Remote Facility Coder

Job Overview

Virelia Health connects facility coders with opportunities across hospital facility coding, ancillary service coding, and remote facility reimbursement.

We are seeking qualified Facility Coders for remote opportunities supporting hospitals, health systems, ambulatory facilities, ancillary departments, and revenue cycle organizations.

A Remote Facility Coder codes hospital facility services across outpatient, ancillary, and facility settings for facility-side reimbursement. Working within their coding certification and coding compliance scope, the facility coder reviews hospital facility records, assigns ICD-10-CM, ICD-10-PCS (as applicable), CPT, and HCPCS codes, and supports accurate facility-side billing across outpatient and ancillary services.

This position is well-suited to an experienced facility coder with hospital facility coding knowledge, ancillary service coding experience, and coding certification who wants to work in a virtual setting — providing meaningful facility coding support with schedule flexibility and without the demands of a facility-based environment.

The specific facility focus, ancillary service mix, and scope of responsibilities will depend on the employer and assignment.

This opportunity may be suitable for professionals searching for remote facility coder jobs, work-from-home facility coder jobs, remote hospital facility coder jobs, virtual facility coder, or telehealth facility coding specialist roles.

What You'll Do

As a Remote Facility Coder, you may support hospital facility coding across a range of virtual coding encounters.

• Review hospital facility records for facility coding — hospital records, ancillary reports, and clinical documentation.
• Assign ICD-10-CM diagnosis codes — accurately coding diagnoses supported by documentation.
• Assign ICD-10-PCS procedure codes — accurately coding facility procedures as applicable.
• Assign CPT codes — accurately coding facility outpatient procedures and services.
• Assign HCPCS codes — accurately coding supplies, drugs, and DME items.
• Assign APC — assigning Ambulatory Payment Classifications for outpatient facility reimbursement.
• Assign MS-DRG — assigning MS-DRG for facility inpatient cases as applicable.
• Apply modifiers — applying appropriate modifiers for facility-side billing.
• Support ancillary service coding — coding ancillary departments such as radiology, lab, and cardiology.
• Support coding quality — supporting facility coding quality and coding accuracy.
• Support coding compliance — maintaining coding compliance with ICD-10-CM, ICD-10-PCS, CPT, HCPCS, APC, MS-DRG, and CMS requirements.
• Support coding audits — supporting internal and external facility coding audits.
• Support CDI collaboration — coordinating with CDI specialists on facility documentation clarification.
• Support coding production — maintaining productivity and accuracy standards.
• Document coding work accurately in the coding system and coding documentation.
• Coordinate with coding teams, CDI teams, and revenue cycle teams as needed.
• Support denial management — supporting coding-related denial management and appeals.
• Participate in coding quality improvement and revenue cycle quality improvement.
• Maintain current knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, APC, MS-DRG, coding guidelines, and CMS requirements.
• Protect patient data and maintain HIPAA compliance across all virtual facility coding work.

Virtual Facility Coder Focus

Virtual facility coding is a growing area of healthcare coding — driven by increased demand for facility coding accuracy, expanded telehealth coverage for remote coding work, and the recognition that facility coders improve coding accuracy and hospital revenue through accurate facility coding across outpatient and ancillary services. Virtual facility coders extend coding reach, support hospitals and health systems, and improve facility coding quality across organizations.

Depending on the program, virtual facility coding may focus on:

The facility coder's role is to provide hospital facility coding within their coding certification and coding compliance scope — including hospital facility record review, ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding, APC and MS-DRG assignment, coding documentation, and coding compliance. Clinical decisions, patient care decisions, and clinical documentation decisions remain with clinical leadership and provider documentation; the facility coder supports the coding process and coordinates with coding, CDI, and revenue cycle teams.

This structure keeps the role focused on hospital facility coding, ancillary service coding, APC and MS-DRG assignment, documentation, and coding compliance.

Ancillary Service Coding & Facility Reimbursement Support

Effective virtual facility coding depends on strong hospital facility coding skills and ancillary service coding knowledge — the coder's coding expertise and clinical documentation knowledge determine how to help hospitals achieve accurate facility-side coding.

Depending on the program and clinical focus, you may support facility coding by:

• Reviewing hospital facility records for facility coding.
• Assigning ICD-10-CM diagnosis codes — diagnoses supported by documentation.
• Assigning ICD-10-PCS procedure codes — facility procedures as applicable.
• Assigning CPT codes — facility outpatient procedures and services.
• Assigning HCPCS codes — supplies, drugs, and DME items.
• Assigning APC — Ambulatory Payment Classifications.
• Assigning MS-DRG — MS-DRG for facility inpatient cases as applicable.
• Applying modifiers — appropriate modifiers for facility-side billing.
• Supporting ancillary service coding — radiology, lab, cardiology.
• Supporting coding quality — facility coding quality and accuracy.
• Supporting coding compliance — ICD-10-CM, ICD-10-PCS, CPT, HCPCS, APC, MS-DRG, and CMS requirements.
• Supporting coding audits — internal and external facility coding audits.
• Documenting coding work accurately and consistently.
• Supporting denial management — coding-related denial management and appeals.

