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Aetna Coding Jobs (NOW HIRING)

AMMON Staffing

Medical Coder/Biller

Baton Rouge, LA · On-site

$17 - $22/hr

Required Qualifications • Minimum 2 years of medical billing/coding experience in an outpatient ... Aetna Better Health, AmeriHealth, LA Healthcare Connections, United). • Must follow LDI payer ...

Dennis A Cortes MD PA

Biller Coder

Miramar, FL

$17.50 - $22.25/hr

... ICD10 coding · CPR bills all types of insurance such as Medicare, Medicaid, HMOs, PPOs, Cigna, Aetna, Humana, Blue Cross Blue Shield etc. · Posting Payments o Post all payments to the patient ...

Dennis A Cortes MD PA

Biller Coder

Miramar, FL

$17.50 - $22.25/hr

... ICD10 coding · CPR bills all types of insurance such as Medicare, Medicaid, HMOs, PPOs, Cigna, Aetna, Humana, Blue Cross Blue Shield etc. · Posting Payments o Post all payments to the patient ...

CVS Health

Customer Service Representative

$17 - $31.30/hr

Follow policies, procedures, and the CVS/Aetna Code of Conduct. Your performance will be measured by: * Customer satisfaction with the service you provide. * DemonstratingCVS/Aetna'sValues in ...

CVS Health

Customer Service Representative

$17 - $31.30/hr

Follow policies, procedures, and the CVS/Aetna Code of Conduct. Your performance will be measured by: * Customer satisfaction with the service you provide. * DemonstratingCVS/Aetna'sValues in ...

Oak St. Health

Customer Service Representative

$17 - $31.30/hr

Follow policies, procedures, and the CVS/Aetna Code of Conduct. Your performance will be measured by: * Customer satisfaction with the service you provide. * Demonstrating CVS/Aetna's Values in ...

Oak St. Health

Customer Service Representative

$17 - $31.30/hr

Follow policies, procedures, and the CVS/Aetna Code of Conduct. Your performance will be measured by: * Customer satisfaction with the service you provide. * Demonstrating CVS/Aetna's Values in ...

Oak St. Health

Customer Service Representative

$17 - $31.30/hr

Follow policies, procedures, and the CVS/Aetna Code of Conduct. Your performance will be measured by: * Customer satisfaction with the service you provide. * Demonstrating CVS/Aetna's Values in ...

Oak St. Health

Customer Service Representative

$17 - $31.30/hr

Follow policies, procedures, and the CVS/Aetna Code of Conduct. Your performance will be measured by: * Customer satisfaction with the service you provide. * Demonstrating CVS/Aetna's Values in ...

Oak St. Health

Customer Service Representative

$17 - $31.30/hr

Follow policies, procedures, and the CVS/Aetna Code of Conduct. Your performance will be measured by: * Customer satisfaction with the service you provide. * Demonstrating CVS/Aetna's Values in ...

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Aetna Coding information

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$12

$18

$27

How much do aetna coding jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for aetna coding in the United States is $18.30, according to ZipRecruiter salary data. Most workers in this role earn between $15.62 and $18.27 per hour, depending on experience, location, and employer.

What is an Aetna Coding?

An Aetna Coding job involves reviewing medical records and assigning standardized codes for diagnoses, procedures, and services based on Aetna's policies and industry guidelines such as ICD-10, CPT, and HCPCS. Medical coders ensure accuracy in billing and compliance with insurance regulations. They work closely with healthcare providers and insurance teams to streamline claims processing and minimize errors. Strong knowledge of coding systems, medical terminology, and insurance policies is essential for this role.

What are the typical daily responsibilities of an Aetna Coding professional?

Aetna Coding professionals are primarily responsible for accurately reviewing medical records and assigning appropriate codes based on Aetna's policies and industry standards. Their day involves working with healthcare providers, billing departments, and insurance representatives to resolve coding issues and ensure claim compliance. They may also conduct audits, stay updated on regulatory changes, and provide coding support or education to colleagues. The role requires considerable attention to detail and collaboration within a fast-paced, deadline-driven environment.

