A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.

What is a Remote Utilization Review job?

A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.

What are the most commonly searched types of Utilization Review jobs in Decatur, GA? The most popular types of Utilization Review jobs in Decatur, GA are:
What are popular job titles related to Remote Utilization Review jobs in Decatur, GA? For Remote Utilization Review jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Decatur, GA look for? The top searched job categories for Remote Utilization Review jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Remote Utilization Review jobs? Cities near Decatur, GA with the most Remote Utilization Review job openings:
Remote Utilization Review jobs near you
Medical Records Coder III Outpatient (PRN/ REMOTE)

Medical Records Coder III Outpatient (PRN/ REMOTE)

BayCare Health System

Atlanta, GA • On-site, Remote

$18 - $24/hr

Full-time

Posted 23 days ago

BayCare Health System rating

7.5

Company rating: 7.5 out of 10

Based on 395 frontline employees who took The Breakroom Quiz

231st of 881 rated healthcare providers

Job description

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area.
Position Details:
  • Location: Remote (must reside in the state of Florida, Georgia, North Carolina, or South Carolina)
  • Status: PRN (as needed, non-benefit eligible)
  • Shift: Flexible
  • Days: Tuesday - Saturday OR Sunday - Thursday

The Medical Records Outpatient Coder III will work remotely on a PRN (non-benefit eligible) basis.
Responsibilities:
  • The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems.
  • Works in conjunction with various departments for missing documentation and monitors bill hold reports.
  • Strong utilization of medical terminology and anatomy.
  • Assists Manager/Director with mentoring/training of Coder I and Coder II team members and clinical practice students from various colleges.
  • Performs other duties as assigned.

Required Coding Experience:
  • Emergency room (ED)
  • Same day surgery (ambulatory)
  • Observation cases

Why BayCare?
Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that is built on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by achieving personal and professional success today. That is why you will thrive in our forward-thinking culture, where we combine the best technology with compassionate service. We blend high-tech with high touch in ways that are advancing superior health care throughout the communities we serve.
Certifications and Licensures:
  • Required: Certified Coding Specialist (CCS)
  • Preferred: RHIT (Health Information)

Education:
  • Required: high school or equivalent
  • Preferred: associate degree in Health Information Management

Experience:
  • Required 5 years of Outpatient Facility Coding
  • Strong CPT coding

Equal Opportunity Employer Veterans/Disabled

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