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Certified Coding information

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$67

How much do certified coding jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for certified coding in Connecticut is $27.86, according to ZipRecruiter salary data. Most workers in this role earn between $20.82 and $27.69 per hour, depending on experience, location, and employer.

What are Certified Coding Specialists?

Certified Coding Specialists are professionals who review clinical statements and assign standard codes using classification systems such as ICD-10-CM, CPT, and HCPCS. They play a crucial role in ensuring healthcare providers are properly reimbursed by accurately documenting patient diagnoses and procedures for billing and insurance purposes. These specialists typically work in hospitals, clinics, or insurance companies, and must have strong knowledge of medical terminology, anatomy, and coding guidelines. Earning certification, such as the Certified Coding Specialist (CCS) credential from AHIMA, demonstrates expertise and can enhance job opportunities in the healthcare field.

How does a Certified Coding professional typically collaborate with healthcare providers and other team members?

Certified Coding professionals work closely with physicians, nurses, and billing teams to ensure that medical records are accurately coded for insurance and regulatory compliance. Regular communication is essential to clarify documentation, resolve discrepancies, and stay updated on the latest coding guidelines. They may attend meetings, provide feedback to clinicians on documentation quality, and act as a resource for coding-related questions. This collaborative environment helps maintain high standards for patient data integrity and reimbursement processes.

What is the difference between Certified Coding vs Medical Coding?

AspectCertified CodingMedical Coding
CertificationsRequires certifications like CPC, CCS, or CICOften requires similar certifications, but may not be mandatory
Work EnvironmentHospitals, clinics, insurance companiesHospitals, outpatient facilities, insurance companies
Job ResponsibilitiesAssigns codes based on medical records, ensures complianceAssigns medical codes for billing and record-keeping

Certified Coding and Medical Coding roles are closely related, with overlapping certifications and work environments. Certified Coding often emphasizes formal certification and compliance, while Medical Coding focuses on coding for billing purposes. Both roles are essential in healthcare revenue cycle management and frequently overlap in job functions.

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

To thrive as a Certified Medical Coder, you need a thorough understanding of medical terminology, anatomy, ICD-10-CM, CPT, and HCPCS coding systems, typically backed by certification such as CPC or CCS. Familiarity with electronic health records (EHR), coding software, and billing systems is essential for accurate data entry and claim processing. Attention to detail, analytical thinking, and effective communication are vital soft skills for identifying accurate codes and collaborating with healthcare professionals. These skills ensure proper reimbursement, regulatory compliance, and efficient revenue cycle management in healthcare organizations.
What are popular job titles related to Certified Coding jobs in Connecticut? For Certified Coding jobs in Connecticut, the most frequently searched job titles are:
What job categories do people searching Certified Coding jobs in Connecticut look for? The top searched job categories for Certified Coding jobs in Connecticut are:
What cities in Connecticut are hiring for Certified Coding jobs? Cities in Connecticut with the most Certified Coding job openings:
Certified Coding jobs near you
Infographic showing various Certified Coding job openings in Connecticut as of July 2026, with employment types broken down into 71% Full Time, and 29% Part Time. Highlights an 86% In-person, and 14% Hybrid job distribution, with an average salary of $57,952 per year, or $27.9 per hour.
Certified Coding Specialist

Certified Coding Specialist

Spire Orthopedic Partners

Stamford, CT • On-site

$31.95 - $39.95/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 28 days ago

Job description

What you’ll do: 

The Certified Coding Specialist is responsible for accurate and compliant coding of complex orthopedic procedures across all care settings. This role directly impacts revenue integrity by ensuring optimal CPT/ICD-10 coding, minimizing denials, and supporting provider’s documentation improvement.

Responsibilities/Duties:

Complex Surgical Coding

  • Code high-complexity orthopedic and neurosurgical procedures
  • Verifying all documentation is complete and compliant
  • Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.
  • Follows coding conventions and ensure accurate assignment of:
  • CPT (including add-on codes, modifiers, bundling rules)
  • ICD-10 diagnoses supporting medical necessity
  • Validate:
  • Levels, laterality, approach (anterior/posterior)
  • Instrumentation and graft usage
  • Identify missed billable components (e.g., additional levels, hardware, biologics)
  • Query provider for any necessary clarification related to unclear, unspecified or missing/incomplete documentation
  • Apply payer-specific coding rules and edits

Denial Prevention & Root Cause Ownership

  • Researches, analyzes, recommends, and facilitates a plan of action to correct discrepancies and prevent future coding errors:
  • Review coding-related denials (medical necessity, bundling, documentation)
  • Perform root cause analysis and trend identification
  • Partner with RCM and vendor teams to implement corrective actions
  • Develop coding edits and pre-bill review processes for high-risk procedures

Pre-Bill Quality Review

  • Perform targeted pre-bill audits for:
  • High-dollar orthopedic surgeries
  • Multi-level and complex cases
  • Ensure documentation supports:
  • Medical necessity
  • Procedure specificity
  • Escalate documentation gaps prior to claim submission

Provider Documentation Improvement

  • Partner with surgeons to improve documentation quality
  • Provide targeted, case-based feedback:
  • Missing elements impacting coding accuracy
  • Opportunities to fully capture procedure complexity
  • Support education on:
  • Modifier usage
  • Documentation specificity (levels, implants, approach)

Vendor Oversight & Coding Quality Control

  • Audit external coding vendor performance (if applicable)
  • Identify discrepancies between internal and vendor coding
  • Provide feedback and enforce coding standards
  • Support development of SOPs and coding guidelines
  • Serves as primary resource and Spire Point of Contact (SPOC) between provider and vendor

Appeals

  • Support appeals for coding-related denials
  • Provide clinical/coding rationale and documentation validation
  • Partner with AR teams on high-value accounts

Who you are:

Required Qualifications

  • CPC, CCS, or equivalent certification (AAPC or AHIMA)
  • 5+ years of surgical coding experience
  • Deep knowledge of:
  • NCCI edits and bundling rules
  • Modifier usage (e.g., 22, 25, 50, 51, 57, 59, 62, 76)
  • Orthopedic and Spine-specific CPT coding nuances
  • Documentation requirements for Evaluation and Management services
  • Experience with orthopedic or multi-specialty groups preferred
  • Excellent organization skills
  • Detailed oriented and comfortable with multi-tasking
  • Ability to work in face-paced, results driven position
  • Administer and uphold all the Company’s values and policies and procedures.
  • Continuously work towards the Company’s goal and vision.
  • Performs other duties as assigned.

Preferred Qualifications

  • COSC specialty certification (AAPC)
  • Experience working in a high-volume orthopedic/spine practice
  • Exposure to vendor-managed RCM environments
  • Familiarity with systems like ModMed or athenahealth

What we offer: 

  • Excellent growth and advancement opportunities 
  • Dynamic environment 
  • Access to a diverse network of practitioners 
  • Broad infrastructure of tools and programs to enhance the employee experience    
  • Competitive Compensation 
  • Generous PTO  
  • Benefits package: health, dental, vision, 401(k), etc. 

We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as “protected characteristics”).  

The final pay offered to a successful candidate will be dependent on several factors that may include but are not limited to the type and years of experience within the job, the type of years and experience within the industry, education, etc.
 

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