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Claims Coder Jobs (NOW HIRING)

Baylor Genetics

Medical Coder Pre Claims

$19.25 - $25.50/hr

The Medical Coder, RCM is responsible for ensuring coding accuracy and claim readiness prior to ... claims are submitted. * Collaborate cross-functionally to translate payer requirements into ...

Terros Health

Revenue Cycle Medical Coder ...

Phoenix, AZ · On-site

$17.75 - $23.75/hr

Reviewing claims and configuration to ensure compliance with coding guidelines and best practices * Reviewing patient charts, claims, and policies as needed to verify, correct and ensure accuracy of ...

Terros Health

Revenue Cycle Medical Coder (7179)

Phoenix, AZ · On-site

$17.75 - $23.75/hr

Reviewing claims and configuration to ensure compliance with coding guidelines and best practices * Reviewing patient charts, claims, and policies as needed to verify, correct and ensure accuracy of ...

Zobility

Be Seen First

Workers' Compensation Claims Handler

Chicago, IL · On-site

... and claims coding is correct. • Refer cases as appropriate to supervisor and management. Skills Required: * Claims, Customer Service Experience Required: * 3-5 years of Illinois Workers ...

Sedgwick

Liability Claims Associate

Cincinnati, OH · Hybrid

$17 - $23/hr

Ensures claim files are properly documented and claims coding is correct. * May process routine payments and prescriptions and status reports for lifetime medical claims and/or defined period medical ...

G-TECH Services

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Workers' Compensation Claims Handler

Chicago, IL · On-site

$33.50/hr

... claims coding is correct. · Refer cases as appropriate to supervisor and management. Experience Required: · 3-5 years of Illinois Workers' Compensation claims management experience Education ...

G-TECH Services

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Workers' Compensation Claims Handler

Fincastle, KY · On-site

$29/hr

... coding is correct. • Refer cases as appropriate to supervisor and management. Skills Required: Workers' Compensation Experience Required: 3-5 years of Workers' Compensation claims management ...

Sedgwick

Liability Claims Adjuster

Marlton, NJ · On-site

Ensures claim files are properly documented and claims coding is correct. * May process complex lifetime medical and/or defined period medical claims which include state and physician filings and ...

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Claims Coder information

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How much do claims coder jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for claims coder in the United States is $23.50, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $25.72 per hour, depending on experience, location, and employer.

Is AI replacing medical coders?

AI technology is increasingly used to assist medical coders by automating routine coding tasks and improving accuracy. However, human medical coders are still essential for complex cases, quality assurance, and interpreting medical documentation, making AI a tool that complements rather than replaces their role.

What are Claims Coders?

Claims Coders are healthcare professionals who review medical documents and assign standardized codes to diagnoses, procedures, and services for billing and insurance purposes. Their work ensures that healthcare providers receive proper reimbursement and that claims are processed accurately and efficiently. They must be knowledgeable about medical terminology, coding systems like ICD-10 and CPT, and insurance regulations. Claims Coders play a critical role in minimizing billing errors and ensuring compliance with healthcare laws.

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

To thrive as a Claims Coder, you need a strong understanding of medical terminology, coding systems (such as ICD-10 and CPT), and healthcare reimbursement procedures, typically supported by a relevant certification like CPC or CCS. Familiarity with coding software, electronic health records (EHR), and claims management systems is essential. Attention to detail, analytical thinking, and strong organizational skills help Claims Coders ensure accuracy and efficiency. These abilities are crucial for minimizing claim denials, maximizing reimbursements, and maintaining compliance in healthcare billing processes.

What is the difference between Claims Coder vs Medical Biller?

AspectClaims CoderMedical Biller
CertificationsCertified Professional Coder (CPC), CPC-HCertified Professional Biller (CPB), CPC
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies, hospitals
Primary RoleAssigning codes to diagnoses and procedures for claimsPreparing and submitting billing claims to insurers

While Claims Coders focus on accurately coding medical diagnoses and procedures for insurance claims, Medical Billers handle the billing process, including preparing and submitting claims to insurers. Both roles often work together but have distinct responsibilities within the revenue cycle.

How does a Claims Coder typically collaborate with other departments within a healthcare organization?

Claims Coders regularly work alongside billing teams, healthcare providers, and compliance officers to ensure accurate coding and billing of medical claims. They often communicate with clinical staff to clarify documentation and resolve discrepancies, helping prevent claim denials or delays. This collaborative environment not only improves claim accuracy but also provides opportunities for Claims Coders to broaden their knowledge of healthcare operations and advance into roles like auditing or compliance.

What is the highest paying coder?

In the field of claims coding, certified professional coders with extensive experience and specialized certifications tend to earn the highest salaries. Senior claims coders working in large healthcare organizations or with advanced coding skills, such as ICD-10 and CPT, often have higher compensation. Salaries can also vary based on geographic location and employer size.

Is it hard to get hired as a medical coder?

Getting hired as a claims coder can be competitive, but having relevant certifications such as CPC or CCS and strong attention to detail improves job prospects. Entry-level positions are often available, and familiarity with coding software and medical terminology is beneficial.

What pays more, CCS or CPC?

