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How much do coding appeal specialist jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for coding appeal specialist in the United States is $27.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.12 and $32.69 per hour, depending on experience, location, and employer.

What is a coding appeal specialist?

Coding Appeal Specialists are healthcare professionals responsible for reviewing and appealing denied medical claims related to coding issues. They analyze medical records, ensure accurate coding in compliance with regulations, and prepare appeal documents to submit to insurance companies or payers. Their goal is to maximize reimbursement for healthcare providers by correcting errors and providing supporting documentation. Coding Appeal Specialists often work closely with billing teams, coders, and healthcare providers to resolve claim denials efficiently.

What skills and qualifications are needed to be a coding appeal specialist?

To thrive as a Coding Appeal Specialist, you need a deep understanding of medical coding (ICD-10, CPT, HCPCS), healthcare regulations, and claims processing, typically supported by a certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems, medical billing software, and payer-specific appeal platforms is crucial. Strong analytical thinking, attention to detail, and effective written communication set standout specialists apart. These skills are vital for accurately challenging denied claims, maximizing reimbursement, and ensuring compliance within healthcare organizations.

How does a coding appeal specialist collaborate with other healthcare professionals during the appeals process?

A Coding Appeal Specialist frequently works closely with medical coders, billing teams, and healthcare providers to gather necessary documentation and clarify coding details for denied claims. They may also interact with insurance representatives to discuss the specifics of each case and ensure that appeals are properly supported. Effective communication and teamwork are essential, as accurate information from various stakeholders directly impacts the outcome of appeals. This collaborative approach helps streamline the process and increases the likelihood of successful claim resolutions.

What cities are hiring for Coding Appeal Specialist jobs?

Cities with the most Coding Appeal Specialist job openings:

What states have the most Coding Appeal Specialist jobs?

States with the most job openings for Coding Appeal Specialist jobs include:

What are popular job titles related to Coding Appeal Specialist jobs?

For Coding Appeal Specialist jobs, the most frequently searched job titles are:

Infographic showing various Coding Appeal Specialist job openings in the United States as of August 2026, with employment types broken down into 85% Full Time, 12% Part Time, and 3% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $57,000 per year, or $27.4 per hour.

Acute Coding Appeals Specialist

Remote

Ensemble Health Partners, Inc.
Health Care and Social Assistance • 5 - 10K employees
Learn more about Ensemble Health Partners, Inc.external

$29.70 - $31.80/hr

Full-time

Medical, Retirement

Re-posted 9 days ago

Ensemble Health Partners rating

6.6

Company rating: 6.6 out of 10

Based on 246 frontline employees who took The Breakroom Quiz

Job description

Thank you for considering a career at Ensemble!
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
  • Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
  • Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
  • Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:
CAREER OPPORTUNITY OFFERING:
  • Bonus Incentives
  • Paid Certifications
  • Tuition Reimbursement
  • Comprehensive Benefits
  • Career Advancement
  • This position pays between $29.70 - $31.80 based on experience

The Acute Coding Appeals Specialist integrates medical coding principles and objectivity in the performance of coding appeals activities. Draws on ICD10CM, ICD10PCS, HCPCS, NCCI, CMS and CMG coding expertise and industry knowledge to substantiate coding principles to determine potential billing/coding issues, and quality concerns. Under indirect supervision, the Coding Appeals Specialist is responsible for reviewing and writing appeals for inpatient Diagnosis Related Group, (DRG) denials in order to support the assigned DRG and to address the clinical documentation utilized in the decision-making process to support the validity of the assigned codes.
Job Responsibilities:
  • The appeals professional integrates medical coding principles and objectivity in the performance of coding appeals/denials activities. Draws on ICD10CM, ICD10PCS, HCPCS, NCCI, CMS and CMG coding expertise and industry knowledge to substantiate coding principles to determine potential billing/coding issues, and quality concerns
  • Participates in client system education to gain the knowledge necessary to appeal client accounts in ensuring that the coding is supported by the patient's clinical documentation, coding/cdi guidelines and other regulatory standards/guidelines as appropriate
  • Maintain meticulous documentation, spreadsheets, account, and claim examples of root cause issues. Performs searches of governmental, payor-specific, hospital-specific, regulatory body, and literature rules, regulations, guidelines to identify and coding and billing requirements to make recommendations to client
  • Assist in education and training for client coding companion as it relates to the outcomes of the coding appeals
  • Meet established productivity standards for coding appeals & coding certification requirement
  • Attends in-house sessions to receive updated coding information and changes in coding and/or regulations
  • Provides excellent customer service, in an organized and efficient manner, while maintaining a positive attitude

Required Experience:
  • Previous inpatient facility coding experience, working appeals, denials and edits
  • 5 years previous experience in coding, required
  • Advanced knowledge of medical coding and billing systems, documentation, and regulatory requirements
  • Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences.
  • This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

Minimum Education:
  • High School Diploma or GED

Required Certification:
  • Active Coding Certification (i.e. RHIA, RHIT, CCS, CIC, CPC, COC, etc.)

#LI-HB1
#LI-REMOTE
Join an award-winning company
Five-time winner of "Best in KLAS" 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
  • Innovation
  • Work-Life Flexibility
  • Leadership
  • Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
  • Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
  • Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
  • Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
  • Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.
Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.
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