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Certified Procedural Coder Jobs (NOW HIRING)

Coding Specialist II

Chicago, IL · On-site +1

$25 - $32/hr

... Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) is required. * Two years of current acute care coding ...

Certified Professional Coder

Irving, NY · On-site

$20.50 - $27.25/hr

Incumbent reviews, analyzes, and codes diagnostic and procedural information that determines ... Must possess and maintain current CPC, COC, CCS, CCS-P, CCA, RHIA, OR RHIT certification. * Must ...

PACE Medical Coder (Hybrid)

San Diego, CA

$20 - $26.50/hr

Certifications Required: * Current Procedural Coder (CPC) Certification from the American Academy of Professional Coders ( AAPC ) or AHIMA American Health Information Management Association ...

... certification. * The Coder II is skilled in three or more types of outpatient, Profee, or low ... Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT ...

... certification. * The Coder II is skilled in three or more types of outpatient, Profee, or low ... Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT ...

PACE Medical Coder (Hybrid)

San Diego, CA

$20 - $26.50/hr

Certifications Required: * Current Procedural Coder (CPC) Certification from the American Academy of Professional Coders ( AAPC ) or AHIMA American Health Information Management Association ...

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Certified Procedural Coder information

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How much do certified procedural coder jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for certified procedural coder in the United States is $20.67, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $22.36 per hour, depending on experience, location, and employer.

Are CPC coders in demand?

Certified Procedural Coders (CPCs) are in high demand due to the ongoing need for accurate medical coding in healthcare settings. The role requires knowledge of coding systems like CPT and ICD, and job opportunities are often available in hospitals, clinics, and billing companies, with employment growth expected to continue as healthcare documentation and reimbursement processes expand.

What is the difference between Certified Procedural Coder vs Certified Coding Specialist?

AspectCertified Procedural CoderCertified Coding Specialist
CertificationsTypically CPC (Certified Professional Coder)CCS (Certified Coding Specialist)
Work EnvironmentHospitals, clinics, physician officesHospitals, health information management
Industry UsageMedical billing and coding for proceduresMedical coding across various settings

The Certified Procedural Coder and Certified Coding Specialist both require coding certifications and work in healthcare settings. The CPC primarily focuses on outpatient and physician-based coding, while the CCS is often used in hospital and inpatient environments. Both roles are essential for accurate medical billing and record-keeping, but they differ in certification and typical work settings.

What pays more, CCS or CPC?

Certified Procedural Coders (CPC) generally earn higher salaries than Certified Coding Specialists (CCS) because CPCs often work in outpatient settings and have broader coding responsibilities. Salary differences can also depend on experience, location, and employer, with CPCs typically commanding higher pay due to their versatility and certification requirements.

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

To thrive as a Certified Procedural Coder, you need a thorough understanding of medical coding systems (CPT, ICD-10, HCPCS), anatomy, and healthcare compliance, typically validated by a CPC or CCS certification. Proficiency with medical billing software, electronic health record (EHR) systems, and coding databases is essential. Attention to detail, analytical thinking, and effective communication are important soft skills that help minimize errors and facilitate teamwork with healthcare providers. These skills and qualifications ensure accurate coding, proper billing, and regulatory compliance, which are crucial for healthcare operations and reimbursement.

What is a Certified Procedural Coder?

A Certified Procedural Coder (CPC) is a professional who specializes in reviewing and assigning standardized codes to medical procedures and services for billing and insurance purposes. CPCs ensure that healthcare providers are accurately reimbursed for the services they perform by using coding systems such as CPT, HCPCS, and ICD-10-CM. They typically work in hospitals, clinics, or medical billing companies, and must have a strong understanding of medical terminology, anatomy, and healthcare regulations. To become a CPC, individuals usually need to pass a certification exam offered by organizations like the AAPC.

What jobs can I get with a CPC certification?

A Certified Procedural Coder (CPC) certification qualifies individuals for coding roles in healthcare, such as medical coder, billing specialist, or coding auditor. These jobs involve reviewing medical records, assigning appropriate procedure and diagnosis codes, and ensuring compliance with healthcare regulations, often using coding software and electronic health records systems.

What are some of the typical challenges faced by Certified Procedural Coders when working with complex medical procedures?

Certified Procedural Coders often encounter challenges when interpreting ambiguous or incomplete clinical documentation for complex procedures. It requires strong attention to detail and frequent collaboration with physicians and healthcare providers to ensure accurate code assignment and compliance with regulations. Staying updated on evolving coding guidelines and payer-specific requirements can also be demanding, but it is essential for minimizing claim denials and supporting efficient revenue cycle management. Many organizations provide ongoing education and support to help coders manage these challenges effectively.

What is the highest salary for a CPC coder?

Certified Procedural Coders (CPCs) can earn high salaries, with top earners making over $70,000 to $80,000 annually, especially with experience, specialization, and working in high-demand healthcare settings. Salaries vary based on location, employer, and certifications, and some experienced coders in supervisory roles can earn higher wages.
More about Certified Procedural Coder jobs
Coding Specialist II

Coding Specialist II

Insight

Chicago, IL • On-site, Remote

$25 - $32/hr

Full-time

Medical, Dental, Vision, Life, PTO

Posted 21 days ago


Key responsibilities

  • Analyzes physician and provider documentation in Emergency Department and Outpatient Observation health records to determine diagnoses and procedures.

