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Hospital Coding Jobs in Texas (NOW HIRING)

University Health

Coding Specialist

San Antonio, TX

We are a nationally recognized teaching hospital and consistently recognized as a leader in ... Codes inpatient, outpatient surgery and observation visits utilizing the ICD-9-CM and CPT coding ...

Ernest Health

Coder

Mesquite, TX · On-site

$17 - $22.75/hr

Provide expertise in the areas of coding and classification systems to healthcare providers throughout our hospital, and help drive improvements of reimbursement, and the revenue cycle. * Responsible ...

Hendrick Health

Coding Auditor

Abilene, TX · Remote

$26.50 - $30/hr

Five (5) years coding experience including, but not limited to, hospital inpatient and outpatient encounters * Required Licenses/Certifications * AHIMA and/or AAPC Coding Credential, CCS preferred

Hendrick Health

Coding Auditor

Abilene, TX · On-site

$26.50 - $30/hr

Five (5) years coding experience including, but not limited to, hospital inpatient and outpatient encounters * Required Licenses/Certifications * AHIMA and/or AAPC Coding Credential, CCS preferred

University Health

Coding Educator/Auditor

San Antonio, TX · On-site

$25.10 - $40.25/hr

We are a nationally recognized teaching hospital and consistently recognized as a leader in ... Trains new Coding Specialist(s), Technician(s), and Associate(s). Promotes the Health System ...

Medix

Coding Manager

Dallas, TX · On-site

$30 - $62/hr

Manage the daily operations of Hospital and Physician Practice Coding Departments. * Collaborate with and educate physicians on coding and documentation guidelines. * Research coding questions ...

University Health

Coding Educator/Auditor

San Antonio, TX · Remote

$24.50 - $28/hr

We are a nationally recognized teaching hospital and consistently recognized as a leader in ... Trains new Coding Specialist(s), Technician(s), and Associate(s). Promotes the Health System ...

University Health

Coding Educator/Auditor

San Antonio, TX

$24.50 - $28/hr

Perform coding audits and education across professional and hospital services * Ensure accurate assignment of ICD-10-CM and CPT codes * Train and mentor Coding Specialists, Technicians, and ...

University Health

Coding Educator/Auditor

San Antonio, TX

$24.50 - $28/hr

Basic ancillary services, Emergency Room services, Hospital Observation, Ambulatory surgery, Inpatient Admission. Utilizes the ICD-10-CM and CPT coding classification systems and ensures proper ...

University Health

Coding Educator/Auditor

San Antonio, TX · On-site

$25.10 - $40.25/hr

Basic ancillary services, Emergency Room services, Hospital Observation, Ambulatory surgery, Inpatient Admission. Utilizes the ICD-10-CM and CPT coding classification systems and ensures proper ...

Houston Methodist

Coding Quality Auditor

Houston, TX · On-site

$26 - $29.50/hr

Represents the coding area in Hospital meeting/events when necessary (e.g., Performance Improvement Committees). QUALITY/SAFETY ESSENTIAL FUNCTIONS * Maintains and achieves the highest standards of ...

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Hospital Coding information

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How much do hospital coding jobs pay per hour?

As of Jun 25, 2026, the average hourly pay for hospital coding in Texas is $30.74, according to ZipRecruiter salary data. Most workers in this role earn between $27.69 and $33.94 per hour, depending on experience, location, and employer.

What is hospital coding?

Hospital coding is the process of translating medical diagnoses, procedures, and services provided during a patient's stay at a hospital into standardized codes. These codes are used for billing, insurance claims, and maintaining accurate patient records. Hospital coders use classification systems such as ICD-10-CM for diagnoses and CPT/HCPCS for procedures to ensure consistency and compliance with healthcare regulations. Accurate coding is essential for hospitals to receive proper reimbursement and for maintaining quality healthcare data.

Do hospitals hire medical coders?

Yes, hospitals frequently hire medical coders to review clinical documentation and assign accurate codes for billing and reimbursement. Medical coders typically need certification and familiarity with coding systems like ICD-10 and CPT, and they often work in a healthcare setting with standard office hours.

What is the difference between Hospital Coding vs Medical Billing?

