Remote jobs in the United States

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Added 2 hours ago
Certified Coder & Auditing (FLORIDA-BASED ONLY - MUST RESIDE)
Dane Street, LLC
Remote, United States
We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support…
Added 2 hours ago
Certified Coder & Auditing (FLORIDA-BASED ONLY - MUST RESIDE)
Dane Street, LLC
Remote, United States
We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support…
Added 2 hours ago
Certified Coder & Auditing (NEVADA-BASED ONLY - MUST RESIDE)
Dane Street, LLC
Remote, United States
We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support…
Added 2 hours ago
Certified Coder & Auditing (NEVADA-BASED ONLY - MUST RESIDE)
Dane Street, LLC
Remote, United States
We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support…
Added 2 hours ago
Certified Coder & Auditing (TEXAS BASED ONLY - MUST RESIDE)
Dane Street, LLC
Remote, United States
We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support…
Added 2 hours ago
Certified Coder & Auditing (TEXAS BASED ONLY - MUST RESIDE)
Dane Street, LLC
Remote, United States
We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support…
Added 2 hours ago
General Coder - Must have experience doing bill audit reviews
Dane Street, LLC
Remote, United States
We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support…
Added 2 hours ago
LA California Certified Coding and Billing Specialist for Litigation
Dane Street, LLC
Remote, United States
We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support…
Added 20 hours ago
BH
Profee Coder Academic General Med
Banner Health
Remote, United States
- $23.62 to $35.44 USD / hour
We are looking for a motivated, experienced Profee Coder with at least 1 year of Academic General Med with Inpatient physician coding experience to join our talented team. In this role you…
Added 1 day ago
WU
Certified Coder (Remote) - Neurology Appeals
Washington University in St Louis
Remote, United States
- $26.25 to $39.36 USD / hour
…to insurance companies; handles charge corrections. Reviews medical record documentation to determine appropriate billing codes and necessary…
Added 1 day ago
Sr. CDI Systems and Analytics Analyst (Solventum/EPIC SME)
CorroHealth Inc
Remote, United States
…escalation rules, worklists, case statuses, assignment logic, and coder to CDI reconciliation…
Added 1 day ago
BH
Outpatient Complex Coder
Banner Health Corporate
Remote, United States
- $27.35 to $41.03 USD / hour
…motivated, experienced Outpatient, Acute Care, HIMS Complex Coder to join our talented Outpatient SDS Complex Facility-coding team. Candidate should have complex coding experience in acute…
Added 2 days ago
OH
Risk Adjustment Coder Specialist
Oscar Health
Remote, United States
- $67,813 to $98,894 USD / year
Hi, we're Oscar. We're hiring a Risk Adjustment Coder Specialist to join our Risk Adjustment team.
Added 2 days ago
A
Remote - HEDIS Abstractors / HEDIS Reviewers
Advantmed
Remote, United States
- $20 to $27 USD / hour
Medical Coder Certification: CPC, CCS, RHIT, RHIA through AAPC or AHIMA OR
Added 2 days ago
DRG Dispute Reviewer
Machinify
Remote, United States
Medical Record Analysis: Review inpatient medical records, UB-04s, and documentation to ensure correct DRG assignment and adherence to coding, billing, and payment guidelines.
Added 2 days ago
Certified Coding Specialist II
CCPN Cook Children's Physician Network
Remote, United States
…Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM, ICD-10-CM and CPT 4…
Added 2 days ago
Director, EDC Programming
Jazz Pharmaceuticals, Inc.
Remote, United States
…not limited to iMedidata, Classic Rave, Rave EDC, BO4, TSDV, Coder, CTMS, RSG, Veeva CDMS, IRT eCOA, DCT and supplemental packages such as migration review and reporting tools. You will…
Added 2 days ago
GH
Inpatient Facility Coder
GeBBS Healthcare Solutions, Inc.
Remote, United States
- $36 USD / hour
As an Inpatient Facility Coder (Part time - temporary), you will be responsible for reviewing medical documentation, assigning accurate ICD-10-CM, ICD-10-PCS, and CPT codes, and ensuring…
Added 2 days ago
GH
Family Medicine/Primary Care Coder
GeBBS Healthcare Solutions, Inc.
Remote, United States
- $25 to $27.55 USD / hour
GeBBS Healthcare Solutions is seeking a Per diem - as needed (Part-time), remote Family Medicine and Primary Care Coder to deliver high-quality E/M coding services. In this role, you will…
Added 3 days ago
Coding Specialist 2
University of Washington
Remote, United States
As necessary, request patient medical charts (for non-electronic providers).
Added 3 days ago
CODING SPECIALIST 3 - CT Surgery/Transplant Surgery.
University of Washington
Remote, United States
…the appropriate coding, billing, and reimbursement for the medical…
Added 3 days ago
Nurse Reviewer LPN
Federal Hearings And Appeals
Remote, United States
Provide timely review and determination of medical claims, including prior authorization, appeals, and/or any other type of medical claims;
Added 3 days ago
PB Coder
KDMC Ashland Hospital Corporation
Remote, United States
…Health Information Technician (RHIT), or Certified Professional Coder (CPC), Certified Professional Coder Apprentice (CPC-A), Certified Coding Associate (CCA), Certified Coding Specialist –…
Added 3 days ago
Associate Director, Paid Social
Code3
Remote, United States
Added 3 days ago
E
Inpatient/Outpatient Coder - Full Time Only
e4health
Remote, United States
- Full-time
The Inpatient Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM and ICD-10-PCS Guidelines for…

Conviva Care Solutions, LLC

Consultative Coding Manager

Remote, United States

$86,300 - $118,700 per year

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Job details

Pay: $86,300 - $118,700 per year
Working hours: 40 hours per week
Posting language: English
Posted: Oct 30, 2026

Original job description

Become a part of our caring community

The Consultative Coding Manager manages a diverse team of consultative coders responsible for ensuring clinical documentation supports accurate coding and is reflective of the disease prevalence within the population. The Consultative Coding leader partners with the Divisional Coding Leader to develop market-specific strategies to promote accurate clinical documentation, ensures all state, federal and internal policies and procedures are followed, and fosters collaboration within onshore and offshore coding, audit, and education.

Strategy:

Cultivate relationships with clinicians (Physicians and Advanced Practice Providers) to serve as the single point of contact for questions and issues relating to documentation and coding.
In partnership with Divisional Coding Leaders, develops strategy for consultative coding to ensure market needs are being met.
Cultivates relationships with Divisional Coding Leaders, Market Leaders, and Consultative Coders to share knowledge and best practices.
Identify and recommend strategies for improving clinical documentation and coding for pre and post visit coding.

Post-Visit/Offshore Coding Collaboration:

Establish relationship with post-visit/offshore coding leadership.
Develop continuous quality improvement initiatives.

Mergers and Acquisitions:

Monitor special handling of mergers and acquisitions.
Oversee Problem List clean up (as outlined by compliance).
Ensure PCO process training is performed consistently.
PCO Process training including but not limited to reporting.

Use your skills to make an impact

Required Qualifications:

Bachelor's Degree or equivalent experience.
6+ years of technical experience including Microsoft Office Suite.
2+ years of management experience.
CPC (Certified Professional Coder) Certification.
RHIA, RHIT, CCS, CPC Certification.
Medicare Risk Advantage based knowledge and experience.
Must be passionate about contributing to an organization focused on continuously improving consumer experiences.
This position is market-based, and candidates must currently reside in Florida, Georgia, North Carolina or South Carolina.
Must be able to travel approximately 25%.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$86,300 - $118,700 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana’s Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com. Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

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