Remote Medical Coding Specialist (Insurance Claims)

Description

Remote Medical Coding Specialist (Insurance Claims)

Open with Impact

Can your attention to detail transform the way healthcare providers and insurers communicate? As a Remote Medical Coding Specialist focused on insurance claims, you’ll bring clarity, accuracy, and peace of mind to patients and providers alike. Every code you assign is more than a number—it’s a gateway to care, compliance, and cost transparency. Join a team that empowers you to work with precision while supporting people at pivotal moments in their healthcare journey. If making complex systems feel human is your superpower, you’re in the right place.

Why This Role Matters

When claims data is accurate, patients receive care faster and providers spend less time dealing with paperwork. Your expertise in coding ensures insurance claims are processed efficiently, fairly, and in full compliance with current regulations. This isn’t just about ticking boxes; it’s about building trust between hospitals, insurers, and the people who count on them. Your contribution enables timely reimbursements, accurate medical records, and stronger partnerships throughout the healthcare landscape.

What You’ll Achieve

  • Transform clinical documentation into precise codes that shape insurance outcomes for thousands of patients each month.
  • Identify and proactively resolve coding errors before they result in costly denials.
  • Use industry-leading coding tools, EHR systems, and audit platforms to stay one step ahead of compliance requirements.
  • Decode physician notes and patient records, ensuring every nuance is captured and represented.
  • Your feedback to providers will simplify future documentation and elevate the accuracy of the entire claims lifecycle.

Key Responsibilities

  • Analyze medical records and insurance documents to determine accurate ICD-10, CPT, and HCPCS codes.
  • Collaborate directly with healthcare professionals to clarify ambiguous documentation, leading to faster claim resolution and minimal back-and-forth.
  • Review denied claims and identify patterns to boost approval rates, delivering insights that benefit both providers and insurers.
  • Keep current with the latest regulations in HIPAA, CMS guidelines, and payer-specific policies, adapting quickly as industry standards shift.
  • Develop best practices for digital claims processing and champion new workflow efficiencies, driving continuous improvement across remote teams.
  • Document every coding decision with clarity, ensuring audit trails that withstand regulatory scrutiny.

The Tools That Power Your Day

You’ll rely on advanced electronic health record (EHR) platforms, remote communication channels such as Zoom and Slack, and coding audit tools to maintain a seamless workflow. Our digital-first approach ensures you have uninterrupted access to patient data, coding references, and compliance updates—so you can deliver results from anywhere, without missing a beat.

Who Succeeds Here?

You possess in-depth knowledge of medical coding standards, combined with the ability to translate complex jargon into clear, actionable information. Your analytical mindset thrives in a space where details matter, yet you always keep the human impact at the forefront. You simplify complex ideas—whether it’s over Zoom, in a code review, or written documentation. Experience with remote collaboration tools, virtual EHR platforms, and insurance claims software sets you up for success. And when regulations shift, you adapt fast, turning uncertainty into opportunity.

Qualifications

  • Certification as a CPC, CCS, RHIT, or an equivalent credential is required.
  • At least two years of hands-on experience coding insurance claims (outpatient, inpatient, or specialty).
  • Deep understanding of ICD-10, CPT, and HCPCS coding systems.
  • Comfortable with EHRs, cloud-based coding software, and digital workflow tools.
  • Strong ability to spot documentation gaps and coach providers on improving clarity.
  • Unwavering commitment to safeguarding private health information, upholding strict privacy protocols, and promoting ethical practices in every aspect of your work.
  • Proactive, solutions-oriented, and always ready to adapt as payer guidelines evolve.

Work Environment & Growth

We move quickly, but you’ll always have space to focus intensely—your expertise is valued, not rushed. Expect regular feedback sessions, virtual learning opportunities, and a remote-first environment that prioritizes your work-life balance. You’ll partner with teammates in design, compliance, and technology to build unified solutions for the entire claims journey. Your input will shape not just today’s processes, but tomorrow’s standards in medical coding.

Compensation & Benefits

This is a full-time, remote position with an annual salary of $59,878. You’ll enjoy competitive benefits, flexible scheduling, paid time off, and opportunities for professional development. More than that, you’ll be part of a community that champions learning, growth, and celebrating big wins together.

Ready to Make Your Mark?

If you’re inspired to bring clarity to complexity and thrive in a setting where your insights matter every day, we want to connect. Let’s build something meaningful together—apply today.