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Cpc Coding Jobs (NOW HIRING)

HEALTHCLAIMS PARTNERS LLC

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Certified Professional Coder (CPC) Needed

Paramus, NJ · Hybrid

$23 - $30.50/hr

Revenue Cycle Management / Medical Coding About the Position We are seeking an experienced Certified Professional Coder (CPC) with a strong background in Anesthesia Coding to join our team in a ...

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CPC Coding information

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How much do cpc coding jobs pay per hour?

As of Jul 8, 2026, the average hourly pay for cpc coding in the United States is $29.29, according to ZipRecruiter salary data. Most workers in this role earn between $21.88 and $29.09 per hour, depending on experience, location, and employer.

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

AspectCpc CodingMedical Billing Specialist
CredentialsCertified Professional Coder (CPC)Billing and Coding Certification (e.g., CPC, CBCS)
Work EnvironmentHospitals, clinics, outpatient facilitiesMedical offices, billing companies, healthcare providers
Primary ResponsibilitiesAssigning codes to diagnoses and proceduresSubmitting claims, follow-up, payment processing
Industry UsageWidely used in coding and documentationUsed in billing, claims processing, revenue cycle management

While both roles involve healthcare documentation, Cpc Coding focuses on assigning accurate medical codes, whereas Medical Billing Specialists handle the billing process and insurance claims. Understanding these differences helps healthcare professionals choose the right career path or job focus.

What jobs can I get with my CPC?

A Certified Professional Coder (CPC) credential qualifies individuals for medical coding roles such as medical coder, billing specialist, or coding auditor. These jobs involve reviewing medical records, assigning appropriate codes for billing and insurance purposes, and often require familiarity with coding systems like ICD-10, CPT, and HCPCS. Certification can improve job prospects in healthcare facilities, outpatient clinics, and insurance companies.

What is CPC coding?

CPC coding refers to the process of assigning standardized medical codes to diagnoses, procedures, and services for billing and insurance purposes. CPC stands for Certified Professional Coder, a credential offered by the AAPC that demonstrates expertise in medical coding. CPC coders use systems like CPT, ICD-10-CM, and HCPCS Level II to accurately translate clinical documentation into codes. This ensures healthcare providers are properly reimbursed and helps maintain compliance with regulations.

How much does an entry level CPC make?

An entry-level Certified Professional Coder (CPC) typically earns between $30,000 and $45,000 annually, depending on location, employer, and experience. Certification from the American Academy of Professional Coders (AAPC) can improve job prospects and starting salary potential.

What is the highest salary for a CPC coder?

The highest salary for a Certified Professional Coder (CPC) can reach over $70,000 annually, especially for experienced coders with specialized skills or those working in high-demand healthcare settings. Salaries vary based on experience, certifications, location, and employer size.

What are the key skills and qualifications needed to thrive as a CPC Coder, and why are they important?

To thrive as a CPC Coder, you need a solid understanding of medical terminology, anatomy, and coding guidelines, typically demonstrated by earning the Certified Professional Coder (CPC) credential. Proficiency with medical coding software, electronic health records (EHR) systems, and familiarity with ICD-10, CPT, and HCPCS coding sets are essential. Attention to detail, analytical thinking, and strong organizational skills help coders ensure accuracy and compliance. These skills are crucial for maximizing reimbursement, minimizing errors, and maintaining regulatory compliance in healthcare billing processes.

What are some common challenges faced by CPC Coders when working with complex medical records?

CPC Coders often encounter challenges when deciphering incomplete or ambiguous documentation in patient records, which can make accurate code selection difficult. They must stay updated on frequent changes in coding guidelines and payer requirements, which adds complexity to their daily tasks. Additionally, balancing productivity with accuracy, especially when working under tight deadlines or high-volume workloads, is a common challenge. Collaboration with physicians and other healthcare staff is essential to clarify documentation and ensure compliance.

Are CPC coders in demand?

CPC coders, who specialize in medical coding using the CPT (Current Procedural Terminology) system, are in steady demand due to the ongoing need for accurate medical billing and coding in healthcare. Employment opportunities are expected to grow as healthcare providers and insurance companies require skilled coders to ensure proper reimbursement and compliance, often requiring certification such as CPC from the AAPC. Strong attention to detail and familiarity with coding software are important for success in this field.
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CPC Coding jobs near you
Medical Policy & Coding Support Coordinator (CPC/CPC-A preferred)

Medical Policy & Coding Support Coordinator (CPC/CPC-A preferred)

Wellmark, Inc.

Des Moines, IA • Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Company Description

Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we've built our reputation on over 80 years' worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors-our members. If you're passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today! 

Learn more about our unique benefit offerings here. 

Job Description

Use Your Strengths at Wellmark! 

About the role: As a Medical Policy & Coding Support Coordinator, you will play a key role in supporting medical policy functions by providing medical coding, system configuration, and administrative and operational support. Using your medical coding knowledge, you will also perform coding analyses and utilization reporting to recommend necessary updates to medical policies and system configuration. You will participate in cross-functional meetings to align with enterprise strategic priorities and contribute to the overall success of the Medical Policy Team's operations. 

