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Ancillary Coding Jobs (NOW HIRING)

Tenet Health

Coding Educator

San Antonio, TX · On-site

$24.50 - $28/hr

Deliver continuous coding education to clinicians and ancillary staff to ensure adherence to all TPR coding policies, payer guidelines, and governmental regulations. * Identify and mitigate ...

Tenet Health

Coding Educator

San Antonio, TX · On-site

$24.50 - $28/hr

Deliver continuous coding education to clinicians and ancillary staff to ensure adherence to all TPR coding policies, payer guidelines, and governmental regulations. * Identify and mitigate ...

Tenet Health

Coding Educator

San Antonio, TX · On-site

$24.50 - $28/hr

Deliver continuous coding education to clinicians and ancillary staff to ensure adherence to all TPR coding policies, payer guidelines, and governmental regulations. * Identify and mitigate ...

Cincinnati Children's

Coding Rep I

$22.18 - $27.73/hr

Interest or exposure in HB ancillary, laboratory, radiology, or related coding. * Careful review of medical records and consistent application of coding guidance. * Ability to learn formal processes ...

Cincinnati Children's

Coding Rep I

$22.18 - $27.73/hr

Interest or exposure in HB ancillary, laboratory, radiology, or related coding. * Careful review of medical records and consistent application of coding guidance. * Ability to learn formal processes ...

Infinx Healthcare

Coding Specialist

$19 - $22/hr

Code across ambulatory settings including clinic E&M, ambulatory surgery, observation, emergency department, infusion/injection, diagnostic imaging, and ancillary services are assigned * Review ...

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Ancillary Coding information

What is ancillary coding?

Ancillary coding refers to the process of assigning medical codes to services and procedures that support patient care but are not the primary reason for a healthcare visit. These services can include laboratory tests, radiology imaging, physical therapy, and other supportive treatments. Ancillary coders ensure that these services are accurately documented and billed, supporting proper reimbursement and compliance with healthcare regulations. The role requires knowledge of medical terminology, coding systems such as CPT and ICD-10, and attention to detail.

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

To thrive as an Ancillary Coder, you need a solid understanding of medical terminology, anatomy, and coding systems such as ICD-10, CPT, and HCPCS, often supported by a coding certification like CPC or CCS. Familiarity with electronic health records (EHRs), coding software, and medical billing platforms is typically required. Attention to detail, analytical thinking, and effective communication are vital soft skills for ensuring coding accuracy and resolving discrepancies. These skills are crucial for ensuring compliant, accurate reimbursement and minimizing claim denials in healthcare organizations.

What are some common challenges faced by professionals in ancillary coding, and how can they be addressed?

Professionals in Ancillary Coding often encounter challenges such as keeping up with frequent updates to coding regulations, accurately interpreting complex medical documentation, and ensuring compliance with payer requirements. Staying current through ongoing education, participating in regular team training sessions, and utilizing robust coding resources can help address these challenges. Collaborating closely with healthcare providers and billing teams also promotes accuracy and efficiency, helping to minimize claim denials and improve reimbursement rates.

What is the difference between Ancillary Coding vs Medical Billing Specialist?

AspectAncillary CodingMedical Billing Specialist
CredentialsCertified Professional Coder (CPC), Certified Coding Associate (CCA)Billing and Coding Certification (CBC), CPC often preferred
Work EnvironmentHospitals, clinics, outpatient facilitiesMedical offices, billing companies, healthcare providers
Job FocusAssigning codes for procedures and diagnoses in ancillary servicesProcessing claims, billing patients, insurance follow-up
Industry UsageUsed mainly in outpatient and hospital settings for codingUsed across healthcare settings for billing and claims processing

Ancillary Coding primarily involves assigning medical codes for outpatient procedures and services, focusing on accurate documentation for billing purposes. Medical Billing Specialists handle the entire billing process, including submitting claims and managing payments. While both roles require coding knowledge and certifications, Ancillary Coding is more specialized in coding procedures, whereas Medical Billing Specialists focus on the billing cycle and insurance claims.

More about Ancillary Coding jobs

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Ancillary Coding jobs near you
Infographic showing various Ancillary Coding job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 11% Part Time, 1% Temporary, and 5% Contract. Highlights an 75% Physical, 5% Hybrid, and 20% Remote job distribution.

Coding Operations Lead / Senior Coding Supervisor

R3 Management Services

Bay Pines, FL • Remote

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Coding Operations Lead / Senior Coding Supervisor

The Coding Operations Lead manages the day-to-day performance of the professional coding team responsible for inpatient, outpatient, surgical, and ancillary encounter coding (PWS §3.1). This role ensures coders meet the 5-day turnaround standard, maintains ≥95% accuracy, and serves as the escalation point for complex or ambiguous coding scenarios and provider queries.

Key Responsibilities

  • Supervise and schedule the coding team to meet volume targets (approx. 50,000 outpatient encounters/year) and PWS §5.0 timeliness standards.
  • Assign and validate ICD-10-CM/PCS, CPT, and HCPCS codes for outpatient, ancillary, and surgical encounters; ensure correct sequencing and encounter resolution.
  • Oversee the facility-directed query/clarification process for conflicting or ambiguous documentation.
  • Manage the re-review workflow: respond to VA requests for edits, denials, and retrospective reviews, and correct unsupported, unbundled, or inaccurate code assignments within 3–5 calendar days.
  • Apply and enforce Official Coding Guidelines (AHA, AMA, CMS, NCHS), VHA Coding Guidelines, and NCCI edits; ensure local VA policy deviations are followed where applicable.
  • Flag non-billable encounters using standardized encoder reasons and coordinate billing communication.
  • Monitor individual and team accuracy/productivity metrics and feed data into weekly/monthly status reports.
  • Coordinate with the Lead Coding Auditor on audit findings and drive corrective action/coder retraining.
  • Ensure data acceptance by national VA data repositories and promptly correct rejected records.

Minimum Qualifications

  • Minimum 5 years of professional medical coding experience, including at least 2 years in a lead/supervisory capacity.
  • Formal training in anatomy, medical terminology, pathophysiology, and reimbursement methodologies (PWS §6.0).
  • Demonstrated proficiency in VA or comparable EHR/encoder platforms.
  • Strong knowledge of outpatient, ancillary, and surgical coding across multiple specialties.
  • U.S. citizen (PWS §6.0 citizenship requirement for coders).

Required / Preferred Certifications

  • Active credential required: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H, or ICD-10-CM/PCS Trainer certification (per PWS §6.0).
  • AAPC or AHIMA credential in good standing.

Security & Compliance

  • Subject to VA background investigation/fitness determination per assigned risk tier before EHR access is granted.
  • Must complete VA privacy/security and records-management training prior to performance start.
  • Handles PHI/PII in accordance with HIPAA and VA data protection requirements.