The Gatekeeper is contacted when a policy holder needs a medical service for which the Gatekeeper's intervention is required to determine the lowest possible costs without jeopardizing care, such as an expensive surgery. Depending on the health care plan, the Gatekeeper then tells the patient who they can see in the payer's network of care providers who will accept what the payer offers along with deductibles or copayments. Many employers are self-insured, which means that they pay into an account the monies they would normally pay in health insurance premiums. Gatekeepers are of paramount importance because the monies they save the self-insurance fund become retained capital instead of money spent. Naturally, insurance companies can't offer employers a similar deal.
Jobs are easy to locate since the work is in high demand.
National companies are forming which can be contacted to subcontract coding services. And besides all of that, we personally know coders who work at home. That's a simple one. Medical transcriptionists type the reports coders code. That textual document becomes a part of the primary record, and the coder reviews it in order to abstract and codify what was done.