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Highmark Health Billing Coding Jobs (NOW HIRING)

Easterseals

Billing & Coding Specialist

Auburn Hills, MI · On-site

$17.75 - $22.75/hr

Easterseals MORC is hiring for a Billing and Coding Specialist to help make a difference and become ... Low-cost Dental/Health/Vision insurance * Dependent care reimbursement, and up to 5 days paid FMLA ...

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How much do highmark health billing coding jobs pay per hour?

As of Jun 6, 2026, the average hourly pay for highmark health billing coding in the United States is $21.96, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $23.08 per hour, depending on experience, location, and employer.

What is a Highmark Health Billing Coding specialist?

A Highmark Health Billing Coding specialist is a professional responsible for reviewing, coding, and processing healthcare claims for services provided to patients covered by Highmark Health insurance. They use standardized coding systems, such as ICD-10 and CPT, to accurately translate medical procedures and diagnoses into codes for billing and reimbursement. These specialists ensure that claims comply with federal regulations and insurance guidelines, helping healthcare providers receive timely and correct payments. They also work to prevent billing errors, reduce claim denials, and support the financial operations of healthcare organizations.

What is the difference between Highmark Health Billing Coding vs Medical Billing Specialist?

AspectHighmark Health Billing CodingMedical Billing Specialist
CertificationsCPB, CPC, or equivalent certifications often preferredCPB, CPC, or similar certifications
Work EnvironmentHealthcare provider or insurance companyMedical offices, hospitals, or billing companies
Primary ResponsibilitiesProcessing insurance claims, coding diagnoses and proceduresSubmitting claims, follow-up, patient billing

Highmark Health Billing Coding professionals focus on coding and claims processing within insurance or healthcare organizations, while Medical Billing Specialists handle the entire billing cycle, including patient interactions. Both roles require similar certifications and work in healthcare settings, but their specific duties differ slightly.

What are the key skills and qualifications needed to thrive as a Highmark Health Billing Coding Specialist, and why are they important?

To excel as a Highmark Health Billing Coding Specialist, you need a thorough understanding of medical coding, billing procedures, and healthcare regulations, often backed by a certification such as CPC or CCS. Familiarity with coding software (e.g., Epic, 3M), electronic health records (EHRs), and insurance claims systems is essential. Attention to detail, strong organizational skills, and clear communication help ensure accuracy and resolve billing discrepancies. These skills are crucial for compliant, efficient billing practices that support timely reimbursement and minimize errors.

What are some common challenges faced by billing and coding professionals at Highmark Health, and how can these be managed?

Billing and coding professionals at Highmark Health often face challenges such as keeping up with frequent changes in insurance policies, coding standards (like ICD-10 and CPT), and regulatory requirements. Managing a high volume of claims while ensuring accuracy and compliance is crucial to avoid claim denials and delays. These challenges can be addressed through continuous education, utilizing robust coding software, staying updated with payer guidelines, and maintaining strong communication with clinical and administrative teams. Highmark Health also offers training resources and encourages collaboration to support its billing and coding staff.

Revenue Cycle Billing & Coding

Rancho Health MSO, Inc

Temecula, CA • On-site

$24 - $28/hr

Full-time

Posted 21 days ago

Job description

The intent of this job description is to provide a summary of the major duties and responsibilities performed in this job. Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.

The RCM Biller/Coder is responsible for the accurate coding and billing of professional services to ensure timely, compliant, and clean claim submission across all affiliate sites. This role supports both Athena and Epic workflows and applies current CPT, ICD-10-CM, and HCPCS coding guidelines in alignment with Rancho Family MSO Revenue Cycle Management (RCM) policies and payer requirements. The Biller/Coder works collaboratively with RCM leadership and team members to resolve coding issues, address denials, and support optimal revenue cycle performance.


Essential Job Duties: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Accurately assign CPT, ICD-10-CM, and HCPCS codes based on provider documentation and established coding guidelines.
  • Code and bill claims in a timely manner to support clean claim submission and optimal first-pass resolution rates.
  • Manage assigned coding and billing work queues in Athena and Epic in accordance with established workflows and productivity standards.
  • Identify documentation gaps or inconsistencies and route for clarification or correction as appropriate.
  • Review and assist in resolving coding-related denials, medical necessity issues, and payer rejections.
  • Follow up on unpaid or denied claims requiring coding review to support prompt resolution and reduce rework.
  • Respond to internal billing and coding inquiries within defined escalation pathways.
  • Maintain compliance with payer policies, regulatory requirements, and internal RCM standards.
  • Stay current on coding updates, payer policy changes, and regulatory guidance relevant to assigned specialties.
  • Participate in team meetings, training sessions, and quality improvement initiatives as required.
  • Adhere to standardized workflows and documentation practices within Athena and Epic systems.
  • Perform other duties as assigned to support departmental and organizational needs.

Required education and experience: The requirements listed below are representative of the knowledge, skills, and/or ability required.

Minimum Education required:

  • High school diploma or equivalent required.
  • Associate or bachelor’s degree in Health Information Management or a related field preferred.
  • Current coding certification required (CPC, CCS, or equivalent).

Minimum Experience Required:

  • Minimum of 2–4 years of medical billing and/or coding experience.
  • Experience in a multi-specialty and/or multi-site environment preferred.
  • Prior experience working in Athena and/or Epic required.
  • Experience supporting denial resolution and claim follow-up preferred.

Minimum Knowledge and Skills Required:

  • Working knowledge of CPT, ICD-10-CM, and HCPCS coding standards.
  • Understanding of payer requirements, claim submission processes, and denial workflows.
  • Strong attention to detail and commitment to accuracy.
  • Ability to manage assigned workloads and meet productivity and quality expectations.
  • Effective written and verbal communication skills.
  • Ability to work independently while collaborating within a team environment.
  • Proficiency navigating Athena and Epic billing and coding workflows.
  • Strong organizational and time-management skills.

Hybrid work schedule, must be able to commute to Temecula.