Remote Healthcare Jobs in the US: Medical Billing, Coding & Admin Roles

Most of the day happens inside an electronic health record and a billing system. Medical records specialists validate and enter patients' health information into EHR systems and typically work at a computer (U.S. Bureau of Labor Statistics, 2025). ONET's task list adds protecting the security of medical records, reviewing records for completeness, accuracy and compliance, scanning records into electronic formats, and retrieving patient records for physicians and other medical personnel (ONET OnLine, 2026).

On the coding side, your day is chart review: reading provider documentation, assigning diagnosis and procedure codes, and querying clinicians when notes do not support a code. On the billing side it is claim submission, payer portals, denial review, appeals and accounts receivable follow-up. Small practices often blend both.

Tools vary by employer, but ONET lists Microsoft Excel, Microsoft Office, Microsoft Outlook, Epic Systems and Microsoft Word among in-demand technology skills for the occupation (ONET OnLine). Expect to learn whichever EHR and clearinghouse your employer uses during onboarding.

Shifts are usually standard business hours in the employer's time zone, which matters if you are in Alaska or Hawaii applying to an East Coast system. Hospital HIM departments sometimes run evening or weekend coverage. Remote work is common but conditional: a private workspace, a wired connection, company-issued equipment or a VPN, and signed privacy and security policies. Some employers hire remotely only in states where they already have a payroll presence.

• Hospitals and health systems. The largest employer group — O*NET reports 64% of medical records specialists work in health care and social assistance. Openings usually appear on the system's own careers site first.
• Physician practices, specialty clinics and surgery centers. Smaller teams, broader roles, often coding plus billing plus front-office admin.
• Revenue cycle and outsourced billing companies. Part of the remaining 36%, which O*NET places in industries including administrative and support services and management of companies. They hire in volume and train on their own workflow.
• Staffing agencies. Robert Half lists remote medical billing and coding openings, including temporary and contract roles such as Medical Coder and Medical Collections Specialist (Robert Half). Contract-to-hire is common here.
• Remote job boards. FlexJobs lists 100% remote postings with titles such as Coding Supervisor, Specialty Physician Coder and Medical Coder (FlexJobs).
• Association job boards. AAPC runs its own board, which it describes as a resource for medical coding, medical billing, entry-level, work-from-home and remote healthcare jobs (AAPC).
• Freelance marketplaces. Upwork carries remote medical billing and coding postings from individual practices seeking contractors (Upwork) — useful for a track record, though you are self-employed there.

Before applying, check each employer's remote eligibility list: many restrict hiring to named states.

Wages vary widely by state and metro. Use the O*NET local wages tool to filter by your state before negotiating, and treat any single ad as one data point.

1. Check credential entry requirements. AAPC states no mandatory college degree is required for CPC certification; it recommends two years of professional coding experience, and those who pass without it receive the CPC-A apprentice designation (AAPC): https://www.aapc.com/resources/how-to-get-cpc-certified. AHIMA requires a high school diploma or equivalent to sit the Certified Coding Associate exam and recommends, but does not require, six months of coding experience or an AHIMA-approved program (AHIMA, 2022).
2. Train, then sit an exam. O*NET classifies this occupation as Job Zone Three, "Medium Preparation Needed." The CPC exam has 100 multiple-choice questions, a four-hour limit and a 70% pass mark (AAPC): https://www.aapc.com/certifications/cpc/taking-the-cpc-exam. The CCA exam requires a scaled score of 300 (AHIMA): https://www.ahima.org/certification-careers/certifications-overview/cca/. Budget for upkeep: AAPC requires active membership and 36 CEUs every two years; AHIMA requires CEUs and a recertification fee over a two-year cycle.
3. Build a resume that mirrors the posting. List EHR and billing systems you have used, your credential or candidate status, chart types, specialties, and any accuracy or productivity figures you can honestly support. Include Excel and Outlook, both listed among in-demand technology skills (O*NET OnLine).
4. Set up a compliant workspace and payment method. Private room, wired connection, lockable storage, current antivirus. Employed roles mean new-hire paperwork including a W-4 and direct deposit; contract work usually means a W-9. Check current forms on the IRS website rather than a recruiter's summary.
5. Create profiles where these jobs are posted. Health system careers sites, staffing agencies, remote job boards, association job boards, and a freelance marketplace profile if you want contract work.
6. Apply narrowly and tailor each one. A first application should name the specialties and code sets you can work in, your credential status, your time zone and availability during the employer's business hours, and confirm you have a private home workspace.
7. Take an entry route if you need experience. Patient access, records scanning, claims follow-up or AR calling build the background coding employers look for. The guide to remote data entry jobs for beginners on this site covers similar ground on home setup and accuracy standards.

• The employer is real. Look the company up in your state's Secretary of State business registry and confirm the entity name and address match the offer letter.
• Your classification. Employee or independent contractor, in writing, and who supplies equipment.
• Full pay terms. Hourly, salary or production-based; the accuracy threshold behind any production rate; overtime; pay frequency; whether training is paid.
• Payment method and fees. Direct deposit for employment; for contract work, the invoicing cycle, the payment processor and any fees deducted before you are paid.
• No upfront charges. Legitimate employers do not ask you to buy software, pay for a background check or purchase a starter kit.
• State eligibility. Confirm the employer can hire in your state, since remote hiring is often limited to a list.
• Time zone and shifts. Which time zone core hours run on, whether evening or weekend coverage is expected.
• Credential support. Whether membership, exam and CEU costs are covered, and whether your apprentice status is accepted.
• Independent reviews. Search the company on employer review sites such as Glassdoor and in your state attorney general's complaint records.
• Security requirements. Equipment provided, VPN, encryption, and what is expected of your home workspace.