Feb 06, 2026

Remote RN Certified Coder

Job Description

Job SummaryWe are seeking an experienced Certified RN Medical Coder to support a full-time COC / SPD project focused on building out coding for benefit plans.This role combines clinical knowledge with technical coding expertise to ensure accuracy, consistency, and compliance across plan documentation.You'll work closely with a team of certified coders and business analysts in a collaborative, fast-paced environment where precision and partnership drive success.Why this Opportunity?Top ranked company in Fortune's 2024 World's Most Admired Companies for over a decade consecutively.This healthcare client is ranked number one in key attributes of reputation :Innovation People management Social responsibility Quality of Management Financial soundness Long-term investment value Quality of products Services and global competitiveness.Job Responsibilities :Determine and assign appropriate codes to benefit plan language as part of the COC / SPD project.Review coding selections made by peers to ensure consistency and accuracy.Facilitate discussions and collaborate with peers and business analysts to finalize coding documentation.Review audit results and make necessary adjustments or clarifications.Participate in regular project meetings and contribute subject matter expertise to coding and reimbursement discussions.Minimum Requirements :Active, unrestricted RN licenseCurrent coding certification through AAPC or AHIMA (CPC, CCS, or equivalent)Minimum 3 years of payer-side coding or benefit plan coding experience, including :Coding and reimbursement methodologies (CPT, HCPCS, ICD-10, CMS) Benefit mapping, rule building, and coverage logic interpretation Reimbursement methodologies (APC, RBRVS, ASC fee schedules) Experience reviewing SPDs / COCs and coding benefit languageManaged care or health plan background, with experience in benefit configuration, claims adjudication processes, claims editing logic (CCI, payer rules), or claims system configuration (e.g., Facets, QNXT, HealthRules)Demonstrated experience developing crosswalks, coding matrices, CPT / HCPCS mapping tables, or similar coding documentationExperience performing peer coding reviews, coding quality audits, and collaborative discrepancy resolutionProficiency with MS Word, Excel, Access, and PowerPointStrong written and verbal communication skills, including the ability to explain coding decisions and reimbursement logicAbility to work independently in a remote setting while maintaining collaboration with a dispersed team.Preferred Qualifications :Prior experience in managed care or benefit plan coding.Demonstrated ability to interpret and apply coding guidelines to complex documentation.Excellent organizational skills and comfort facilitating discussions between technical and clinical stakeholders.WHO SHOULD APPLY?This role is ideal for registered nurses who have built a career in medical coding and want to leverage both their clinical and technical expertise in a project-based environment.Benefits Offered :Weekly payMedical, dental, and vision coverageVoluntary Life and AD&D coveragePaid TrainingOpportunity for advancement upon performance and availability.