Coding expertise, clinical documentation knowledge, and clear communication are essential — facility coders are the coding professionals who help hospitals achieve accurate facility coding across outpatient and ancillary services.

Virtual Facility Coder Workflow

A Remote Facility Coder may follow a structured workflow across each virtual facility coding encounter.

Depending on the employer's protocols, you may:

Required Qualifications

• Previous experience as a facility coder, hospital coder, or outpatient facility coder.
• Strong hospital facility coding knowledge, ancillary service coding skills, and facility reimbursement experience.
• Comfortable with ICD-10-CM, ICD-10-PCS (as applicable), CPT, HCPCS, APC, and facility coding workflows.
• Coding certification (CCS, COC, CIC, RHIT, or RHIA) strongly preferred.
• Strong documentation and time-management skills.
• Ability to work independently in a remote environment.
• Ability to maintain confidentiality and HIPAA compliance.
• Reliable internet and a private workspace suitable for confidential coding work.

Preferred Qualifications

Experience or certification in any of the following may be beneficial:

Skills & Competencies

Facility Coding Skills

Communication & Engagement

Digital Health & Technology

A Typical Day

A typical day may begin by reviewing coding queues and coding assignments — checking facility coding priorities and coding production tasks across outpatient and ancillary services.

You'll review hospital facility records — reviewing hospital records, ancillary reports, and clinical documentation to identify diagnoses and procedures supported by documentation.

You'll assign ICD-10-CM diagnosis codes, ICD-10-PCS procedure codes (as applicable), CPT and HCPCS codes for facility services, and assign APC and MS-DRG — accurately coding facility services for hospital billing.

Between coding activities, you'll support coding quality, coding compliance, and coding audits, and document coding work accurately in the coding system.

Throughout the day, you'll coordinate with coding teams, CDI teams, and revenue cycle teams, and support coding compliance with ICD-10-CM, ICD-10-PCS, CPT, HCPCS, APC, MS-DRG, and CMS requirements.

The role combines hospital facility coding, ancillary service coding, APC and MS-DRG assignment, coding compliance, documentation, and CDI collaboration.

Unlike professional fee coder work, which focuses on physician services and outpatient procedures, facility coder work spans hospital facility services across outpatient and ancillary settings — you're the facility coder who helps hospitals achieve accurate facility-side coding across their service lines.

Remote Work Environment

This position is designed for remote facility coding delivery.

Depending on the employer, you may work with:

Candidates should have a stable internet connection suitable for coding system remote access, a private workspace suitable for confidential coding work, and comfort with multiple coding and revenue cycle systems.

Certification & Eligibility

Remote facility coder roles are currently in highest demand in states with large hospital networks, academic medical centers, ancillary service networks, and healthcare IT investment:

Top-demand states: California, Texas, Florida, New York, Pennsylvania, Ohio, Illinois, Michigan, Georgia, North Carolina, Arizona, Colorado.

Strong secondary markets: Connecticut, Indiana, Maryland, Massachusetts, Minnesota, Missouri, New Jersey, Tennessee, Virginia, Washington, Wisconsin.

Facility coders may hold CCS, COC, CIC, RHIT, RHIA, or equivalent coding certification. Some employers require certification; others accept relevant facility coding experience. Requirements vary by employer. Always confirm the specific certification requirements with the employer before applying.

Want to know which states accept remote healthcare roles? Read our remote healthcare licensure guide.

Compensation & Benefits

This position offers $26–$46 per hour, based on experience, geographic location, coding certification, and assignment requirements. Remote facility coder roles typically offer scheduled weekday work and structured coding cycles.

Benefits are assignment-specific and may vary depending on whether the opportunity is full-time, part-time, contract, or direct hire. Depending on the employer, benefits may include:

Why Consider Remote Facility Coder Work?

Virtual facility coding is expanding rapidly — driven by increased demand for facility coding accuracy, expanded telehealth coverage for remote coding work, and the recognition that facility coders improve coding accuracy and hospital revenue through accurate facility coding across outpatient and ancillary services.

Many facility coders find remote facility coder roles appealing because they offer:

• Meaningful clinical impact — you're helping hospitals and health systems achieve accurate facility-side coding.
• Predictable work schedule — structured weekday work without facility floor assignments or physical demands.
• Facility coding career pathway — experience translates into coding leadership, facility coding leadership, and revenue cycle leadership.
• No facility pressures — no unit staffing concerns, no physical demands, no rotating floor coverage.
• Growing employer demand — hospitals, health systems, ambulatory facilities, ancillary departments, and revenue cycle organizations are all hiring remote facility coders.

It may be particularly suitable for facility coders with hospital facility coding knowledge, ancillary service coding experience, and coding certification who want to practice in a structured virtual setting with predictable schedules.