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Virtual Remote Medical Billing & Coding Jobs in California

Our company is fully remote and offers a flexible work environment as well as schedules. ACTY ... Research health plan reimbursement policies and procedures, clinical guidelines, coding, and CCI ...

E-Billing Coordinator

Los Angeles, CA · On-site +1

$70K - $80K/yr

Manage e-billing platform maintenance, including client-specific codes, rate structures, and data ... Hybrid Work Schedule: Up to four remote workdays per month. * Comprehensive Benefits: 401(k) ...

Hospital Billing Operator

San Diego, CA · Remote

$19.50 - $25/hr

This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...

Hospital Billing Operator

Sacramento, CA · Remote

$19.50 - $25/hr

This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...

Hospital Billing Operator

Inglewood, CA · Remote

$19 - $24.50/hr

This is a primarily remote role supporting an enterprise Epic implementation, with minimal travel ... Work with coding, registration, authorization, clinical, and accounts receivable teams to resolve ...

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Virtual Remote Medical Billing Coding information

What is the difference between Virtual Remote Medical Billing & Coding vs Virtual Remote Medical Coding?

AspectVirtual Remote Medical Billing & CodingVirtual Remote Medical Coding
CertificationsCPB, CPC, or similarCPC, CCS, or similar
Work EnvironmentHome-based, healthcare offices, billing companiesHome-based, healthcare facilities, coding services
Employer UsageHospitals, clinics, billing companiesHospitals, clinics, insurance companies
Primary FocusProcessing insurance claims, billing patientsReviewing medical records, assigning codes

While both roles involve working remotely in the healthcare industry, Virtual Remote Medical Billing & Coding combines billing and coding tasks, focusing on insurance claims and patient billing. Virtual Remote Medical Coding specializes solely in reviewing medical records and assigning appropriate codes. Understanding these differences helps professionals choose the right career path based on their skills and interests.

What are the key skills and qualifications needed to thrive as a Virtual Remote Medical Billing & Coding Specialist, and why are they important?

To thrive as a Virtual Remote Medical Billing & Coding Specialist, you need a thorough understanding of medical terminology, coding systems (such as ICD-10, CPT, and HCPCS), and healthcare reimbursement processes, often supported by a certification like CPC or CCS. Familiarity with electronic health records (EHR) software, coding platforms, and billing management systems is essential. Attention to detail, strong organizational skills, and effective written communication help you accurately process claims and resolve discrepancies. These competencies ensure timely reimbursements, compliance with regulations, and reduced claim denials, all of which are critical to healthcare revenue cycles.

What are some common challenges faced by Virtual Remote Medical Billing & Coding professionals, and how can they be managed?

Virtual Remote Medical Billing & Coding professionals often encounter challenges such as staying updated with frequently changing healthcare regulations, ensuring data security while working remotely, and maintaining effective communication with healthcare providers and insurance companies. Managing these challenges involves participating in ongoing training, using secure and compliant software, and establishing regular check-ins with team members. Proactive communication and strong organizational skills are essential for successfully navigating the complexities of remote medical billing and coding.

What is a Virtual Remote Medical Billing & Coding professional?

A Virtual Remote Medical Billing & Coding professional is someone who manages and processes healthcare claims from a remote location, often from home. They review patient records, assign appropriate medical codes, and submit insurance claims to ensure healthcare providers are reimbursed accurately and efficiently. This role requires knowledge of medical terminology, coding systems like ICD-10 and CPT, and compliance with healthcare regulations. Working remotely allows these professionals to perform their duties without being physically present at a healthcare facility.
What are popular job titles related to Virtual Remote Medical Billing & Coding jobs in California? For Virtual Remote Medical Billing & Coding jobs in California, the most frequently searched job titles are:
What cities in California are hiring for Virtual Remote Medical Billing & Coding jobs? Cities in California with the most Virtual Remote Medical Billing & Coding job openings:
Infographic showing various Virtual Remote Medical Billing & Coding job openings in California as of July 2026, with employment types broken down into 76% Full Time, 18% Part Time, and 6% Contract. Highlights an 100% Remote job distribution.

Business Analyst (Medical Billing/Coding)

Molina Healthcare

Long Beach, CA • Remote

$52K - $69K/yr

Full-time

Re-posted 3 days ago


Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 197 frontline employees who took The Breakroom Quiz

162nd of 301 rated insurance


Job description

JOB DESCRIPTION

Job Summary

Responsible for accurate and timely intake and interpretation of regulatory and/or functional requirements related to but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable. 

JOB DUTIES

  • Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan developed requirements.
  • Monitors sources to ensure all updates are aligned. 
  • Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key partner organizations.
  • Conducts analysis to identify root cause and assist with problem management as it relates to state requirements.
  • Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices.
  • Provides support for requirement interpretation inconsistencies and complaints.
  • Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials.
  • Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes.

KNOWLEDGE/SKILLS/ABILITIES

  • Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation is agreed on and clear for solutioning.
  • Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas.
  • Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company.
  • Ability to concisely synthesize large and complex requirements.
  • Ability to organize and maintain regulatory data including real-time policy changes.
  • Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems.
  • Ability to work independently in a remote environment.
  • Ability to work with those in other time zones than your own.

JOB QUALIFICATIONS

Required Qualifications

  • At least 2 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience.  
  • Policy/government legislative review knowledge.
  • Strong analytical and problem-solving skills.
  • Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams.
  • Previous success in a dynamic and autonomous work environment.

Preferred Qualifications

  • Project implementation experience 
  • Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). 
  • Medical Coding certification. 

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.


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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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