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$161.2K

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How much do grouper jobs pay per year?

As of Sep 14, 2026, the average yearly pay for grouper in the United States is $161,189.00, according to ZipRecruiter salary data. Most workers in this role earn between $105,000.00 and $205,000.00 per year, depending on experience, location, and employer.

What is a grouper?

A Grouper is responsible for organizing, categorizing, or assembling items, data, or people into specific groups based on predefined criteria. This role is commonly found in industries like healthcare, manufacturing, and research, where classification and sorting are essential. Groupers ensure accuracy, efficiency, and consistency in grouping tasks, often using specialized tools or software. Depending on the industry, their duties may involve data management, inventory control, or workflow optimization.

What does a grouper do?

A typical day for a Grouper usually involves reviewing patient medical records and documentation to accurately assign the correct diagnosis-related group (DRG) or procedure codes for billing purposes. You’ll work closely with medical coders, billing teams, and sometimes clinicians to ensure all documentation supports the assigned groupings. The role often requires analyzing complex cases, resolving discrepancies in records, and staying updated on regulatory changes affecting reimbursement. While the work is detail-oriented, it offers opportunities to support financial integrity and play a key part in the healthcare revenue cycle.

What are the key skills and qualifications needed to thrive in the grouper position?

To thrive as a Grouper, you need a strong understanding of medical coding, insurance guidelines, and healthcare reimbursement processes, often backed by a relevant certification or experience in medical billing. Familiarity with coding software, electronic medical records (EMRs), and systems like ICD-10 and CPT is typically required. Attention to detail, analytical thinking, and effective communication are valuable soft skills for this position. These skills ensure accurate grouping of medical claims, which is vital for proper billing, compliance, and revenue management within healthcare organizations.

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What states have the most Grouper jobs?

States with the most job openings for Grouper jobs include:

What are popular job titles related to Grouper jobs?

For Grouper jobs, the most frequently searched job titles are:

Grouper jobs near you
Infographic showing various Grouper job openings in the United States as of September 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 100% In-person job distribution, with an average salary of $161,189 per year, or $77.5 per hour.

Senior Outpatient Coder

Valhalla, NY • On-site

Westchester Medical Center
Hospitals • 1 - 5K employees
Learn more about Westchester Medical Centerexternal

$19.50 - $26/hr

Full-time

Posted 12 days ago

Job description

Job Summary: The Senior Outpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records, including all diagnoses and operative and diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD 10CM), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS), and entering coded information into an automated grouper system. Technical guidance and acting in a lead role is expected. Does related work as required.
Responsibilities:
  • Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement.
  • Interprets and applies American Hospital Association Official Coding guidelines to articulate and support principle and secondary diagnoses and selected procedures.
  • Identifies and analyzes patterns in possible coding errors or other trends and reports to the coding leadership team.
  • Participates in mandated medical record review processes.
  • Using current HCPCS, ICD 10 CM, and CPT coding systems, assigns and records an accurate code to all diagnoses, procedures, and operations as documented by the attending physician in the indicated patient's medical record.
  • Ensures that all factors necessary for assigning an accurate APC/APGs are present, and that all diagnoses are ranked properly.
  • Makes appropriate contacts in order to acquire or clarify necessary information.
  • Enters final diagnostic code numbers and narrative descriptions of diagnoses and procedures into an automated grouper system.
  • Compiles and updates the appeal log detailing denials, hospital's reply and follow-up responses.
  • Abstracts information from medical records to compile reports and statistical information.
  • May train lower level coders and provide technical guidance and expertise.
  • Query appropriate provider as necessary regarding documentation of diagnosis and/or procedure.

Qualifications/Requirements:
Experience: Minimum of three years of experience where the primary function of the position must have been outpatient coding in acute care setting.
Demonstrate proficiency in ICD 10 CM and CPT by passing coding assessment administered before hire.
Education: High School or equivalency diploma, required. Satisfactory completion of 30 credits* toward an Associate's degree or Bachelor's degree in health information management may be substituted on a year for year basis for up to four years of the general coding experience. There is no substitution for the two years of specialized experience.
Licenses / Certifications: Current certification as either a Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician Based (CCS-P) through AHIMA, or as a Certified Professional Coder (CPC) through the American Academy of Professional Coders, required. Certification as Registered Health Information Administrator (RHIA) or as a Registered Health Information Technologist (RHIT) by the American Health Information Management Association

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