Certified Coder
$22 - $29.25/hr
The Certified Coder reviews claims prior to submission to ensure necessary modifiers are included to provide optimal reimbursement. The responsibilities also include assisting the Insurance Claims ...
$22 - $29.25/hr
The Certified Coder reviews claims prior to submission to ensure necessary modifiers are included to provide optimal reimbursement. The responsibilities also include assisting the Insurance Claims ...
$22 - $29.25/hr
The Certified Coder reviews claims prior to submission to ensure necessary modifiers are included to provide optimal reimbursement. The responsibilities also include assisting the Insurance Claims ...
Westerville, OH · On-site
$22 - $29.25/hr
The Certified Coder reviews claims prior to submission to ensure necessary modifiers are included to provide optimal reimbursement. The responsibilities also include assisting the Insurance Claims ...
Westerville, OH · On-site
$22 - $29.25/hr
The Certified Coder reviews claims prior to submission to ensure necessary modifiers are included to provide optimal reimbursement. The responsibilities also include assisting the Insurance Claims ...
Phoenix, AZ · On-site
... • Claims coding certification or equivalent experience Key Responsibilities • Assists in the development and implementation of department policies and training. • Audits completed work ...
Phoenix, AZ · On-site
... • Claims coding certification or equivalent experience Key Responsibilities • Assists in the development and implementation of department policies and training. • Audits completed work ...
Lawrence, KS · Remote
JOB SUMMARY The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the ...
Lawrence, KS · Remote
JOB SUMMARY The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the ...
Lawrence, KS · On-site
JOB SUMMARY The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the ...
Lawrence, KS · On-site
JOB SUMMARY The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the ...
$44.67K - $65.67K/yr
At Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a ... DUTIES AND RESPONSIBILITIES Plan Coding • Plan code new business and plan changes. • Verify new ...
$44.67K - $65.67K/yr
At Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a ... DUTIES AND RESPONSIBILITIES Plan Coding • Plan code new business and plan changes. • Verify new ...
Aurora, IL · On-site +1
$100K - $140K/yr
... claims coding is correct. • Delegate work and mentor assigned staff. Competitive compensation ... package, annual bonuses, vacation time from start, fully covered benefits package, company laptop ...
Aurora, IL · On-site +1
$100K - $140K/yr
... claims coding is correct. • Delegate work and mentor assigned staff. Competitive compensation ... package, annual bonuses, vacation time from start, fully covered benefits package, company laptop ...
Audit high dollar claims to identify areas of improvement Perform complex tracking, trending, and ... coding/billing practices for hospitals, providers, and insurance CPC preferred Additional ...
Audit high dollar claims to identify areas of improvement Perform complex tracking, trending, and ... coding/billing practices for hospitals, providers, and insurance CPC preferred Additional ...
Latham, NY · On-site
$22.40 - $33.60/hr
The successful candidate will be responsible for the timely and accurate follow up of claims, ensuring coding quality, and supporting operational excellence across multiple sites. Key ...
Latham, NY · On-site
$22.40 - $33.60/hr
The successful candidate will be responsible for the timely and accurate follow up of claims, ensuring coding quality, and supporting operational excellence across multiple sites. Key ...
$28 - $34/hr
For both professional and technical claims and data needs, the Coding Specialist III reviews clinical documentation to code diagnoses, EM level, and surgical CPT codes. Additionally, this role also ...
$28 - $34/hr
For both professional and technical claims and data needs, the Coding Specialist III reviews clinical documentation to code diagnoses, EM level, and surgical CPT codes. Additionally, this role also ...
Plymouth, MI · Hybrid
$21.58 - $23.02/hr
You must reside within 50 miles of Progressive's Plymouth Claims office at 46333 Five Mile Road, Suite 100, Plymouth, MI 48170. As a medical coder on our team, you'll play a vital role ensuring our ...
Plymouth, MI · Hybrid
$21.58 - $23.02/hr
You must reside within 50 miles of Progressive's Plymouth Claims office at 46333 Five Mile Road, Suite 100, Plymouth, MI 48170. As a medical coder on our team, you'll play a vital role ensuring our ...
West Des Moines, IA · Hybrid
$17.50 - $23.50/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 ...
West Des Moines, IA · Hybrid
$17.50 - $23.50/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 ...
$67.20K - $87K/yr
Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. Additional Functions And Responsibilities Performs other duties as ...
Quick apply
$67.20K - $87K/yr
Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. Additional Functions And Responsibilities Performs other duties as ...
Orange, CA · Hybrid
$150K - $167K/yr
Ensure accurate and consistent claims coding, reserve practices, diary maintenance, and overall file quality across the division. * Review audit results and incorporate findings into department ...
