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Claims Edit Jobs (NOW HIRING)

Claims Edit Coder

Los Angeles, CA · On-site

$31.98 - $49.57/hr

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.

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.

$24.29 - $40.07/hr

Resolves accounts on the claims edit database. Assigns injections and infusion codes for observation patients. Meets the minimum productivity standard mintaining an average accuracy rating of 95%

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Claims Edit information

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$13

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$28

How much do claims edit jobs pay per hour?

As of May 29, 2026, the average hourly pay for claims edit in the United States is $21.05, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.84 per hour, depending on experience, location, and employer.

What is the difference between Claims Edit vs Claims Examiner?

AspectClaims EditClaims Examiner
CredentialsTypically requires insurance or claims processing certificationsRequires similar certifications, often with additional insurance licensing
Work EnvironmentPrimarily office-based, focusing on reviewing and editing claimsOffice-based, reviewing and approving insurance claims
Industry UsageCommon in insurance companies, third-party administratorsCommon in insurance carriers, government agencies
Search & Comparison IntentOften compared for claims processing rolesOften compared with Claims Edit for claims review positions

Claims Edit professionals focus on reviewing and correcting insurance claims for accuracy, while Claims Examiners evaluate and approve or deny claims based on policy coverage. Both roles require similar certifications and work environments, but Claims Examiners have a broader responsibility for decision-making in the claims process.

More about Claims Edit jobs
What cities are hiring for Claims Edit jobs? Cities with the most Claims Edit job openings:
What states have the most Claims Edit jobs? States with the most job openings for Claims Edit jobs include:
Infographic showing various Claims Edit job openings in the United States as of May 2026, with employment types broken down into 95% Full Time, and 5% Part Time. Highlights an 50% In-person, 5% Hybrid, and 45% Remote job distribution, with an average salary of $43,783 per year, or $21 per hour.
Claims Edit Coder

Claims Edit Coder

Cedars Sinai

Los Angeles, CA • On-site

$31.98 - $49.57/hr

Full-time

Medical, Retirement, PTO

Posted 11 days ago


Cedars-Sinai rating

8.6

Company rating: 8.6 out of 10

Based on 129 frontline employees who took The Breakroom Quiz

35th of 989 rated hospitals


Job description

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.

Qualifications
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.

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