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Billing Coder Jobs in Texas (NOW HIRING)

McPherson Law Firm PLLC

Billing Specialist

Dallas, TX · On-site +1

$35 - $50/hr

Review billing codes and ensure compliance with client agreements * Communicate with attorneys and clients to resolve billing discrepancies * Assist in preparing financial reports and billing ...

Sentido Health

Billing Specialist

Tomball, TX · On-site

$18 - $22/hr

As a Billing Specialist, you'll take ownership of the billing process -- from ensuring precise coding to accurate claim submissions -- and become an essential part of a team dedicated to excellence ...

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How much do billing coder jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for billing coder in Texas is $20.46, according to ZipRecruiter salary data. Most workers in this role earn between $16.78 and $21.49 per hour, depending on experience, location, and employer.

What is a billing coder?

Billing Coders are healthcare professionals who assign standardized codes to medical diagnoses, procedures, and services provided to patients. These codes are used to create accurate billing records and ensure proper reimbursement from insurance companies and government programs. Billing Coders play a crucial role in maintaining compliance with healthcare regulations and helping medical facilities receive timely payment for the services they provide. They often work closely with healthcare providers and administrative staff to verify that documentation supports the codes submitted for billing.

What are the key skills and qualifications needed to thrive as a billing coder?

To thrive as a Billing Coder, you need a solid understanding of medical terminology, coding systems like ICD-10 and CPT, and typically a certification such as CPC or CCS. Proficiency with electronic health record (EHR) systems, billing software, and claims processing tools is essential. Attention to detail, organizational skills, and the ability to communicate effectively with healthcare providers are standout soft skills. These competencies ensure accurate billing, minimize claim denials, and support efficient healthcare revenue cycles.

What are some common challenges faced by billing coders when working with complex medical records?

Billing Coders often encounter challenges when interpreting complex or ambiguous medical records, especially when documentation is incomplete or unclear. In these cases, coders must use their knowledge of coding guidelines and sometimes consult with healthcare providers to ensure accurate code assignment. Attention to detail and strong communication skills are essential to prevent errors that could impact reimbursement or compliance. Staying updated with frequent changes in coding standards and insurance requirements is also a key part of the role.

What is the difference between Billing Coder vs Medical Biller?

AspectBilling CoderMedical Biller
CredentialsCertification (e.g., CPC, CCS)Often certified, but may not require formal credentials
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies, healthcare providers
Primary ResponsibilitiesAssigning codes to diagnoses and proceduresSubmitting claims, following up on payments
OverlapHigh; both handle coding and billing processesModerate; billing includes additional tasks like payment posting

While both Billing Coders and Medical Billers work closely in healthcare revenue cycle management, Billing Coders focus primarily on assigning accurate medical codes, whereas Medical Billers handle the entire billing process, including claim submission and payment follow-up. Understanding these differences helps healthcare professionals and job seekers identify the right role for their skills and career goals.

Are billing coders in demand?

Billing coders are in steady demand due to the ongoing need for accurate medical billing and coding in healthcare. The role requires knowledge of coding systems like ICD-10 and CPT, and employment opportunities are often available in hospitals, clinics, and insurance companies. As healthcare continues to grow, the demand for skilled billing coders is expected to remain stable.

Is it hard to become a billing coder?

Becoming a billing coder typically requires completing a postsecondary certificate or diploma program in medical billing and coding, along with passing a certification exam such as the Certified Professional Coder (CPC). The job involves learning medical terminology, coding systems, and using billing software, but with training and practice, it is accessible for many individuals interested in healthcare administration.

What do you do as a billing coder?

A billing coder reviews medical records and assigns standardized codes to diagnoses and procedures for billing purposes. They ensure accurate coding to facilitate proper reimbursement from insurance companies and may use coding systems like ICD-10 and CPT. Attention to detail and knowledge of medical terminology are essential for this role.

What cities in Texas are hiring for Billing Coder jobs?