Claims coders with a Certified Coding Specialist (CCS) credential often earn higher salaries than those with a Certified Professional Coder (CPC) credential, as CCS is typically more advanced and required for hospital coding roles. However, salaries can vary based on experience, location, and employer, with CPCs frequently working in outpatient and physician office settings. Both certifications can lead to competitive pay, but CCS generally commands higher compensation in the industry.
More about Claims Coder jobs
What job categories do people searching Claims Coder jobs look for? The top searched job categories for Claims Coder jobs are:
Infographic showing various Claims Coder job openings in the United States as of July 2026, with employment types broken down into 91% Full Time, 7% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $48,885 per year, or $23.5 per hour.
Medical Coder Pre Claims

Medical Coder Pre Claims

Baylor Genetics

Remote

$19.25 - $25.50/hr

Full-time

Posted 12 days ago

Job description

The Medical Coder, RCM is responsible for ensuring coding accuracy and claim readiness prior to submission, with a focus on resolving missing or invalid order and documentation elements that drive rejections, denials, and delayed reimbursement. This role partners closely with RCM front-end teams and the broader RCM organization to strengthen clinical defensibility and coding integrity through standardized workflows, proactive quality reviews, and documentation readiness.
What this role exists to do
  • Strengthen pre-claim coding and documentation integrity to reduce avoidable rework and improve reimbursement outcomes.

Who it impacts
  • Patients, providers, Client Services, Market Access partners, and Revenue Cycle operations benefit from improved claim quality and fewer downstream delays.

What success looks like
  • Improved front-end completeness (e.g., fewer missing ICD-10, demographic, or insurance elements), improved clean-claim readiness, and fewer coding- or documentation-related denials.

KEY RESPONSIBILITIES
1) Pre-Claim Coding & Documentation Readiness
  • Review orders and supporting documentation to confirm accurate, compliant ICD-10 and CPT/HCPCS coding inputs needed for clean claim submission.
  • Identify missing or incomplete claim-critical elements (e.g., ICD-10 codes, patient demographics, insurance details, medical-necessity documentation) and drive timely remediation through established workflows.
  • Confirm that documentation and coding elements required to meet payer expectations are in place prior to claim submission, escalating gaps for resolution as needed.

2) Quality Controls, Proactive Audits & Standardization
  • Execute coding-focused quality checks and proactive audits to detect trends, prevent repeat errors, and reduce downstream denials tied to documentation or coding gaps.
  • Contribute to the creation and maintenance of standardized templates and checklists that improve pre-claim readiness (e.g., documentation requirements, coding-integrity checks).

3) Cross-Functional Partnership (Front End RCM + Clinical Ops & Coding)
  • Partner with front-end operations (eligibility/benefits investigation, prior-authorization workflows, and demographic-accuracy processes) to reduce missing billing information and rework before claims are submitted.
  • Collaborate cross-functionally to translate payer requirements into scalable operational practices that support clean claims and consistent outcomes.

4) Operational Reporting & Performance Support
  • Support visibility into pre-claim performance drivers by tracking and communicating recurring gap themes that impact clean claims and downstream adjudication.
  • Align work to key operational metrics used to manage RCM performance (e.g., Missing Billing %, Clean Claim Rate) to reduce bottlenecks before they affect revenue.

5) Other
  • Perform other job-related duties as assigned in support of RCM operational objectives.

QUALIFICATIONS
Required
  • High school diploma or equivalent; additional education in health sciences or a related field preferred.
  • Demonstrated working knowledge of ICD-10-CM and CPT/HCPCS coding concepts as applied to claim-submission readiness.
  • Proven ability to identify missing or invalid claim-critical data elements and drive resolution through cross-functional coordination.

Preferred
  • Professional coding certification (AAPC/AHIMA or equivalent).
  • Experience supporting pre-claim quality, audits, or denial prevention workflows in a high-volume healthcare revenue cycle environment.

COMPETENCIES (3-5)
  • Coding Integrity & Compliance Mindset
  • Attention to Detail / Pre-Claim Quality Focus
  • Analytical Problem Solving (data gaps, root-cause trends)
  • Cross-Functional Execution & Follow-Through
  • Clear Communication (documentation gaps, remediation guidance)

PHYSICAL DEMANDS AND WORK ENVIRONMENT
  • Frequently required to sit and work at a computer for extended periods.
  • Frequently required to use hand and finger dexterity for typing and data entry.
  • Work environment: Onsite, hybrid, or remote.

EEO Statement
Baylor Genetics is proud to be an equal opportunity employer dedicated to building an inclusive and diverse workforce. We do not discriminate based on race, religion, color, national origin, sex, sexual orientation, age, gender identity, veteran status, disability, genetic information, pregnancy, childbirth, or related medical conditions, or any other status protected under applicable federal, state, or local law.
Note to Recruiters:
We value building direct relationships with our candidates and prefer to manage our hiring process internally. While we occasionally partner with select recruitment agencies for specialized roles, we do not accept unsolicited resumes from recruiters or agencies without a written agreement executed by the authorized signatory for Baylor Genetics ("Agreement"). Any resumes submitted to Baylor Genetics in the absence of an Agreement executed by Baylor Genetics' authorized signatory, will be considered the property of Baylor Genetics, and Baylor Genetics will not be obligated to pay any associated recruitment fees.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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