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Claims Edit Coder Jobs (NOW HIRING)

University of Rochester

Med Rec Coder III

$21.78 - $30.53/hr

Troubleshoots problems that prevent claims from being released. Identifies cause of edit and ... Responds to coding information requests and inquiries from various sources. * Consults with ...

Centivo

Claims Adjustor

Buffalo, NY · Remote

$19 - $23/hr

When the Claims Adjustor is unable to resolve an edit based on the provider selection, the pricing ... Knowledgeable about healthcare claims, medical coding, and rules applicable to Benefit Plans.

Renown Health

Revenue Integrity Specialist

Reno, NV · On-site

$82K - $82K/yr

Coding and claims edit experience required. License(s): None Certification(s): None Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and ...

Alivi

On-site Medical Claims Examiner

Miami, FL · On-site

... ICD-10 Codes, under the correct provider contract and member benefits. * Responds to provider ... Maintains the department's claim edit rules and processing claims according to client specific ...

Ovation Healthcare

Coder, Edits/Denials

$19.25 - $25.50/hr

Ovation Healthcare seeks an Edit & Denials Coder to review medical records to determine appropriate ... Creates appropriate letters to substantiate the validity of claims. * Meets with facility liaison ...

Renown Health

Revenue Integrity Specialist

Reno, NV

$82K - $82K/yr

Coding and claims edit experience required. License(s): None Certification(s): None Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and ...

University of Rochester

Med Rec Coder III

Rochester, NY · On-site

$21.78 - $30.53/hr

Troubleshoots problems that prevent claims from being released. Identifies cause of edit and ... Responds to coding information requests and inquiries from various sources. * Consults with ...

WebTPA

Claims Examiner I

San Antonio, TX

... edit logic). * Incumbents are expected to meet and/or exceed qualitative and quantitative ... Knowledge of CPT and ICD-9 coding required. * Knowledge of COBRA, HIPAA, pre-existing conditions ...

Guidewell

Claims Examiner I

San Antonio, TX · On-site

... edit logic). * Incumbents are expected to meet and/or exceed qualitative and quantitative ... Knowledge of CPT and ICD-9 coding required. * Knowledge of COBRA, HIPAA, pre-existing conditions ...

Guidewell

Claims Examiner I

San Antonio, TX · On-site

... edit logic). * Incumbents are expected to meet and/or exceed qualitative and quantitative ... Knowledge of CPT and ICD-9 coding required. * Knowledge of COBRA, HIPAA, pre-existing conditions ...

Guidewell

Claims Examiner I

Irving, TX · On-site

... edit logic). * Incumbents are expected to meet and/or exceed qualitative and quantitative ... Knowledge of CPT and ICD-9 coding required. * Knowledge of COBRA, HIPAA, pre-existing conditions ...

WebTPA

Claims Examiner I

Irving, TX · On-site

... edit logic). * Incumbents are expected to meet and/or exceed qualitative and quantitative ... Knowledge of CPT and ICD-9 coding required. * Knowledge of COBRA, HIPAA, pre-existing conditions ...

University of Rochester

Med Rec Coder II

$20.34 - $28.51/hr

Troubleshoots problems that prevent claims from being released. Identifies cause of edit and ... Responds to coding information requests and inquiries from various sources. * Other duties as ...

University of Rochester

Med Rec Coder II

$20.34 - $28.51/hr

Troubleshoots problems that prevent claims from being released. Identifies cause of edit and ... Responds to coding information requests and inquiries from various sources. * Other duties as ...

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Showing results 41-60

All JobsClaims Edit Coder Jobs

Claims Edit Coder information

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$15

$27

$43

How much do claims edit coder jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for claims edit coder in the United States is $27.49, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $34.62 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.
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Claims Edit Coder jobs near you
Infographic showing various Claims Edit Coder job openings in the United States as of August 2026, with employment types broken down into 99% Full Time, and 1% Part Time. Highlights an 77% In-person, and 23% Remote job distribution, with an average salary of $57,182 per year, or $27.5 per hour.

Certified Professional Coder

AltaMed Health Services Corporation

Commerce, CA • On-site

$27 - $33.75/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 19 days ago

AltaMed rating

7.6

Company rating: 7.6 out of 10

Based on 37 frontline employees who took The Breakroom Quiz

189th of 887 rated healthcare providers

Job description

Grow Healthy
If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn't just welcomed - it's nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don't just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it's a calling that drives us forward every day.
Job Overview
Assigned codes to patient symptoms, diagnosis, operations, and treatments to process reimbursements, knowledge and expertise in reviewing and adjudicating coding services, procedures, and diagnoses on medical claims. Completes accuracy and timely entry of ICD-9-CM, HCPCS procedure codes, and CPT codes into the NextGen system.
Minimum Requirements
  • A minimum of one year of college/trade school, or a minimum of two years of experience with medical record coding and charge edit review, and or billing edit review required.
  • Certified Professional Coder (CPC) required, Certified Coding Specialist (CCS) preferred, depending on hiring department.

Compensation
$27.00 - $33.75 hourly
Compensation Disclaimer
Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.
Benefits & Career Development
  • Medical, Dental and Vision insurance
  • 403(b) Retirement savings plans with employer matching contributions
  • Flexible Spending Accounts
  • Commuter Flexible Spending
  • Career Advancement & Development opportunities
  • Paid Time Off & Holidays
  • Paid CME Days
  • Malpractice insurance and tail coverage
  • Tuition Reimbursement Program
  • Corporate Employee Discounts
  • Employee Referral Bonus Program
  • Pet Care Insurance

Job Advertisement & Application Compliance Statement
AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.

What AltaMed employees say

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About AltaMed Health Services

Sourced by ZipRecruiter

AltaMed Health Services, based in Los Angeles, CA, US, is a leading provider in the healthcare industry. Founded in 1969 as the East LA Barrio Free Clinic, the organization provides high-quality health and human services to the underserved and uninsured communities in Southern California. AltaMed offers a broad range of services including medical care, senior care, dental services, HIV care, pharmacy services, and health education. The company's mission is to eliminate disparities in healthcare access and outcomes by providing superior quality health and human services through an integrated world-class delivery system. AltaMed has also made notable achievements, including becoming the nation's largest federally qualified community health center (FQHC) and being named a leader in healthcare equality by the Human Rights Campaign for several consecutive years.

Industry

Fitness and sports centers

Company size

1,001 - 5,000 Employees

Headquarters location

Los Angeles, CA, US

Year founded

1969

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