Remote jobs in the United States

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Added 5 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 5 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 5 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 5 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 5 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 5 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 5 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 5 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 23 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…

ExactCare Pharmacy, LLC

Risk Adjustment Coder

Remote, United States

Remote

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Job details

Workplace: Remote
Working hours: 40 hours per week
Posting language: English
Posted: Oct 30, 2026

Original job description

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs - wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states.

Job Details

We are seeking a Professional Remote Medical Coder who will apply his or her technical and specialized expertise to help healthcare programs remain compliant with government regulations while identifying opportunities for increased financial success. The Professional Medical Coder will work from his or her home office to review, analyze, and code diagnostic and procedural information from medical records that determine payments to our clients. The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.

Responsibilities

Perform medical record reviews and use coding principles to code to the highest specificity and comply with CMS and HIPAA regulations as well as company goals and policies.
Perform Quantitative and Qualitative analysis of paper and electronic medical records for completeness, consistency and accuracy.
Perform risk adjustment data validations using AHA coding guidelines.
Interact with clients and co-workers to communicate value added information, make improvements and maintain strong partnerships.
Be a constant learner, performing research and staying abreast of updates to remain top in his/her field.

The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position.

Qualifications: These represent the desired qualifications of the ideal candidate. They are not meant to limit consideration for candidates who do not meet all of the standards listed. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education

Possess valid Certified Coding Specialist designation (CCS) issued by the American Health Information Management Association, Certified Professional Coder (CPC) designation, Certified Professional Coder Apprentice (CPC-A) designation or CCA designation with at least one year of coding experience. Being a Registered Health Information Administrator (RHIA) is a plus.

Experience

Possess at least 6 months experience coding ICD-10 CM.
Have experience with MS Word, Excel, PowerPoint, and be comfortable learning and becoming an expert on new and proprietary software.

Skills & Abilities

Have strong written and verbal communication skills, including propensity to establish and build strong relationships.
Take initiative to establish priorities, coordinate work activities and perform multiple and complex tasks while working independently and with minimal supervision in a remote setting.
Be detail oriented and quick to follow instructions and learn new tasks.
Possess a strong work ethic with impeccable integrity.*Documentation Improvement experience, experience in Hierarchical Condition Categories (HCC), knowledge of or experience in Medicare Advantage plans and knowledge of or experience in managed health care systems, PACE or Medicare are a plus.

Physicals/Mental Demands: This position is administrative in nature and will present physical demands requisite to a position requiring: hearing, seeing, sitting, standing, talking, and walking. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Must be able to commute to multiple site locations within assigned territory. May be necessary to work extended hours as needed.

Schedule: This is a full-time position with an expectation to work an average of 40 hours per week and be available outside of normal business hours to meet customer expectations on an ad-hoc basis. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed.

This is a remote position.

AnewHealth offers a comprehensive benefit package for full-time employees that includes medical/dental/vision, flexible spending, company-paid life insurance and short-term disability as well as voluntary benefits, 401(k), Paid Time Off and paid holidays. Medical, dental and vision coverage are effective 1st of the month following date of hire.

AnewHealth provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants are encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.

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More about this job

Skills

CPT
HCPCS
CMS
Electronic health records
Communicate with customers
Research
Health records management
Microsoft Word
Microsoft Excel
Microsoft PowerPoint
Communication skills
Work independently
Documentation
Health care system

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