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Claims Coder Jobs (NOW HIRING)

Wooster Community Hospital

BMS CODER

Wooster, OH · On-site

Use claims submission software to review and resolve any rejected/denied or otherwise unpaid claims. * Promptly reports any trends or issues impacting timely coding and billing of claims to ...

Wooster Community Hospital

BMS CODER

Wooster, OH · On-site

Use claims submission software to review and resolve any rejected/denied or otherwise unpaid claims. * Promptly reports any trends or issues impacting timely coding and billing of claims to ...

Sedgwick

Claims Representative, Recovery

Houston, TX · On-site

Maintains a diary on active claims with subrogation potential and claims that meet excess reporting criteria; ensures claim files are properly documented and claims coding is correct. * Approves and ...

Apidel Technologies

Claims Examiner - GL PL

Memphis, TN · Remote

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 ...

Sedgwick

Liability Claims Associate

Saint Bernard, OH · On-site

$16.50 - $22.25/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 ...

Sedgwick

Claims Representative, Recovery

Milwaukee, WI · On-site

Maintains a diary on active claims with subrogation potential and claims that meet excess reporting criteria; ensures claim files are properly documented and claims coding is correct. * Approves and ...

Sedgwick

Claims Representative, Recovery

Wausau, WI · On-site

Maintains a diary on active claims with subrogation potential and claims that meet excess reporting criteria; ensures claim files are properly documented and claims coding is correct. * Approves and ...

Sedgwick

Claims Representative, Recovery

Austin, TX · On-site

Maintains a diary on active claims with subrogation potential and claims that meet excess reporting criteria; ensures claim files are properly documented and claims coding is correct. * Approves and ...

Sedgwick

Claims Representative, Recovery

Dallas, TX · On-site

Maintains a diary on active claims with subrogation potential and claims that meet excess reporting criteria; ensures claim files are properly documented and claims coding is correct. * Approves and ...

Sedgwick

Claims Representative, Recovery

Madison, WI · On-site

Maintains a diary on active claims with subrogation potential and claims that meet excess reporting criteria; ensures claim files are properly documented and claims coding is correct. * Approves and ...

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All JobsClaims Coder Jobs

Claims Coder information

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$12

$23

$43

How much do claims coder jobs pay per hour?

As of Jun 24, 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.

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.
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:

Claims Examiner - Workers Compensation

Vytwo

Prosper, TX • Remote

$35/hr

Full-time

Posted 14 days ago

Job description

Title: Claims Examiner - Workers Compensation (1431041)
Location: Remote
Duration: 03+ Months
Manager's notes:
Mandatory: Work comp claims handling experience is needed; loss time.
Minimum 3+years of relevant WC experience required.
PRIMARY PURPOSE:
To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
  • Analyzes and processes complex or technically difficult workers' compensation claims by investigating and gathering information to determine the exposure on the claim;
  • Manages claims through well-developed action plans to an appropriate and timely resolution.
  • Negotiates settlement of claims within designated authority.
  • Calculates and assigns timely and appropriate reserves to claims;
  • Manages reserve adequacy throughout the life of the claim.
  • Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
  • Prepares necessary state fillings within statutory limits.
  • Manages the litigation process; ensures timely and cost effective claims resolution.
  • Coordinates vendor referrals for additional investigation and/or litigation management.
  • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
  • Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
  • Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
  • Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
  • Ensures claim files are properly documented and claims coding is correct.
  • Refers cases as appropriate to supervisor and management.

Education & Licensing
Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
Experience
Five (5) years of claims management experience or equivalent combination of education and experience required.
Skills & Knowledge
Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Service Expectations