Remote jobs in the United States

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Added 1 hour ago
MS
Pro-fee Pediatric Coder
Medix Staffing Solutions
Remote, United States
- $26.06 to $31.16 USD / hour
Our client is seeking a highly skilled Physician Coder to provide code assignment for all levels of ProFee for inpatient, outpatient, and/or ambulatory services, including charge entry for…
Added 1 day ago
RH
Medical Billing Specialist
Robert Half
Remote, United States
- $25.65 to $29.7 USD / hour
We are looking for a detail-oriented Certified Professional Coder to join a healthcare team in Boca Raton, Florida in a contract-to-permanent capacity. This role focuses on accurate coding,…
Added 1 day ago
Medical Coder / CDI Specialist (AI Clinical Evaluation)
Gramian Consulting Group
Remote, United States
We are looking for an experienced Medical Coder / Clinical Documentation Integrity (CDI) Specialist to contribute to an AI training and evaluation project focused on coding accuracy,…
Added 1 day ago
AH
Inpatient Coder (Remote)
AMN Healthcare
Remote, United States
- $32 to $40 USD / hour
Added 1 day ago
TH
Inpatient Corporate Coder - Remote based in the US
Tenet Healthcare Corporation
Remote, United States
- $26.4 to $38 USD / hour
The Corporate Coder (“CC”) functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical…
Added 1 day ago
Forward Deployed Software Engineer
Convr
Remote, United States
Strong coder with shown proficiency in TypeScript/JavaScript, Python, Java, C++, or similar.
Added 1 day ago
Consultative Coding Manager
Conviva Care Solutions, LLC
Remote, United States
CPC (Certified Professional Coder) Certification.
Added 1 day ago
Manager, Software Engineering
Commerce.com US, Inc.
Remote, United States
Be both a highly technical hands-on coder and an effective people manager
Added 1 day ago
DRG QA/Training Manager
Machinify
Remote, United States
Added 1 day ago
TT
Sr Specialist, Coding (DaVita IKC)
TRC Total Renal Care Inc
Remote, United States
- $16 to $36.5 USD / hour
Certified Professional Coder (“CPC”) - strongly preferred
Added 1 day ago
Quality Control Specialist - Work from Home
Health Care Service Corp.
Remote, United States
Current certifications - CPC, CCS-P, CCS, or CRC (risk adjustment coder).
Added 1 day ago
Manager Revenue Integrity - FT - Days - MHS - Remote Eligible
Memorial Healthcare System
Remote, United States
Added 1 day ago
Physician Coder II
Baptist Health
Remote, United States
Baptist Health is looking for a Physician Coder II to work with our Baptist Health Medical Group. This will be a Full-time role working home-based (remotely). This position may be asked to…
Added 1 day ago
AH
Inpatient Coder
AMN Healthcare
Remote, United States
- $32 to $40 USD / hour
One of the following: Registered Health Information Administrator (RHIA) Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC)
Added 2 days ago
Director of Health Plan Quality (RN) - Aspire Health
AHP Aspire Health Plan
Remote, United States
Certified Risk Adjustment Coder (CRC) or equivalent preferred.
Added 2 days ago
C
QA I Coding Operations
Cotiviti
Remote, United States
- $25.5 to $32.5 USD / hour
Provides Quality Assurance feedback by working as a liaison between Coder I, Coder II and the Team Lead to ensure coding is complete and accurate. Reviews a defined percentage of the Coder…
Added 2 days ago
Coder III - Technical
UPMC - Pittsburgh Medical Center
Remote, United States
UPMC Corporate Revenue Cycle is hiring a Coder III to join our Coding Department! This position will be a work-from-home position, working Monday through Friday during business hours.
Added 2 days ago
Certified Medical Coder
Ascension
Remote, United States
Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date.
Added 2 days ago
AH
Inpatient/Outpatient Internal Quality Reviewer
AMN Healthcare
Remote, United States
- $45 to $60 USD / hour
coder questions with clear educational explanations, supporting evidence,
Added 2 days ago
Clinical Quality Reviewer (Coder/Auditor)
CorroHealth Inc
Remote, United States
Added 2 days ago
Coder I Inpatient
CORP Saint Luke's Health System, Inc.
Remote, United States
Added 2 days ago
Director of Quality Audit Coding
Healthrise
Remote, United States
Deliver targeted coder education and feedback based on audit results, including rebuttal and reconciliation processes, focused re-reviews, and follow-up audits to confirm improvement.
Added 2 days ago
Certified Appeals Coder, Remote, 8:00a-4:30p
University of Louisville Physicians
Remote, United States
Must have and maintain Certified Professional Coder (CPC) certification through AAPC or must have and maintain CCA, CCS or CCS-P certification through AHIMA.
Added 2 days ago
Hierarchical Condition Category (HCC) Coding Specialist
Highmark Inc
Remote, United States
Certified Professional Coder (CPC) OR Certified Risk Coder (CRC) OR Certified Coding Specialist (CCS) OR Registered Health Information Technician (RHIT)
Added 2 days ago
AH
Remote Inpatient Coder
AMN Healthcare
Remote, United States
- $32 to $40 USD / hour
The coder is responsible for coding or pending every chart placed in their queue.

