Remote healthcare work in the US splits into two groups: clinical care delivered by phone or video, and the documentation, coding, billing and coordination work behind it. Much of it is computer-based — the U.S. Bureau of Labor Statistics notes that medical records work is one of the few health occupations with no direct hands-on patient care, with specialists typically working at a computer (U.S. Bureau of Labor Statistics, 2025).
This guide covers ten roles that can be done from home, who hires for them, how pay is usually structured, and what to check before you accept anything.
What the Job Actually Involves Day to Day
Ten roles commonly run fully remote in the US. Clinical: telehealth clinicians seeing patients by video; triage and advice-line nurses assessing symptoms by phone; and remote care coordinators or case managers following up between visits. Administrative: medical coders; medical records and health information specialists; medical transcriptionists and speech-recognition editors; medical billers and claims follow-up staff; prior authorization and utilization review specialists; virtual medical scribes documenting visits live; and patient access, scheduling and call-center representatives.
The work is mostly screen work: an electronic health record, a secure remote connection, a work-queue or ticketing system, a softphone or video platform, and — for coders — current code books or encoder software. Transcriptionists receive dictation and submit drafts electronically, and the work can be stressful because reports must be accurate and turned around quickly (U.S. Bureau of Labor Statistics, 2025).
Shifts vary by employer. In always-open facilities, records staff may work nights or weekends (U.S. Bureau of Labor Statistics, 2025). Home-based transcriptionists may work outside typical business hours and may have some flexibility in setting their schedules; most work full time, though part-time work is common (U.S. Bureau of Labor Statistics, 2025). Telehealth and triage lines usually run to a posted roster. Some employers are remote-first; others require onsite onboarding or hire only in states where they are set up to employ people.
The openings further down show which setups employers are advertising now.
Where Companies Actually Hire From the US
Categories that regularly recruit for remote healthcare roles:
- Hospitals and health systems, which often keep coding, records, scheduling and prior authorization teams offsite. The BLS lists the largest employers of medical records specialists (U.S. Bureau of Labor Statistics, 2025): https://www.bls.gov/ooh/healthcare/medical-records-and-health-information-technicians.htm
- Physician groups and specialty clinics, hiring one or two remote billers, coders or schedulers at a time.
- Telehealth and virtual care companies, hiring licensed clinicians and the support staff around them.
- Health insurers and payer-side vendors, for utilization review, appeals, claims and member services.
- Revenue cycle management and medical billing companies serving multiple provider clients.
- Transcription-service companies and temporary-help firms — the BLS groups these under administrative and support services among the largest employers of medical transcriptionists (U.S. Bureau of Labor Statistics, 2025): https://www.bls.gov/ooh/healthcare/medical-transcriptionists.htm
- Healthcare staffing agencies, placing contract and temp-to-perm workers.
- Health IT and EHR vendors, for implementation support and clinical content roles.
- Home health, hospice and long-term care providers, for remote intake and records work.
- Government employers, posting through USAJobs.gov, which the Federal Trade Commission names as a safe starting point alongside CareerOneStop (Federal Trade Commission, undated): https://consumer.ftc.gov/articles/job-scams
Which of these are hiring today appears in the listings below.
How Pay Is Usually Structured
Most remote healthcare jobs pay hourly or as a salary through employer payroll. Piece rates survive mainly in transcription and some coding and scribe work. Rates vary by state, employer type, credential and specialty, so check a current source rather than a forum post.
| Pay model | What determines the rate | Where to check current numbers |
|---|
| Hourly (W-2) | Role, state and metro area, shift, certification, experience | BLS publishes 2025 median pay for medical records specialists (U.S. Bureau of Labor Statistics, 2025): https://www.bls.gov/ooh/healthcare/medical-records-and-health-information-technicians.htm |
| Annual salary | Scope, licensure, supervisory or audit duties, employer size | BLS publishes 2025 quick facts including median pay for medical transcriptionists (U.S. Bureau of Labor Statistics, 2025): https://www.bls.gov/ooh/healthcare/medical-transcriptionists.htm |
| Per line, per audio minute or per report | Volume, audio quality, accuracy and turnaround targets | The employer's rate sheet in writing before you start, compared against BLS medians |
| Per chart, encounter or claim | Coding specialty, chart complexity, audit accuracy scores | Employer contract, plus BLS and CareerOneStop occupation profiles |
| Per visit or consult (telehealth) | Licensure, specialty, states licensed in, platform demand | The offer letter; your state licensing board for scope rules |
| Contract/1099 via agency | Assignment length, client budget, equipment supplied or not | The agency's written assignment terms |
Get the pay model in writing at offer stage — hourly, piece rate and contract terms are not interchangeable. The roles listed below show how employers describe this themselves.
How to Get Started
- Pick one or two target roles and list what each needs. Medical records specialists typically enter with a postsecondary certificate, though some qualify with a high school diploma and others need an associate's or bachelor's degree (U.S. Bureau of Labor Statistics, 2025). Telehealth clinical roles need an active license in the state where the patient is.
