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Rn Insurance Claims Remote Jobs in Rochester, NY

University of Rochester

Med Records Coder III

Rochester, NY · Remote

$21.78 - $30.53/hr

Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Worker Subtype ... Resolves problems with claims having errors related to improper coding and provides feedback for ...

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How much do rn insurance claims remote jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for rn insurance claims remote in Rochester, NY is $23.19, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $25.38 per hour, depending on experience, location, and employer.

What is an RN Insurance Claims Remote?

RN Insurance Claims Remote jobs are positions where registered nurses (RNs) work from home or another remote location to evaluate, process, and review insurance claims related to medical care. These nurses use their clinical expertise to assess the validity of claims, ensure proper documentation, and determine the necessity and appropriateness of medical treatments. They may also communicate with healthcare providers, patients, and insurance companies to gather information and clarify medical details. This role typically requires an active RN license, strong analytical skills, and experience in case management or utilization review.

What are the key skills and qualifications needed to thrive as an RN Insurance Claims Remote?

To thrive as an RN Insurance Claims Remote, you need a current RN license, strong clinical knowledge, and experience in medical case review or utilization management. Familiarity with claims management software, ICD-10/CPT coding, and electronic health records (EHRs) is typically required, along with certifications like CCM (Certified Case Manager) being a plus. Exceptional attention to detail, analytical thinking, and effective written communication skills help you excel in evaluating claims and collaborating with stakeholders. These skills ensure accurate claims assessment, regulatory compliance, and efficient processing in a remote insurance environment.

What are some common challenges RNs face when working remotely in insurance claims, and how can they be addressed?

RNs working remotely in insurance claims often encounter challenges such as navigating complex medical records without in-person context, managing high caseloads, and ensuring clear communication with both internal teams and external providers. Staying organized, utilizing standardized documentation practices, and leveraging secure digital communication tools can help address these difficulties. Regular virtual check-ins with colleagues and ongoing training also support effective collaboration and professional growth in a remote environment.

What is the difference between Rn Insurance Claims Remote vs Rn Insurance Adjuster?

AspectRn Insurance Claims RemoteRn Insurance Adjuster
CredentialsRN license, insurance knowledgeRN license, insurance certification (e.g., AIC, CPCU)
Work EnvironmentRemote, home-basedField or office-based, sometimes remote
Industry UsageInsurance claims processing, customer serviceClaims assessment, damage evaluation
Common Search IntentRemote claims jobs, insurance claims rolesInsurance adjusting, claims evaluation

While both roles involve insurance and require RN licensure, Rn Insurance Claims Remote focuses on processing claims remotely, often involving customer communication. Rn Insurance Adjuster typically involves evaluating damages in the field or office, with a stronger emphasis on damage assessment and adjusting claims.

What are popular job titles related to Rn Insurance Claims Remote jobs in Rochester, NY?

For Rn Insurance Claims Remote jobs in Rochester, NY, the most frequently searched job titles are:

What job categories do people searching Rn Insurance Claims Remote jobs in Rochester, NY look for?

The top searched job categories for Rn Insurance Claims Remote jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Rn Insurance Claims Remote jobs?

Cities near Rochester, NY with the most Rn Insurance Claims Remote job openings:

Rn Insurance Claims Remote jobs near you

Med Records Coder III, Complex

University of Rochester

Rochester, NY • Remote

$23.27 - $32.60/hr

Full-time

Re-posted 5 days ago

University Of Rochester rating

8.3

Company rating: 8.3 out of 10

Based on 186 frontline employees who took The Breakroom Quiz

126th of 620 rated colleges and universities

Job description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

Remote Work - New York, Albany, New York, United States of America, 12224

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

910503 United Business Office Coding

Work Shift:

UR - Day (United States of America)

Range:

UR URG 107 H

Compensation Range:

$23.27 - $32.60

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities:

The Medical Coder III functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies (e.g. ICD-10, CPT-4, HCPCS, DRG). Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information.

ESSENTIAL FUNCTIONS

  • Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record documentation in accordance with universally recognized coding guidelines.
  • Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up.
  • Abstracts data and reviews codes for accuracy. Performs system edit checks and corrects errors as needed.
  • Responds to coding information requests from various sources. Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution.
  • Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete.
  • Other duties as assigned


MINIMUM EDUCATION & EXPERIENCE

  • High School diploma or equivalent and 2 years of experience as a medical coder required
  • Associate's degree in Health Information Technology or health related field preferred
  • Additional coding experience in area of assignment preferred
  • Or equivalent combination of education and experience


KNOWLEDGE, SKILLS AND ABILITIES

  • Knowledge of ICD-10CM, CPT and HCPSC required
  • Working knowledge of medical terminology and anatomy required


LICENSES AND CERTIFICATIONS

  • American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred or
  • Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute preferred

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status,or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

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