Cities in Texas with the most Billing Coder job openings:

Billing Coder jobs near you
Infographic showing various Billing Coder job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 11% Part Time, 3% Contract, and 1% Nights. Highlights an 81% Physical, 4% Hybrid, and 15% Remote job distribution, with an average salary of $42,550 per year, or $20.5 per hour.

Physician Billing Coding Integrity Specialist - Coding

Tyler, TX • On-site

CHRISTUS Health
Outpatient Health Care • 1 - 5K employees
Learn more about CHRISTUS Healthexternal

$17.75 - $22.50/hr

Full-time

Re-posted 22 days ago

CHRISTUS Health rating

6.7

Company rating: 6.7 out of 10

Based on 538 frontline employees who took The Breakroom Quiz

Job description

Summary:
The Coding Integrity Specialist is responsible for ensuring accuracy and compliance in medical coding practices related to professional billing. This role involves auditing clinical documentation and medical records to validate CPT, HCPCS, and ICD-10-CM codes, ensuring adherence to federal regulations, payer policies, and internal standards. The auditor provides feedback and recommendations to providers and coding staff to improve coding quality and mitigate compliance risks. May be assigned to variable work areas throughout CTC. Works cooperatively as a team with all coding, education, revenue cycle, and management associates.
Responsibilities:
  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Conducts provider coding and documentation audits annually and as required by CPEA program guidelines.
  • Performs both retrospective and prospective audits of professional billing codes to ensure compliance with CMS, AMA, OIG, and other regulatory standards.
  • Applies ethical coding principles (CMS, AMA, CPT, ICD-10-CM), HCC coding standards, and revenue cycle knowledge to assess coding accuracy and billing integrity.
  • Reviews clinical documentation to confirm correct assignment of CPT, HCPCS, and ICD-10 codes.
  • Identifies coding trends, errors, and risk areas; recommends corrective actions and process improvements.
  • Delivers written and verbal feedback to coders and providers; proposes topics for additional training or educational materials when necessary.
  • Stays current with CMS and state-specific Medicaid coding and documentation guidelines.
  • Maintains active certification through appropriate professional organizations.
  • Continuously updates knowledge of the revenue cycle, practice management software, and electronic medical records through ongoing education.
  • Supports department flexibility and adapts to evolving departmental needs.
  • Contributes to achieving departmental performance goals and completes mandatory training requirements.
  • Adheres to all standard operating procedures, tools, and workflows, maintaining an organized and efficient work environment.
  • Provides mentoring and training on coding and billing integrity to new team members when needed.
  • Complies with CHRISTUS Health's HIPAA policies to prevent unauthorized disclosure of Protected Health Information (PHI).
  • Communicates clearly and professionally in alignment with the CHRISTUS Health mission and values.
  • Conducts all responsibilities in accordance with CHRISTUS Health's Code of Ethics and diversity objectives.
  • Performs other related duties as assigned.

Job Requirements:
Education/Skills
  • Bachelor's degree in Health Information or related field, or equivalent combination of education/experience, preferred

Experience
  • 5+ years of experience in CPT, HCPCS, and ICD-10-CM coding required
  • 3+ years of audit experience in a multi-specialty physician office setting

Licenses, Registrations, or Certifications
  • One or more of the following certifications are required:
    • Registered Health Information Administrator (RHIA) from AHIMA
    • Registered Health Information Technician (RHIT) from AHIMA
    • Certified Professional Coder (CPC) from AAPC
    • Certified Coding Specialist (CCS) from AHIMA
  • Certified Professional Medical Auditor (CPMA) or Certified Documentation Expert Outpatient (CDEO) required within 6 months of employment

Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time

What CHRISTUS Health employees say

Pay

Benefits

Hours and flexibility

Workplace

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About CHRISTUS Health

Sourced by ZipRecruiter

CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.

Industry

Outpatient health care

Company size

1,001 - 5,000 Employees

Headquarters location

Irving, TX, US

Year founded

1999

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