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Claims Edit Coder Jobs in Carson, CA (NOW HIRING)

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$16

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How much do claims edit coder jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for claims edit coder in Carson, CA is $28.75, according to ZipRecruiter salary data. Most workers in this role earn between $19.86 and $36.20 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a claims edit coder, and why are they important?

To thrive as a Claims Edit Coder, you need a solid understanding of medical coding (ICD-10, CPT, HCPCS), claims processing, and healthcare regulations, typically supported by a coding certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems, claims editing software, and payer-specific coding guidelines is crucial. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurately identifying and resolving coding errors. These skills ensure correct claim submission, minimize denials, and support timely reimbursement for healthcare providers.

What is a claims edit coder?

Claims Edit Coders are healthcare professionals who review and analyze medical claims to ensure they are coded accurately and comply with insurance and regulatory guidelines. They use specialized coding systems, such as ICD-10, CPT, and HCPCS, to verify that procedures and diagnoses are properly documented. Their work helps prevent billing errors, reduce claim denials, and ensure timely reimbursement for healthcare providers. Claims Edit Coders often collaborate with billing departments and healthcare providers to resolve discrepancies and improve coding accuracy.

What is the difference between Claims Edit Coder vs Claims Processing Specialist?

AspectClaims Edit CoderClaims Processing Specialist
CertificationsCertified Coding Associate (CCA), CPCNone required, but certifications can be beneficial
Work EnvironmentHealthcare facilities, insurance companies, remoteInsurance companies, healthcare providers, office setting
Primary ResponsibilitiesReview and correct claim data, ensure coding accuracyProcess claims from submission to payment, handle inquiries

Claims Edit Coders focus on reviewing and correcting claim data to ensure accurate coding, while Claims Processing Specialists handle the overall processing of claims from submission to resolution. Both roles require knowledge of insurance policies and coding, but Claims Edit Coders are more specialized in coding accuracy, whereas Claims Processing Specialists manage broader claim workflows.

What are some common challenges faced by a claims edit coder, and how can they be addressed?

Claims Edit Coders often encounter challenges such as staying updated with frequent changes in coding regulations and payer-specific requirements. Additionally, coding errors or discrepancies may arise due to incomplete or unclear documentation from providers. To address these issues, it's important to engage in ongoing education, actively communicate with clinical staff for clarification, and utilize reliable coding resources and software. Collaboration with team members and regular training can help maintain accuracy and compliance in claim submissions.
What cities near Carson, CA are hiring for Claims Edit Coder jobs? Cities near Carson, CA with the most Claims Edit Coder job openings:
Claims Edit Coder jobs near you

Patient Account Specialist

College Medical Center

Long Beach, CA

$23.13 - $27.98/hr

Full-time

Posted 9 days ago

Job description

College Medical Center Long Beach is proud to be part of College Hospitals. We are dedicated to the highest quality of customer services delivered with a with a sense of warmth friendliness and organizational pride. Become part of a team that provides a respectful environment, flexibility, a tight knit group and autonomy to utilize your knowledge and experience.


The Patient Account Specialist performs a variety of duties and responsibilities related to billing and collection for timely and accurate claim submission, resolution on non-payment of accounts, denials, addressing billing questions, reviewing patient accounts, and follow up. The Patient Account Specialist is expected to maintain the aging less than 90 days, maximize cash flow, be familiar with current regulatory requirements, electronic and hard copy billing, and UB04 billing formats.


QUALIFICATIONS/JOB DUTIES

• Good written and verbal communication skills

• Intermediate technical skills including PC and MS Outlook

• Intermediate knowledge of UB-04 and Explanation of Benefits (EOB) interpretation

• Intermediate knowledge of CPT and ICD-9 codes

• Intermediate knowledge of insurance collections and insurance terminology

• Working knowledge of aging reports.

• Computer experience with Window’s based programs.

• Heavy telephone skills.

• High School diploma or equivalent education.

• 0-4 years of experience in Medical/Hospital Insurance related collections


• Responsible for all aspects of follow up and collections, including making telephone calls, accessing payer websites.

• Identify issues or trending and provide suggestions for resolution.

• Accurately and thoroughly documents the pertinent collection activity performed.

• Review the account information and necessary system applications to determine the next appropriate work activity.

• Verify claims adjudication utilizing appropriate resources and applications.

• Initiate telephone or letter contact to patients to obtain additional information as needed.

• Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers.

• Edit claims to meet and satisfy billing compliance guidelines for electronic submission.

• Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory.


Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for CMC roles, including but not limited to shift differential and other special pay practices, etc. The posted compensation for the position is a reasonable estimate that extends from the lowest to the highest pay that CMC in good faith believes it might pay for this particular job, based on the circumstances at the time of posting.


EEO Statement

All College Medical Center subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. College Medical Center subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.  

Notice

We are aware of a scam whereby imposters are posing as Recruiters from College Medical Center, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At College Medical Center and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at College Medical Center and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. Email correspondence will come from the domains @collegemedicalcenter.com or @glendorahospital.com.

If you suspect a fraudulent job posting or job-related email mentioning College Medical Center or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate College Medical Center  subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.