What are the key skills and qualifications needed to thrive in the Aetna Coding position, and why are they important?

To excel in Aetna Coding, you need a comprehensive understanding of medical coding systems such as ICD-10, CPT, and HCPCS, typically supported by certifications like CPC or CCS. Experience with healthcare billing software, electronic health record (EHR) systems, and Aetna-specific coding guidelines is highly beneficial. Diligence, attention to detail, and strong analytical skills help coders resolve discrepancies and ensure compliance with insurance requirements. Mastery of these skills ensures accurate claims processing, minimizes denials, and supports efficient healthcare reimbursement.

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Aetna Coding jobs near you
Infographic showing various Aetna Coding job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 1% As Needed, 82% Full Time, 11% Part Time, and 5% Contract. Highlights an 75% Physical, 5% Hybrid, and 20% Remote job distribution, with an average salary of $38,059 per year, or $18.3 per hour.

Coding Appeals Specialist

St. Luke's University Health Network

Allentown, PA • Remote

Part-time

Posted 7 days ago

St. Luke's University Health Network rating

7.1

Company rating: 7.1 out of 10

Based on 270 frontline employees who took The Breakroom Quiz

382nd of 888 rated healthcare providers

Job description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Assures that the most accurate and descriptive codes from the AHA ICD-9-CM/ICD-10-CM/PCS diagnoses and/or procedures support the services/treatment rendered.

JOB DUTIES AND RESPONSIBILITIES:

  • Conduct retrospective medical record reviews for diagnosis and procedure code assignment and MS-DRG accuracy.
  • Identify and provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that affect proper documentation and coding of documented medical care for appropriate reimbursement.
  • Work with the physician liaison in review of patient medical records identified by RAC/MIC/CGI/QIO and other outside auditors in retrospective reviews for DRG and coding-related issues.  May participate in review of other medical necessity issues as needed.
  • Develop and apply appeal arguments to defend the coding of and by the coding professionals and be able to refute the coding determination made by the outside payor including but not limited to CMS, Aetna, IBC, Omniclaim, QIP, Gateway Health, etc.
  • Draft appeal letters, including the coding argument, to support network coding.
  • Identify clinical documentation improvement issues and through excellent communication with physicians, nurses, coding and other members of the health care team and work independently to resolve such issues.
  • Participate as needed in Administrative Law Judge (ALJ) hearings.
  • Spends approximately 20% of their time weekly coding/abstracting patient medical records according to ICD-10-CM/PCS, UHDDS and CMS guidelines.  Utilizes the 3M Encoder to verify and assign ICD-10-CM/PCS diagnosis and procedure codes, and MS-DRG assignment.
  • Performs data entry of coded patient medical records into EPIC, maintaining a 95% coding accuracy rate as measured through quality reviews.
  • Queries physicians when code assignments are not clear and consistent, or when documentation in the record is inadequate, ambiguous, or unclear for coding assignment.

PHYSICAL/SENSORY DEMANDS:

Sitting, standing and light lifting.   Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information. Corrected vision and hearing to within normal range.  Hearing as it relates to normal conversation. Works inside with adequate lighting, comfortable temperature and ventilation.

EDUCATION:

RHIA, RHIT and/or CCS with knowledge of ICD-9-CM and ICD-10-CM/PCS diagnosis/procedure coding and MS-DRG assignment.  Minimum of 5 years coding experience in an acute care, teaching hospital, inpatient setting required.

TRAINING, KNOWLEDGE AND EXPERIENCE:

Minimum 5 years demonstrated inpatient and/or outpatient coding experience in acute care, teaching setting.  Knowledge of anatomy and physiology, pathophysiology, and medical terminology required.  Working knowledge of ICD-10-CM/PCS and ability to understand complex disease processes strongly preferred.  Possesses extensive knowledge of reimbursement systems; extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding and, as needed, medical necessity.  Previous experience with electronic patient medical record/EPIC and 3M encoding system preferred.

Please complete your application using your full legal name andcurrent home address. Be sure toincludeemployment history forthe past seven (7) years, including your present employer. Additionally, you areencouraged to upload a current resume, including all work history, education, and/or certifications andlicenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer.

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