- Plan the credential, if one applies. Employers may prefer certified records specialists or expect certification shortly after hire; certifications usually require passing an exam and may require prior experience or education, with details available from CareerOneStop (U.S. Bureau of Labor Statistics, 2025). For coding, AAPC requires membership to sit a certification exam; the CPC exam is proctored with a set passing requirement and is open book, allowing approved CPT, ICD-10-CM and HCPCS Level II code books but no electronic devices with an on/off switch in the room (AAPC, undated): https://www.aapc.com/training/how-to-get-cpc-certified.aspx/
- Build a resume that mirrors the posting. Name the EHR and billing systems you have used, your specialties, accuracy or productivity measures, state licenses, and the hours and time zone you can cover.
- Sort your home setup: wired internet, a private space where patient information cannot be seen or overheard, a headset, usually two screens. Ask whether the employer ships equipment.
- Set up payment properly. Employees are normally paid by direct deposit after standard onboarding paperwork; contractors invoice and keep their own records. No honest employer, including the federal government, asks you to pay to get a job (Federal Trade Commission, undated).
- Create profiles where the jobs are: employer career pages for health systems, insurers and telehealth companies; staffing agency portals; and safe public sources such as USAJobs.gov and CareerOneStop (Federal Trade Commission, undated).
- Apply with a short tailored note covering credential status, systems experience, available hours in the employer's time zone and your remote setup. Expect a skills test — a coding scenario, transcription sample or recorded mock call.
Work through these in order, then go to the current openings below.
What to Check Before Accepting an Offer
- Search the company or recruiter's name plus "scam," "review" or "complaint" before accepting (Federal Trade Commission, undated): https://consumer.ftc.gov/articles/job-scams
- Verify the business on your state's secretary of state registry, and check the recruiter's email domain matches the company's real site.
- Refuse any request to pay for a job, equipment, training or a background check — anyone who asks is a scammer (Federal Trade Commission, undated).
- Walk away if a new "employer" sends a check to deposit and asks you to send money back; the check bounces and your bank will want it repaid (Federal Trade Commission, undated).
- Get the pay model, pay frequency, overtime treatment and W-2 or 1099 status in writing.
- Confirm the schedule's time zone, shift pattern, night and weekend expectations, and on-call rules.
- Ask which states the employer can employ in, and which licenses clinical roles require.
- Confirm who supplies the laptop, headset and secure connection, and who pays for internet or software.
- Check productivity and accuracy targets, probation length, and advancement routes — records staff often move into health information technologist, medical registrar, or medical and health services manager roles after further certification or a degree, with requirements varying by facility (U.S. Bureau of Labor Statistics, 2025).
Run these checks against the specific postings below before replying to any recruiter.
Open Roles You Can Apply to Today
The listings below show remote healthcare openings currently advertised across the employer categories in this guide, so you can compare shift patterns, license requirements and pay models side by side. Use the buttons on this page to move into the live openings and the related guides on certification, resumes and interview preparation.
Frequently asked questions
Do I need a degree for remote healthcare work?
It depends on the role. Medical records specialists typically need a postsecondary certificate, although some qualify with a high school diploma and others may need an associate's or bachelor's degree (U.S. Bureau of Labor Statistics, 2025). Clinical telehealth roles require the full licensed qualification for the profession. Read the BLS occupation page and each employer's posting rather than assuming.
Is coding the same job as medical records?
They overlap. O*NET lists medical coder among the sample reported job titles for the Medical Records Specialists occupation (O*NET OnLine, undated). In practice employers advertise coding, records and billing as separate teams, so read the duties section of each posting.
What equipment do I need at home?
Usually a reliable wired connection, a computer meeting the employer's security requirements, a headset, and a private workspace where patient information cannot be seen or overheard. Many employers ship a locked-down laptop; some expect your own. Confirm in writing before accepting.
How do I check what these roles pay?
Start with the BLS Occupational Outlook Handbook, which publishes 2025 median pay for medical records specialists and 2025 quick facts for medical transcriptionists (U.S. Bureau of Labor Statistics, 2025), and compare with CareerOneStop occupation profiles. Then get the employer's own rate and pay model in writing.
Does certification guarantee work?
No. Certifications usually require passing an exam and may require prior experience or education (U.S. Bureau of Labor Statistics, 2025). Passing the CPC exam gives the CPC-A apprentice credential, and the 'A' stays until you meet a two-year on-the-job experience requirement or an alternative route (AAPC, undated). Employers often prefer certification, but no credential guarantees a hire. For scale, BLS projects about 14,000 openings a year on average over the decade for medical records specialists (U.S. Bureau of Labor Statistics, 2025); not all are remote.
What about taxes, licensing across state lines, or work authorization?
This guide cannot advise on those. Use official federal and state tax authority guidance or a qualified tax professional, especially if paid as a contractor. For licensure in another state, contact that state's licensing board. For work authorization, consult official government information or an appropriately qualified professional.