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Ambulatory Surgery Coder Jobs in Texas (NOW HIRING)

Primarily code complex ambulatory surgery, special procedure, and observation cases . * Assist with emergency department, outpatient ancillary, specialty clinic, and clinic visit coding as needed.

Coder is responsible for: * Analyzing provider documentation * Assign and sequence ICD-10-CM, CPT ... Ambulatory surgery, General surgery, ENT surgery, Eye/Vision surgery, Interventional Radiology ...

Coder is responsible for: * Analyzing provider documentation * Assign and sequence ICD-10-CM, CPT ... Ambulatory surgery, General surgery, ENT surgery, Eye/Vision surgery, Interventional Radiology ...

Outpatient coding is applicable towards clinical, provider office visits, therapeutic, laboratory, recurring, emergency department, outpatient observation, and ambulatory surgery patient encounters.

$17 - $22.50/hr

Ambulatory Procedure Visit Medical Coder - An Associate's degree or higher in Health Information ... surgical and ancillary specialties within the past 10 years. A minimum of one (1) year of ...

$17 - $22.50/hr

Ambulatory Procedure Visit Medical Coder - An Associate's degree or higher in Health Information ... surgical and ancillary specialties within the past 10 years. A minimum of one (1) year of ...

ED Senior Coder

Houston, TX · Remote

$32 - $35/hr

... ambulatory surgery, emergency room, outpatient, and ancillary visit. Complete and verify diagnostic ... Routinely code Emergency Department records and enter E&M charges the majority of productive time.

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Ambulatory Surgery Coder information

See Texas salary details

$14

$20

$32

How much do ambulatory surgery coder jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for ambulatory surgery coder in Texas is $20.89, according to ZipRecruiter salary data. Most workers in this role earn between $16.78 and $22.40 per hour, depending on experience, location, and employer.

What is an ambulatory surgery coder?

An Ambulatory Surgery Coder is a medical coding professional who assigns standardized codes to procedures and diagnoses for outpatient surgical services. They review medical records, physician notes, and operative reports to ensure accurate coding for billing and compliance. These coders must be proficient in ICD-10, CPT, and HCPCS coding systems. Their role helps healthcare facilities receive appropriate reimbursement and maintain regulatory adherence.

What does an ambulatory surgery coder do, and with whom do they typically collaborate?

A typical day for an Ambulatory Surgery Coder involves reviewing surgical reports, assigning appropriate codes to procedures, and verifying documentation for accuracy and compliance. You’ll regularly collaborate with surgeons, nurses, and billing teams to clarify clinical information and ensure proper coding. Depending on the facility, you may work independently or as part of a larger coding team, and ongoing education is often encouraged to stay current with evolving coding standards. This collaborative and detail-oriented environment is vital in supporting timely and accurate billing processes.

What are the key skills and qualifications needed to thrive as an ambulatory surgery coder?

To thrive as an Ambulatory Surgery Coder, you need a solid understanding of medical terminology, surgical procedures, and coding systems such as ICD-10-CM, CPT, and HCPCS, often supported by a relevant certification such as CPC or CCS. Experience with coding software, electronic health records (EHRs), and hospital information management systems is highly valuable. Attention to detail, analytical thinking, and effective communication are standout soft skills for this position. These skills and qualities are crucial to ensure accurate reimbursement, compliance with regulations, and efficient workflow in a clinical setting.

What are the most commonly searched types of Ambulatory Surgery Coder jobs in Texas?

The most popular types of Ambulatory Surgery Coder jobs in Texas are:

What job categories do people searching Ambulatory Surgery Coder jobs in Texas look for?

The top searched job categories for Ambulatory Surgery Coder jobs in Texas are:

Infographic showing various Ambulatory Surgery Coder job openings in Texas as of August 2026, with employment types broken down into 1% Locum Tenens, 3% As Needed, 82% Full Time, 10% Part Time, and 4% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $43,450 per year, or $20.9 per hour.

Full-time

Re-posted 19 days ago


Cook Children's Health Care System rating

7.9

Company rating: 7.9 out of 10

Based on 78 frontline employees who took The Breakroom Quiz

107th of 893 rated healthcare providers


Job description

Location:

Medical Center - Fort Worth

Department:

HIM-Coding

Shift:

First Shift (United States of America)

Standard Weekly Hours:

40

Summary:

Requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. Primarily codes complex ambulatory surgery and observation visit medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all types of CCHCS reporting. Assists with coding outpatient ancillary clinic, specialty clinic and emergency room record coding as necessary. Minimum expected accuracy rate for all coding assignments is 95%. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists on patient cases regarding documentation needs and requirements, and coding assignment accuracy. Maintains current knowledge of coding and documentation changes, rules and guidelines.
Education:

  • RHIA, RHIT or CCS with one (1) year minimum current and continuous full-time ICD-10-CM& CPT-4 ambulatory surgery, observation and/or inpatient coding and abstracting experience required.
  • Pediatric coding experience highly desired.
  • Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for job role required.
  • Experience using Microsoft Office Excel and Word highly desired.
  • Ability to work well independently and productively with minimal guidance and without direct supervision.
  • Must be highly detail oriented, have the ability to remain focused with good organization, interpersonal and communication skills.
  • Ability to maintain confidentiality.
  • Goal oriented, flexible and energetic.
  • Demonstrates coding skills, and critical thinking skills.
  • Ability to solve problems appropriately using job knowledge and current policies and procedures.
  • Demonstrated coding knowledge and proficiency is required through on-site skills assessment with a passing score of 90% prior to hire.

Certification/Licensure:

  • Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) required.
  • Required to provide current American Health Information Management Association (AHIMA) continuing education certification records.

About Us:

Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs.

Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.


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About Cook Children's Health Care System

Sourced by ZipRecruiter

Cook Children's Health Care System, based in Fort Worth, Texas, operates in the healthcare industry with a primary focus on pediatric health services. Established in 1918, the system has been committed to improving the health of children through the prevention and treatment of childhood diseases. This integrated pediatric healthcare system includes a medical center, physician network, home health company, research institute, and a health plan. At the core of its operations is the mission to 'Improve the Health of Every Child' in its community, reflecting its commitment to providing quality care, research, education, and prevention and wellness services.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1918

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