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Ccs Coding Jobs in Pennsylvania (NOW HIRING)

Certified Medical Code (CPC or CCS-P) required. Preferred Qualifications * Experience with the most current CMS Risk Adjustment Model/version is strongly preferred. * AAPC Certified Risk Adjustment ...

Certified Medical Code (CPC or CCS-P) required. Preferred Qualifications * Experience with the most current CMS Risk Adjustment Model/version is strongly preferred. * AAPC Certified Risk Adjustment ...

AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC). * Experience working in a process-driven, high-volume coding environment; Strong knowledge ...

RHIA, RHIT, CCS or CPC-H credentials. * Experience in ICD-10-CM diagnoses, procedure coding and DRG validation. * One or more years of experience with inpatient hospital medical records coding.

RHIA, RHIT, CCS or CPC-H credentials. * Experience in ICD-10-CM diagnoses, procedure coding and DRG validation. * One or more years of experience with inpatient hospital medical records coding. Why ...

RHIA, RHIT, CCS or CPC-H credentials. * Experience in ICD-10-CM diagnoses, procedure coding and DRG validation. * One or more years of experience with inpatient hospital medical records coding.

Lead Coder

Honesdale, PA · On-site

$55 - $75/hr

RHIT or CCS preferred. * Prior hospital coding experience required. * Meditech experience preferred; 3M Coding and Reimbursement experience required. * Extensive knowledge of medical records ...

New

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Ccs Coding information

See Pennsylvania salary details

$17

$19

$26

How much do ccs coding jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for ccs coding in Pennsylvania is $19.79, according to ZipRecruiter salary data. Most workers in this role earn between $18.08 and $18.08 per hour, depending on experience, location, and employer.

What is a CCS Coding?

A CCS (Certified Coding Specialist) coding job involves reviewing medical records and assigning standardized codes for diagnoses and procedures using ICD-10-CM, CPT, and HCPCS coding systems. These professionals ensure accurate coding for billing and insurance reimbursement while maintaining compliance with healthcare regulations. CCS coders typically work in hospitals, clinics, or insurance companies, playing a crucial role in medical documentation and revenue cycle management.

What are the key skills and qualifications needed to thrive in CCS Coding?

To thrive in a CCS Coding role, you need in-depth knowledge of ICD-10-CM and CPT coding systems, medical terminology, and disease processes, often supported by a Certified Coding Specialist (CCS) credential. Familiarity with electronic health record (EHR) systems and coding software, as well as compliance with HIPAA guidelines, is crucial for day-to-day work. Strong analytical skills, attention to detail, and effective communication make a candidate stand out in this position. These skills are vital to ensure accurate coding, optimize reimbursement, and maintain regulatory compliance within healthcare organizations.

What are some common challenges faced by professionals working in CCS Coding?

Professionals in CCS Coding often handle the challenge of staying current with frequent updates to coding standards, payer requirements, and regulatory changes. Accurately interpreting complex medical documentation and ensuring codes are properly assigned can be demanding, especially with evolving healthcare procedures. Coders may also need to balance productivity with a commitment to accuracy and compliance. Collaboration with healthcare providers and billing specialists is common to clarify documentation and resolve discrepancies, making effective communication essential for success in this role.

What are popular job titles related to Ccs Coding jobs in Pennsylvania?

For Ccs Coding jobs in Pennsylvania, the most frequently searched job titles are:

What cities in Pennsylvania are hiring for Ccs Coding jobs?

Cities in Pennsylvania with the most Ccs Coding job openings:

Infographic showing various Ccs Coding job openings in Pennsylvania as of August 2026, with employment types broken down into 3% As Needed, 91% Full Time, and 6% Part Time. Highlights an 81% In-person, and 19% Remote job distribution, with an average salary of $41,158 per year, or $19.8 per hour.

Part-time

Posted 24 days ago


Key responsibilities

  • Analyze patient medical records, claims data, and coding to ensure proper diagnosis and procedure code assignment and MS-DRG accuracy.

  • Develop and apply appeal arguments to defend coding decisions and draft appeal letters to support network coding.

  • Perform coding and abstracting of patient medical records using ICD-10-CM/PCS, UHDDS, and CMS guidelines, maintaining a 95% accuracy rate.


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 and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, 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.