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Coder Iv Jobs in Texas (NOW HIRING)

Coder (Cert-Inpatient) - ROC - FT

Edinburg, TX · Remote

$15.75 - $19/hr

... 4. Computer skills. 5. Ability to read medical reports, interpret lab values pertinent to coding diagnoses, abstract pertinent information from records and to provide meaningful information by ...

Coder (Cert-Inpatient) - ROC - FT

Edinburg, TX · Remote

$15.75 - $19/hr

... 4. Computer skills. 5. Ability to read medical reports, interpret lab values pertinent to coding diagnoses, abstract pertinent information from records and to provide meaningful information by ...

Assign ICD-10-CM and CPT-4 codes accurately and to the highest level of specificity. * Primarily code complex ambulatory surgery, special procedure, and observation cases . * Assist with emergency ...

New

Medical Records Coder-Int

San Antonio, TX · On-site

$17 - $22.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote Coders may be required to occasionally attend on campus training and meetings ... Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are ...

Assign ICD-10-CM and CPT-4 codes accurately and to the highest level of specificity. * Primarily code complex ambulatory surgery, special procedure, and observation cases . * Assist with emergency ...

New

Medical Records Coder-Senior

San Antonio, TX · On-site

$17 - $22.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote Coders may be required to occasionally attend on campus training and meetings ... Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are ...

Medical Records Coder-Assoc

San Antonio, TX · On-site

$17 - $22.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote Coders may be required to occasionally attend on campus training and meetings ... Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are ...

MEDICAL RECORDS CODER 2

Dallas, TX

$18.50 - $24.75/hr

Hours of Work : 8-4:30 Days Of Week : M-F Work Shift : : Your Job:In this highly technical and fast ... The Coder 2 classifies and abstracts inpatient and outpatient diagnoses and procedures, which are ...

Medical Records Coder-Senior

San Antonio, TX · On-site

$17 - $22.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote Coders may be required to occasionally attend on campus training and meetings ... Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are ...

Remote Outpatient Surgery Coder

Houston, TX · Remote

$29 - $33/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Active coding certification (e.g., CPC, CCS, CCS-P, RHIT, RHIA, or equivalent). * 4-5 years of recent hospital-based outpatient coding experience. * Epic experience. * Strong facility coding ...

Medical Records Coder-Int

San Antonio, TX · On-site

$17 - $22.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote Coders may be required to occasionally attend on campus training and meetings ... Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are ...

MEDICAL RECORDS CODER 2

Dallas, TX · On-site

$18.75 - $24.75/hr

Coder 2 Hours of Work: 8-4:30 Days Of Week: M-F Work Shift: In this highly technical and fast-paced position, you will collaborate with multidisciplinary team members to provide the very best care ...

MEDICAL RECORDS CODER 2

Dallas, TX · On-site

$18.75 - $24.75/hr

Hours of Work : 8-4:30 Days Of Week : M-F Work Shift : : Your Job: In this highly technical and ... The Coder 2 classifies and abstracts inpatient and outpatient diagnoses and procedures, which are ...

Coder (Cert-Inpatient) - ROC - FT

Edinburg, TX · On-site

$15.75 - $19/hr

... 4. Computer skills. 5. Ability to read medical reports, interpret lab values pertinent to coding diagnoses, abstract pertinent information from records and to provide meaningful information by ...

Showing results 41-60

Coder Iv information

See Texas salary details

$14

$25

$40

How much do coder iv jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for coder iv in Texas is $25.61, according to ZipRecruiter salary data. Most workers in this role earn between $17.69 and $32.26 per hour, depending on experience, location, and employer.

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.

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.

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.
Infographic showing various Coder Iv job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 9% Part Time, and 4% Contract. Highlights an 69% Physical, 3% Hybrid, and 28% Remote job distribution, with an average salary of $53,274 per year, or $25.6 per hour.

Full-time

Re-posted 8 days ago


Cook Children's Health Care System rating

7.9

Company rating: 7.9 out of 10

Based on 77 frontline employees who took The Breakroom Quiz

108th of 887 rated healthcare providers


Job description

Location:

Medical Center - Fort Worth

Department:

HIM-Coding

Shift:

First Shift (United States of America)

Standard Weekly Hours:

20

Summary:

  • Requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines.
  • Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records.
  • Primarily codes complex ambulatory surgery and observation visit medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all types of CCHCS reporting.
  • Assists with coding outpatient ancillary clinic, specialty clinic and emergency room record coding as necessary.
  • Minimum expected accuracy rate for all coding assignments is 95%. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists on patient cases regarding documentation needs and requirements, and coding assignment accuracy.
  • Maintains current knowledge of coding and documentation changes, rules and guidelines.


Education:

  • RHIA, RHIT or CCS with one (1) year minimum current and continuous full-time ICD-10-CM& CPT-4 ambulatory surgery, observation and/or inpatient coding and abstracting experience required.
  • Pediatric coding experience highly desired.
  • Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for job role required.
  • Experience using Microsoft Office Excel and Word highly desired.
  • Ability to work well independently and productively with minimal guidance and without direct supervision.
  • Must be highly detail oriented, have the ability to remain focused with good organization, interpersonal and communication skills.
  • Ability to maintain confidentiality. Goal oriented, flexible and energetic. Demonstrates coding skills, and critical thinking skills.
  • Ability to solve problems appropriately using job knowledge and current policies and procedures.
  • Demonstrated coding knowledge and proficiency is required through on-site skills assessment with a passing score of 90% prior to hire.

Certification/Licensure:

  • Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) required.
  • Required to provide current American Health Information Management Association (AHIMA) continuing education certification records.

About Us:

Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs.

Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.


What Cook Children's Health Care System employees say

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About Cook Children's Health Care System

Sourced by ZipRecruiter

Cook Children's Health Care System, based in Fort Worth, Texas, operates in the healthcare industry with a primary focus on pediatric health services. Established in 1918, the system has been committed to improving the health of children through the prevention and treatment of childhood diseases. This integrated pediatric healthcare system includes a medical center, physician network, home health company, research institute, and a health plan. At the core of its operations is the mission to 'Improve the Health of Every Child' in its community, reflecting its commitment to providing quality care, research, education, and prevention and wellness services.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Fort Worth, TX, US

Year founded

1918

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