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Certified Coder information

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$17

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$71

How much do certified coder jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for certified coder in Philadelphia, PA is $29.55, according to ZipRecruiter salary data. Most workers in this role earn between $22.07 and $29.33 per hour, depending on experience, location, and employer.

What is a certified coder?

A Certified Coder is a professional who assigns standardized codes to diagnoses and procedures in patient medical records. These codes are used for billing, insurance claims, and maintaining accurate healthcare documentation. Certified Coders typically hold credentials such as CPC (Certified Professional Coder) or CCS (Certified Coding Specialist), which demonstrate their expertise in medical coding systems like ICD-10, CPT, and HCPCS. They play a critical role in ensuring healthcare providers receive proper reimbursement and comply with regulations.

How does a certified coder typically interact with healthcare providers and billing departments?

Certified Coders work closely with healthcare providers to ensure that medical documentation accurately reflects the services provided for proper coding. They often collaborate with billing departments to resolve discrepancies or clarify documentation, helping to minimize claim denials and ensure timely reimbursement. Open communication and attention to detail are essential, as coders may need to query providers for additional information or work with billing teams to address coding-related challenges. This collaborative approach helps maintain compliance with regulations and supports efficient revenue cycle management.

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

To thrive as a Certified Coder, you need a solid understanding of medical terminology, anatomy, disease processes, and coding systems, typically supported by certification such as CPC, CCS, or CCA. Proficiency with coding software, electronic health records (EHRs), and healthcare compliance tools is essential. Attention to detail, analytical thinking, and strong organizational skills help ensure accuracy and efficiency in coding tasks. These skills are crucial for maintaining compliance, ensuring proper reimbursement, and supporting overall healthcare operations.

What is the difference between Certified Coder vs Medical Biller?

AspectCertified CoderMedical Biller
CertificationsYes, such as CPC, CCSOften certified but less standardized
Work EnvironmentHospitals, clinics, physician officesMedical offices, billing companies
Primary RoleAssigning medical codes for diagnoses and proceduresProcessing and submitting insurance claims
OverlapHigh in coding and documentationModerate, often collaborates with coders

Certified Coders focus on accurately translating medical diagnoses and procedures into standardized codes, essential for billing and record-keeping. Medical Billers handle the financial aspect, submitting claims and following up on payments. While their roles are interconnected, Certified Coders specialize in coding accuracy, whereas Medical Billers manage the billing process.

Do certified professional coders make good money?

Certified professional coders typically earn a competitive salary that varies based on experience, location, and work setting. According to industry data, the median annual wage for medical coders is around $50,000, with experienced coders or those in specialized roles earning higher salaries. Certification and proficiency with coding systems like ICD-10 and CPT can enhance earning potential.

What jobs can you get with a certified coder certification?

A certified coder can work as a medical coder, responsible for translating healthcare diagnoses and procedures into standardized codes for billing and record-keeping. They may also find roles in health information management, coding auditing, or compliance, often using coding software and adhering to industry standards like ICD-10 and CPT. Certification enhances job prospects in healthcare settings such as hospitals, clinics, and insurance companies.

What are the most commonly searched types of Certified Coder jobs in Philadelphia, PA?

The most popular types of Certified Coder jobs in Philadelphia, PA are:

What cities near Philadelphia, PA are hiring for Certified Coder jobs?

Cities near Philadelphia, PA with the most Certified Coder job openings:

Certified Coder jobs near you
Infographic showing various Certified Coder job openings in Philadelphia, PA as of August 2026, with employment types broken down into 2% As Needed, 77% Full Time, 15% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $61,473 per year, or $29.6 per hour.

Certified Professional Coder

Wilmington, DE • On-site

Regional Medical Management Services LLC
Health Care and Social Assistance • 11 - 50 employees
Learn more about Regional Medical Management Services LLCexternal

$22 - $28/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 28 days ago

Job description

  • Position Summary

    • The Certified Orthopedic Coder is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS Level II codes for orthopedic-related diagnoses, procedures, and services. This role requires deep knowledge of musculoskeletal anatomy, surgical techniques, and orthopedic subspecialties to ensure compliant coding, optimal reimbursement, and adherence to payer and regulatory guidelines. The coder works closely with physicians, clinical staff, and billing teams to support clean claims, audit readiness, and revenue integrity.

  • Key Responsibilities
  • Coding & Documentation
  • Assign accurate ICD10CM, CPT, and HCPCS codes for orthopedic outpatient, inpatient, and surgical services
  • Code complex orthopedic procedures including:

    • ~Joint replacements

    ~Arthroscopy

    ~Spine procedures

    ~Fracture care

    ~Sports medicine procedures

  • Ensure coding reflects correct laterality, encounter type, global periods, and modifiers (e.g., 26, TC, 50, 59, LT/RT)
  • Compliance & Quality
  • Maintain compliance with CMS, AMA, payerspecific, and regulatory coding guidelines
  • Participate in internal and external audits; address findings and implement corrective actions
  • Stay current with annual coding updates, NCCI edits, LCDs/NCDs, and orthopedic coding trends
  • Identify documentation gaps and proactively query providers when clarification is needed
  • Collaboration & Support
  • Work closely with orthopedic surgeons, APPs, and clinical teams to improve documentation quality
  • Support billing and denial management teams by providing coding clarification and appeal support
  • Contribute to process improvement initiatives focused on accuracy, efficiency, and compliance
  • Productivity & Reporting
  • Meet or exceed established productivity and accuracy benchmarks
  • Track and report coding issues, trends, and opportunities for improvement
  • Assist with onboarding and mentoring junior coders as needed
  • Required Qualifications
  • Education & Certification

    • ~High school diploma or equivalent required

    ~Active coding certification, such as:

    CPC (AAPC)

    CCS (AHIMA)

    ~Orthopedic coding specialty certification preferred (e.g., COSC)

  • Experience

    • ~Minimum 2–3 years of orthopedic-specific coding experience

    ~Demonstrated experience coding operative reports and complex orthopedic cases

    ~Experience with EHR and practice management systems

  • Preferred Qualifications

    • ~Experience in high-volume orthopedic or multispecialty practices

    ~Knowledge of both professional and facility coding

    ~Prior audit or compliance experience

    ~Familiarity with value-based care and risk adjustment principles

  • Skills & Competencies

    • ~Advanced knowledge of musculoskeletal anatomy and orthopedic procedures

    ~Strong attention to detail with high accuracy standards

    ~Analytical mindset with the ability to interpret complex clinical documentation

    ~Excellent written and verbal communication skills

    ~Ability to work independently while collaborating across departments

    ~Strong time management and organizational skills

  • Work Environment
  • Officebased
  • Prolonged periods of computerbased work
  • Fastpaced, deadlinedriven environment requiring sustained accuracy
  • Performance Metrics
  • Coding accuracy rate
  • Productivity benchmarks
  • Audit outcomes
  • Denial reduction and clean claim rates
  • Benefits
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Dependent care flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

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