Cotiviti

QA I Coding Operations

Remote, United States

$25.5 to $32.5 USD / hour

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Job details

Pay: $25.5 to $32.5 USD / hour
Apply by: Oct 30, 2027
Posting language: English
Posted: Oct 30, 2026

Original job description

Overview

The QA I, is an integral member of the Risk Adjustment Coding Team. The QA position monitors & reports on the accuracy of all coding performed by Cotiviti coders and/or third party partner coders. This position provides direct coaching and feedback to coders. The QA I conducts QA and audit reviews, supports remediation for risk adjustment coding services, and ensures compliance with quality standards.

Responsibilities

Provides Quality Assurance feedback by working as a liaison between Coder I, Coder II and the Team Lead to ensure coding is complete and accurate. Reviews a defined percentage of the Coder I and Coder II work to ensure quality standards are met and maintained.
Completes chart or encounter review for proper HCC-mapped diagnosis coding from various chart types (physician, facility, non-facility).
Completes chart or encounter review for proper HCC-mapped diagnosis coding performedprospectively, concurrent, or retrospective.
Ensures that all coding performed follows client specific or industry standard coding guidelinesand reflects an accurate and complete representation of the documentation within the medicalrecord.
Professionally communicates findings, errors, and any suggestions to all staff to facilitate ongoing communications and efficient department operations.
Completes internal audits as necessary to support quality accuracy.
Reviews internal system reports on the quality of work for all assigned coding staff. These reports are reviewed daily, weekly, monthly, quarterly, and yearly as needed.
Communicate quality issues and trends to the coders, QA II, team lead, and manager.
Recommend additional training based on the results of the quality audit for those Coder I and Coder II as needed.
Develop an action plan in collaboration with the Team Lead and Manager as needed regarding improvement in the quality of work for a Coder I or II and reports progress to the Team Lead.
Regular interaction with other Cotiviti staff, such as training and quality assurance to facilitate clarification and/or training on coding results.
Completes chart or encounter review for proper HCC mapped diagnosis coding from various chart types (physician, Facility, non – Facility). Ensures that the highest level of HCC mapped diagnosis code was utilized in each date of service reviewed and documentation of findings in company data storage program. Professionally communicates finds, errors, and any suggestions to all staff in order to facilitate on-going communications and efficient department operations.
Completes internal audits as necessary to support quality accuracy.
Responds to questions via the ‘Questions Queue’ for individual coders.
Reviews internal system reports on quality of work for all assigned Clinical Coder Specialists. These reports are reviewed daily, weekly, monthly, quarterly and yearly as needed.
Communicate quality issues and trends to the Team lead, Coding Manager and Training Manager.
Recommend additional training based on results of the quality audit for those Coder I and Coder II where they fall behind the 95% accuracy rate.
Develop an action plan in collaboration with the Team Lead and Manager as needed with regard to improvement in the quality of work for a Coder I or II and reports progress to the Team Lead.
Regular interaction with other Cotiviti staff, such as training and
Utilize Cotiviti training tools and coding library for questions.
Completes all responsibilities as outlined on annual Performance Plan.
Completes all special projects and other duties as assigned.
Must be able to perform duties with or without reasonable accommodation.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change.

Qualifications

High School diploma required, Bachelor's degree preferred.
Clinical background preferred.
Coding certification required through AAPC or AHIMA (CPC, CRC, CCS, etc.).
Expertise in medical record auditing, particularly in HCC mapped diagnosis coding.
Minimum of one to three years HCC coding experience.
Demonstrated high performance in meeting or exceeding production and quality goals.
Adherence to official coding guidelines, coding clinic determinations, client specific coding guidelines, CMS and other regulatory compliance guidelines and mandates.
Ability to read and understand medical record documentation.
Must be able to identify trends in coding and documentation errors, to include over and under-coding.
Excellent written and verbal skills to include coaching and interpersonal skills.
Strong knowledge of medical terminology and anatomy and physiology.
Skilled in organization and customer service.
Computer and technology literate.
Analytical and problem solving skills.
Ability to manage and meet deadlines.
Must remain flexible to provide assistance in any emergent situations and/or projects.
Must participate in any required training.
Must abide by all HIPAA and associated patient confidentiality requirements.
For the safety of our employees and those considering employment with Cotiviti, we are currently conducting all interviews virtually.

Mental Requirements:

Communicating with others to exchange information.
Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:

Remaining in a stationary position, often standing or sitting for prolonged periods.
Repeating motions that may include the wrists, hands, and/or fingers.
Must be able to provide a dedicated, secure work area.
Must be able to provide high-speed internet access/connectivity and office setup and maintenance.

Base compensation ranges from $25.50 to $32.50 per hour. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs.

Nonexempt employees are eligible to receive overtime pay for hours worked in excess of 40 hours in a given week, or as otherwise required by applicable state law.

Date of posting: 10/28/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 11/24/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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More about this job

Skills

Quality assurance
Documentation
Internal auditing
Data storage
Auditing
CMS
Regulatory compliance
Coaching
Interpersonal skills
Medical terminology
Customer service
Problem solving
Meet deadlines
Confidentiality

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