Orange, CA · Hybrid
$150K - $167K/yr
Ensure accurate and consistent claims coding, reserve practices, diary maintenance, and overall file quality across the division. * Review audit results and incorporate findings into department ...
West Des Moines, IA · Hybrid
$17.50 - $23.50/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 ...
West Des Moines, IA · Hybrid
$17.50 - $23.50/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 ...
Plymouth, MI · On-site
$21.58 - $23.02/hr
You must reside within 50 miles of Progressive's Plymouth Claims office at 46333 Five Mile Road, Suite 100, Plymouth, MI 48170. As a medical coder on our team, you'll play a vital role ensuring our ...
Plymouth, MI · On-site
$21.58 - $23.02/hr
You must reside within 50 miles of Progressive's Plymouth Claims office at 46333 Five Mile Road, Suite 100, Plymouth, MI 48170. As a medical coder on our team, you'll play a vital role ensuring our ...
$34.50 - $46.75/hr
Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. Additional Functions And Responsibilities Performs other duties as ...
Quick apply
$34.50 - $46.75/hr
Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. Additional Functions And Responsibilities Performs other duties as ...
Ontario, CA · Remote
$33.25 - $45.25/hr
Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. Additional Functions And Responsibilities Performs other duties as ...
Quick apply
Ontario, CA · Remote
$33.25 - $45.25/hr
Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. Additional Functions And Responsibilities Performs other duties as ...
$33.50 - $45.50/hr
Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. Additional Functions and Responsibilities Performs other duties as ...
Quick apply
$33.50 - $45.50/hr
Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. Additional Functions and Responsibilities Performs other duties as ...
Pasadena, CA · Remote
$35.75 - $48.50/hr
Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. Additional Functions and Responsibilities Performs other duties as ...
Quick apply
Pasadena, CA · Remote
$35.75 - $48.50/hr
Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. Additional Functions and Responsibilities Performs other duties as ...
$12.74 - $15.49
8% of jobs
$17.33 is the 25th percentile. Wages below this are outliers.
$15.49 - $18.25
25% of jobs
The median wage is $20.35 / hr.
$18.25 - $21
22% of jobs
$21 - $23.75
15% of jobs
$25.01 is the 75th percentile. Wages above this are outliers.
$23.75 - $26.51
11% of jobs
$26.51 - $29.26
5% of jobs
$29.26 - $32.01
3% of jobs
$32.01 - $34.77
3% of jobs
$34.77 - $37.52
3% of jobs
$37.52 - $40.28
3% of jobs
$40.28 - $43.03
1% of jobs
$12
$23
$43
| Aspect | Claims Coder | Medical Biller |
|---|---|---|
| Certifications | Certified Professional Coder (CPC), CPC-H | Certified Professional Biller (CPB), CPC |
| Work Environment | Hospitals, clinics, insurance companies | Medical offices, billing companies, hospitals |
| Primary Role | Assigning codes to diagnoses and procedures for claims | Preparing 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.

7.2
Based on 34 frontline employees who took The Breakroom Quiz
329th of 864 rated healthcare providers
The Certified Coder reviews CPT, HCPCS and ICD-10 coding for Physician visits and procedures. This position assures that proper documentation is present to support the codes submitted for reimbursement. The Certified Coder reviews claims prior to submission to ensure necessary modifiers are included to provide optimal reimbursement. The responsibilities also include assisting the Insurance Claims Specialists with filing appeals when needed and the Patient Account Representatives when patients may have questions related to coding.
ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
• Review physician progress notes for necessary documentation prior to locking of notes.
• Work claims prior to submission to ensure that the codes are correct and necessary modifiers have been appended.
• Work actions from sites and other teams in Revenue Cycle to assist in coding queries.
• Assist Physicians in learning how to do correct coding.
• Act as resource to Physicians and Revenue Cycle team on coding related questions and issues.
• Participate in education activities such as courses and seminars, both within the company and outside.
QUALIFICATIONS:
Preferred: Minimum 1 year of experience as a certified coder
Education, Licensures & Certifications
Required: High School diploma or GED
Required: Certification from either AAPC or AHIMA for Medical Coding
Required: Maintain coding certification
Knowledge, Skills & Abilities
• Extensive knowledge of CPT, ICD-10 and HCPCS coding
• Ability to demonstrate a high level of confidentiality
• Ability to learn and use new software programs
• Ability to examine documents for accuracy and completeness
• Ability to communicate both verbally and written clearly and precisely
• Working knowledge of Microsoft Teams, Word, Excel and Outlook
• Self-motivated with the ability to work independently or as a team member
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Health care and social assistance
1,001 - 5,000 Employees
Westerville, OH, US
1996