  • Assigns appropriate ICD, CPT, and HCPCS codes and modifiers using encoder software and applicable guidelines.

  • Collaborates with Health Information Management and Patient Financial Services to resolve billing and utilization issues affecting reimbursement.


Insight Enterprises rating

8.5

Company rating: 8.5 out of 10

Based on 19 frontline employees who took The Breakroom Quiz

30th of 207 rated it services


Job description

WE ARE INSIGHT:
At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now!
GENERAL SUMMARY:
Analyzes physician/provider documentation contained in assigned Emergency Department (ED) and Outpatient Observation health records (electronic, paper or hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, and Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers.

These duties are to be performed in a highly confidential manner, in accordance with the mission, values and behaviors of Mercy Hospital and Medical Center. Employees are further expected to provide a high quality of care, service, and kindness toward all patients, staff, physicians, volunteers and guests.

Duties and Responsibilities:
  • Assigns appropriate code(s) by utilizing coding guidelines established by:
  • The Centers for Medicare/Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ICD-PCS Official Guidelines for Coding and Reporting
  • American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification
  • American Medical Association (AMA) CPT Assistant for CPT codes
  • American Health Information Management Association (AHIMA) Standards of Ethical Coding
  • Insight Hospital coding policies
  • Knows, understands, incorporates, and demonstrates the Insight Hospital in behaviors, practices, and decisions.
  • Adheres to Insight Hospital confidentiality requirements as they relate to the release of any individual or aggregate patient information.
  • Proficiently navigates the patient health record and other computer systems/sources in determination of diagnoses procedures and modifiers to be coded and/or for APC assignment.
  • Codes Emergency Department and Outpatient Observation utilizing encoder software and online tools and references, in the assignment of ICD, CPT, and HCPCS codes and modifiers.
  • Consults reference materials to facilitate code assignment.
  • Understands appropriate link of diagnosis to procedure.
  • Appends modifier(s) to procedure code or service when applicable.
  • Collaborates with HIM and Patient Financial Services) in resolving billing and utilization issues affecting reimbursement.
  • Interprets bundling and unbundling guidelines (NCCI).
  • Interprets LCDs/NCDs and payer policies.
  • Tracks issues (i.e., missing documentation or charges) that require follow-up to facilitate coding in a timely fashion.
  • Investigates claims denials and/or appeals as directed.
  • Consistently meets or exceeds coding quality and productivity standards.
  • Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations.
  • Identifies concerns and is responsible for providing resolution of moderate to complex problems. Notifies appropriate leadership for resolution when appropriate.
  • Performs other duties as assigned by Leadership.
  • Maintains a working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Compliance Accountability Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:
  • Completion of an AHIMA-approved coding program or an AAPC-approved coding program, or Associate degree in Health Information Management or a related field or an equivalent combination of years of education and experience is required. Bachelor’s degree in Health Information Management (HIM) or related healthcare field is preferred.
  • Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) is required.
  • Two years of current acute care coding emergency department and observation or physician coding experience is required.
  • Current experience utilizing encoding/grouping software or CAC is preferred. Ability to utilize both manual and automated versions of the ICD, CPT, and HCPCS coding classification systems is preferred.
  • Ability to use a standard desktop and windows-based computer system, including a basic understanding of e-mail, internet, and computer navigation. Ability to use other software as required to perform the essential functions on the job. Familiarity with distance learning or using web-based training tools is desirable.
  • Well-developed written and oral communication skills that may be used either on-site or in virtual working environments. Ability to communicate effectively with individuals and groups representing diverse perspectives.
  • Ability to work with minimal supervision and exercise independent judgment.
  • Ability to research, analyze and assimilate information from various on-site or virtual sources based on technical and experience-based knowledge. Must exhibit critical thinking skills and possess the ability to prioritize workload.
  • Excellent organizational skills. Ability to perform multiple duties and functions related to daily operations and maintain excellent customer service skills. Ability to perform frequent detailed tasks and provide immediate service with frequent interruptions. Ability to change and be flexible with work priorities. Strong problem-solving skills.
  • Must be comfortable functioning in a virtual, collaborative, shared leadership environment.
  • Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Insight-Chicago.
PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS:
  • Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in physical or virtual environments that may be stressful with individuals having diverse personalities and work styles.
  • Must possess the ability to comply with Insight Hospital policies and procedures.
  • Must be able to spend the majority of work time utilizing a computer, monitor, and keyboard.
  • Must be able to perform some lifting and/or pushing/pulling up to 20 pounds if applicable.
  • Must be able to work with interruptions and perform detailed tasks.
  • If applicable, involves a wide array of physical activities, primarily walking, standing, balancing, sitting, squatting, and reading. Must be able to sit for long periods of time.
  • Must be able to travel to Insight Hospital (10%) as applicable.
  • If applicable, telecommuting (working remotely), must be able to comply with Insight Hospital Working Remote Policy.
BENEFITS:
  • Paid Sick Time - effective 90 days after employment
  • Paid Vacation Time - effective 90 days after employment
  • Health, vision amp; dental benefits - eligible at 30 days, following the 1st of the following month
  • Short and long-term disability and basic life insurance - after 30 days of employment
Insight Employees are required to be vaccinated for COVID-19 as a condition of employment, subject to accommodation for medical or sincerely held religious beliefs.
Insight is an equal opportunity employer and values workplace diversity!

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