Job Summary

We are seeking a Remote Certified Medical Coder and Claims professional for a medical professional liability insurance project focused on historical claims review, severity coding, and data consistency. This role is ideal for a certified medical coder with strong attention to detail, basic medical terminology knowledge, and experience reviewing clinical or claims-related documentation.

In this position, you will help standardize claim severity coding across podiatry-related claim files from the past 5 to 10 years. Your work will support claims analytics, trend review, and future outcome predictions. This is a remote opportunity with flexible full-time or part-time work arrangement options, offering the chance to contribute to meaningful claims data improvement in a professional, team-oriented environment.

Key Responsibilities

- Review historical medical professional liability claim files for coding accuracy and consistency.
- Validate, standardize, and update severity classifications across claim records.
- Support data integrity efforts that help claims teams analyze trends and predict future claim outcomes.
- Apply certified medical coding knowledge and medical terminology to claims documentation.
- Maintain accurate documentation of coding updates and review activity.
- May be cross trained to assist with regulatory data bank reporting activities.

Compensation and Benefits

- Pay: $20 to $22 per hour.
- Target pay rate listed: $22 per hour.
- Job type: Temp-to-Hire.
- Location: 100% Remote.
- Schedule: Full-time, with openness to full-time or part-time work arrangement.
- Duration: 3 months to 1 year contract.

Required Qualifications and Skills

Note: Please apply only if you are currently located in Tennessee, Mississippi, Arkansas, Kentucky, or Alabama. Applications from candidates outside these states will not be considered.

- Review and recode historical claims cases for severity classification consistency.
- Validate and update claim severity coding across podiatry claim files.
- Support claims data improvement projects used for trend analysis and outcome prediction.
- Assist with regulatory reporting activities if cross trained.

- High school diploma or GED required.
- Certified Medical Coder credential required.
- Medical coding work experience required.
- Basic medical terminology knowledge required.
- 3 to 5 years of relevant experience preferred based on role level.
- Strong attention to detail and ability to work accurately with historical records.
- Ability to work independently in a remote environment.
- Strong organizational skills and commitment to data consistency.

Preferred Qualifications

- Experience working with claims files, insurance documentation, or medical professional liability records.
- Experience reviewing podiatry, healthcare, or clinical documentation.
- Familiarity with regulatory reporting or data bank reporting processes.
- Prior remote work experience in a coding, claims, or healthcare data role.

Equal Opportunity Employer / Disabled / Protected Veterans

The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, AppleOne is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.