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Coder Iv Jobs (NOW HIRING)

University of Rochester

Med Records Coder IV, Complex

$25.14 - $35.24/hr

Functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with ...

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Coder IV information

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$15

$27

$43

How much do coder iv jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for coder iv 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 is a Coder IV?

A Coder IV is an advanced-level medical coding professional responsible for reviewing and assigning accurate codes to complex medical diagnoses, procedures, and services for billing and compliance purposes. They typically handle challenging cases such as inpatient, outpatient, or specialty coding and may also provide guidance to less experienced coders. Coder IVs ensure that all coding follows regulatory requirements and standards, such as ICD-10, CPT, and HCPCS. They often work in hospitals, clinics, or healthcare organizations and may assist with audits, training, or process improvements.

What are the key skills and qualifications needed to thrive as a Coder IV?

To thrive as a Coder IV, you need advanced knowledge of medical coding systems (ICD-10, CPT, HCPCS), strong analytical skills, and typically a certification such as CCS or CPC. Familiarity with electronic health records (EHRs), coding software, and hospital billing systems is essential. Attention to detail, critical thinking, and effective communication are standout soft skills for this position. These competencies ensure accurate coding, compliance with regulations, and efficient reimbursement processes, which are vital for healthcare organizations.

How does a Coder IV typically interact with other departments in a healthcare organization?

As a Coder IV, you will frequently collaborate with clinical staff, billing teams, and compliance departments to ensure accurate and complete coding of medical records. This advanced role often involves clarifying documentation with physicians, resolving coding discrepancies, and participating in audits or training initiatives. Strong communication skills are essential, as you may serve as a resource for junior coders and help implement best practices across the team. These interactions are vital for maintaining data integrity and compliance with regulatory standards.

What is the difference between Coder Iv vs Software Developer?

AspectCoder IvSoftware Developer
Required CredentialsTypically a relevant certification or associate degreeBachelor's degree in Computer Science or related field
Work EnvironmentOften in team settings, focusing on coding tasksInvolves design, coding, testing, and deployment
Employer & Industry UsageCommon in tech companies, government agencies, and outsourcing firmsWidely used across tech, finance, healthcare, and other industries
Search & Comparison IntentOften compared for entry to mid-level coding rolesCompared for broader software development responsibilities

While both Coder Iv and Software Developer roles involve coding, the Software Developer typically has a broader scope, including design and testing, and often requires a bachelor's degree. Coder Iv positions are more focused on coding tasks with specific certifications or associate degrees, making them suitable for entry to mid-level roles in various industries.

More about Coder IV jobs

What states have the most Coder Iv jobs?

States with the most job openings for Coder Iv jobs include:

What job categories do people searching Coder Iv jobs look for?

The top searched job categories for Coder Iv jobs are:

Coder IV jobs near you
Infographic showing various Coder Iv job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 12% Part Time, and 5% Contract. Highlights an 64% Physical, 3% Hybrid, and 33% Remote job distribution, with an average salary of $57,182 per year, or $27.5 per hour.

Medical Records Coder IV, Lead

University of Rochester

Rochester, NY • On-site

$27.24 - $38.14/hr

Full-time

Re-posted 17 days ago

University Of Rochester rating

8.3

Company rating: 8.3 out of 10

Based on 186 frontline employees who took The Breakroom Quiz

126th of 618 rated colleges and universities

Job description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

220 Hutchison Rd, Rochester, New York, United States of America, 14620

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

910503 United Business Office Coding

Work Shift:

UR - Day (United States of America)

Range:

UR URC 210 H

Compensation Range:

$27.24 - $38.14

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities:

GENERAL PURPOSE
The Coding Lead is responsible for working within specific functions within the professional fee organization, providing expertise within the revenue cycle department and assisting in guiding the actions of staff. Responsible for providing guidance and direction for coding staff, resolving simple and complex questions and providing performance feedback to management. The Coding Lead is required to have demonstrated knowledge and understanding of some aspects of billing office operations, including basic principles of staff management/supervision. The Coding Lead is expected to maintain expert knowledge of professional fee coding including CPT, ICD, E&M, Modifiers and requirements for multiple specialties.

Key Functions and Expected Performances

With general direction of the Manager / Assistant Manager and in addition to the duties outlined for their specific functional assignment:

  • 25% Supports priorities assigned by Manager and/or Assistant Manager. Acts as a resource to staff. Interprets direction and provides guidance to staff where necessary. Keeps current on relevant areas of knowledge. Functions as department leader in the absence of a supervisor/manager. Understands Coding workflows for abstract coding, resolving coding charge review and claim edits, and resolving coding denials.
  • 25% Identifies and escalates coding issues and trends to management. Assists in recommending coding workflow solutions to resolve issues and improve operations. Facilitates staff training on new processes or identified quality issues.
  • 25% The Coding Lead will retain coding assignments in their respective areas and will maintain productivity and accuracy standards in their own work product.
  • 15% Provides performance feedback to supervisors and managers for staff. Keeps management informed of process changes and impacts to staff.
  • 10% Cultivates and maintains professional relationships with primary customers within area of responsibility and across the organization to foster opportunities for revenue enhancement, enhanced customer service and learning and development.


May perform other duties as assigned.
Qualifications:
Required:

  • Associates degree in Health Information Technology or Bachelors in Health Information Administration preferred with three years coding experience; or equivalent combination of education and experience.
  • Successful completion of Coding Certification such as: American Health Information Management Association (AHIMA); accreditation examination for Registered Health Information Administrator (RHIA); (Registered Health Information Technician); RHIT or Certified Coding Specialist (CCS); CPC. Knowledge of ICD-9CM and ICD-10CM required
  • Excellent problem-solving skills
  • Excellent communication skills
  • Excellent customer service skills


Preferred:

  • Certification in Professional Fee Coding (AAPC, AHIMA)
  • Strong working knowledge of the professional billing software applications
  • Ability to type 25 wpm.

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status,or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.

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