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Claim Edit Coding Specialist Jobs (NOW HIRING)

Cedars Sinai

Claims Edit Coder

Los Angeles, CA

... claim edit fall outs. The position entails conducting modifier review and assignment, handling ... Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information ...

Cedars Sinai

Claims Edit Coder

Los Angeles, CA · On-site

$32.64 - $50.59/hr

... claim edit fall outs. The position entails conducting modifier review and assignment, handling ... Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information ...

Socket.dev

Director, Coding

Gainesville, FL · On-site

CCS (Certified Coding Specialist) * CCS-P (Certified Coding Specialist - Physician-based) * CPC ... Claim edit processes * Pre-bill hold concepts * Revenue cycle claim validation workflows ...

SSM Health

Coder I - Professional

Saint Louis, MO · On-site

Manages assigned charge review and coding-related claim edit work queues to ensure timely and ... Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management ...

QualDerm Partners

Claim Edit Specialist - Remote

$19.35 - $27.33/hr

Enter charges/bills into EMR in coordination with certified coding team/Coding manager * Monitor missing charges and communicate with RCM management as needed * Must have knowledge of claim ...

SSM Health

Coder II - Professional

Saint Louis, MO · On-site

Manages assigned charge review and coding-related claim edit work queues to ensure timely and ... Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management ...

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How much do claim edit coding specialist jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for claim edit coding specialist in the United States is $27.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.12 and $32.69 per hour, depending on experience, location, and employer.

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Claims Edit Coder

Los Angeles, CA

Cedars Sinai
Hospitals • 10K+ employees
Learn more about Cedars Sinaiexternal

Full-time

Medical, Retirement, PTO

Re-posted 29 days ago

Cedars-Sinai rating

8.6

Company rating: 8.6 out of 10

Based on 131 frontline employees who took The Breakroom Quiz

Job description

Align yourself with an organization that has a reputation for excellence! Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company's Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We provide an outstanding benefit package that includes health care, paid time off and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals.

What you will be doing in this role:

The Claims Edit Coder (Coder II) operated under the general direction of an audit supervisor and involves responsibilities across various work units, as well as duties specific to the reporting team. In this role, the Coder II reviews ICD-10-CM diagnosis coding and Current Procedural Terminology (CPT) procedure code for claim edit fall outs. The position entails conducting modifier review and assignment, handling complex coding edits that necessitate research and resolution, and validating key data elements like the billing physician and date of service.

You are expected to abstract coded data accurately and promptly into the applicable system using relevant applications such as EPIC (CS-Link), EPIC HB and PB modules, Solventum 360Encompass, Solventum Standalone Encoder, and Select Coder. This role demands proficiency in these systems to ensure the integrity and efficiency of coding operations. Duties include:

  • Review medical documentation and health information within various electronic medical or health systems.
  • Assign applicable codes such as clinical modification (ICD-10-CM), current procedural terminology (CPT), evaluation and management (E&M), and healthcare common procedure coding system (HCPCS) while adhering to productivity and quality standards for the area(s) of assignment or specialty (Facility or Professional).
  • Focus on specialties including, but not limited to: Professional Multispecialty E&M, Facility Emergency Room (non-Single Path), and Outpatient Visits (Facility or Professional).
  • Resolve complex edits and alerts with consistent accuracy using current guidelines for the area(s) of assignment or specialty.
  • Handle edits such as: Simple Visit, Local and National Coverage Determination, and other Related Edits.
  • Communicates with physicians, providers, and external departments regarding documentation clarity, specificity, ensure the completeness of documentation required for code assignment within area(s) of assignment or specialty.
  • Expanding skills in procedural coding such as CPT or PCS.

Requirements:

  • Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required upon hire.
  • High school diploma or GED required.
  • Minimum of 2 years of experience working doing code assignment in a healthcare setting.
  • Ability to produce quality work product within the established standards per hour.

Why work here?

Beyond outstanding employee benefits including health, paid vacation, and a 403(b) we take pride in hiring the best, most passionate employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our commitment to creating a dynamic, inclusive environment that fuels innovation.

Requirements:

  • Certified Coding Specialist (CCS), Certified Procedural Coder (CPC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required upon hire.
  • High school diploma or GED required.
  • Minimum of 2 years of experience working doing code assignment in a healthcare setting.
  • Ability to produce quality work product within the established standards per hour.

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