About you: You are experienced in provider payment, claims and/or medical coding. You are an effective communicator, naturally inquisitive and are skilled at developing thoughtful solutions based on your medical coding experience and strong critical thinking skills. You are a self-starter who thrives in a highly autonomous work environment where your time management, administrative, prioritization, and organizational skills are critical to success. You are resourceful and detail-oriented, with a high degree of quality control in your work. Technology savviness is a must. Top candidates will have their CPC or CPC-A, along with recent direct coding application/interpretation work.

Must be willing to work core business hours of 8 AM - 5 PM Central Time.

Candidates located in Iowa or South Dakota preferred. This role is remote eligible and will require candidates to provide high-speed internet at their home work location.  

Qualifications

Preferred Qualifications - Great to have:

  • Associate's or bachelor's degree in a relevant field (e.g., health administration, business administration, or a related discipline).
  • Claims experience with knowledge of Facets is strongly preferred.
  • Familiarity with SAP BusinessObjects.
  • Certified Professional Coder (CPC) or Certified Professional Coder-Apprentise (CPC-A).
  • Auditing expereince, such as data comparison, validating discrepancies and reconciling differences.

Required Qualifications - Must have:

  • High school diploma or GED.
  • Certified Professional Coder (CPC) required. Must attain the certification within 12 months of hire and maintain throughout employment.
  • 4+ years of experience in provider payment, claims or medical coding. Demonstrates coding knowledge - e.g. ICD-10, HCPC, CPT.
  • Detail-oriented with the ability to ensure accuracy and consistency in all operations and deliverables.
  • Strong customer service and communication skills to respond to inquiries in a timely and professional manner.
  • Strong organizational and project management skills, with the ability to manage multiple tasks and deadlines effectively.
  • Ability to handle administrative tasks such as filing external appeals and supporting various team functions as assigned.
  • Strong critical thinking and decision-making skills; effectively identifies, researches, tests, and analyzes issues.
  • Strong written and verbal communication skills with the ability to express complex concepts clearly and concisely.
  • Has demonstrated the ability to obtain relevant information by relating and comparing data from different sources.
  • Ability to adhere to quality and production metrics. Demonstrates commitment to accuracy, quality, timeliness, organization, and attention to details.
  • Self-starter with strong workflow management skills. Thinks up and down stream to effectively manage deliverables.
  • Proficient with MS Office.
Additional Information

What you will do:

a. Support Medical Policy Team's operations, including creating and managing monthly Medical Policy production timelines, quarterly production timeline for N/R/D Code processing, maintaining Medical Policy material distribution lists, and filing external appeals.
b. Verify that the monthly authorization table updates align with quality expectations and track performance metrics.
c. Support virtual monthly Medical Policy Committee (MPC) operations, including taking minutes, developing, circulating, and presenting agenda PowerPoint during monthly MPC virtual meetings.
d. Partner with the coding specialist role in the support of the Medical Policy Implementation Committee (MPIT), including preparing and sending information to MPIT, and generating post- policy discussion documents.
e. Support Medical Policy leadership in initial research on impact of changes in vendor and BCBSA Reference Medical Policy changes and opportunities for new policy development.
f. Monitor and triage Medical Policy inbox for external inquiries and creating of SharePoint forms for internal inquiries.
g. Perform monthly medical policy coding analyses and SAP BusinessObjects reports to identify and recommend necessary changes based on comparison to BCBSA reference medical policies, sentinel commercial health plan benchmarks and utilization patterns and implementation of claim system edits to support its intent. Health policy coding requirements are implemented, tested, documented, and audited to assure compliance and accuracy.
h. Ensure that all documentation related to health policy decisions, changes, implementations, and communications are complete, accurate, and timely.
i. Update system configurations to ensure accurate administration of health policies including changes related to coding file updates, health policy revisions, FEP, regulatory requirements or other internal processes as needed.
j. Participate in cross-functional meetings or initiatives to support the enterprise strategic priorities.
k. Other duties as assigned.

Remote Eligible: You will have the flexibility to work where you are most productive. This position is eligible to work fully remote. Depending on your location, you may still have the option to come into a Wellmark office if you wish to. Your leader may ask you to come into the office occasionally for specific meetings or other 'moments that matter' as well.  

An Equal Opportunity Employer

The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.

Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at [email protected]

Please inform us if you meet the definition of a "Covered DoD official".

At this time, Wellmark is not considering applicants for this position that require any type of immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the United States. This includes, but IS NOT LIMITED TO: F1-OPT, F1-CPT, H-1B, TN, L-1, J-1, etc. For additional information around work authorization needs please refer to the following resources:Nonimmigrant Workers and Green Card for Employment-Based Immigrants 

Wellmark supports and expects the responsible use of AI for our workforce! We welcome the responsible use of these tools by job seekers as well and are interested in learning from you; you will have an opportunity in the application process to share which tools you used and how you applied them. 

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