AspectHospital CodingMedical Billing
Primary RoleAssigns medical codes to diagnoses and procedures for billing and record-keepingProcesses insurance claims and manages billing for healthcare services
CredentialsCertified Professional Coder (CPC), Certified Coding Specialist (CCS)Certified Professional Biller (CPB), Certified Coding Associate (CCA)
Work EnvironmentHospitals, clinics, healthcare facilitiesMedical offices, billing companies, healthcare providers
Industry UsageUsed for accurate medical record documentation and reimbursementUsed for insurance claims submission and payment collection

Hospital Coding focuses on translating medical diagnoses and procedures into standardized codes, essential for billing and record accuracy. Medical Billing involves submitting claims and managing payments. While related, they are distinct roles within healthcare revenue cycle management, often working together but requiring different skills and certifications.

What are the key skills and qualifications needed to thrive as a Hospital Coder, and why are they important?

To thrive as a Hospital Coder, you need thorough knowledge of medical terminology, anatomy, and ICD-10-CM/PCS or CPT coding systems, often supported by certification such as CCS or CPC. Proficiency with hospital information systems and electronic health records (EHR) software is typically required. Attention to detail, analytical thinking, and effective communication are critical soft skills for accurately translating clinical documentation and collaborating with healthcare professionals. These skills ensure proper billing, regulatory compliance, and optimized hospital reimbursement.

What does a coder do in a hospital?

A hospital coder reviews medical records to assign standardized codes for diagnoses, procedures, and treatments using coding systems like ICD-10 and CPT. These codes ensure accurate billing, insurance claims processing, and healthcare data analysis, often requiring attention to detail and familiarity with medical terminology and coding software.

What is the highest paid medical coder?

The highest paid medical coders are often those with senior roles such as Coding Managers or Certified Professional Coders (CPC) with specialized expertise in areas like inpatient hospital coding or surgical coding. Salaries can exceed $70,000 annually, especially for those with extensive experience, certifications, and advanced skills in coding systems like ICD-10 and CPT. Factors such as location, certification, and years of experience influence earning potential in hospital coding roles.

Can I get a medical coder job with no experience?

Hospital coding positions often require some knowledge of medical terminology, coding systems like ICD-10 and CPT, and attention to detail. While entry-level roles may be available, obtaining certification such as the Certified Professional Coder (CPC) can improve job prospects for those with no prior experience.

What are some common challenges hospital coders face when working with complex patient records?

Hospital coders often encounter challenges such as interpreting incomplete or ambiguous physician documentation and ensuring accurate code assignment for complex cases with multiple diagnoses or procedures. Navigating frequent updates to coding standards (like ICD-10 and CPT) and staying compliant with regulatory requirements can also be demanding. Effective communication with clinical staff and attention to detail are essential to ensure coding accuracy, which directly impacts hospital reimbursement and compliance.
What are popular job titles related to Hospital Coding jobs in Texas? For Hospital Coding jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Hospital Coding jobs in Texas look for? The top searched job categories for Hospital Coding jobs in Texas are:
What cities in Texas are hiring for Hospital Coding jobs? Cities in Texas with the most Hospital Coding job openings:
Hospital Coding jobs near you
Infographic showing various Hospital Coding job openings in Texas as of June 2026, with employment types broken down into 2% Locum Tenens, 53% Full Time, 7% Part Time, 36% Contract, and 2% Nights. Highlights an 81% Physical, 3% Hybrid, and 16% Remote job distribution, with an average salary of $63,949 per year, or $30.7 per hour.
Coding Specialist

Coding Specialist

Chesapeake Regional Healthcare

Dallas, TX • On-site, Remote

Full-time

Posted 18 days ago

Chesapeake Regional Healthcare rating

6.9

Company rating: 6.9 out of 10

Based on 22 frontline employees who took The Breakroom Quiz

Job description

Outpatient ED Coder
Summary
The Coding Specialist is responsible for accurately assigning and sequencing ICD diagnostic and procedural codes and/or CPT procedural codes to inpatient and outpatient records.
Essential Duties and Responsibilities
  1. Code diagnostic and procedural information from the record using ICD and CPT/HCPCS classification systems
  2. Utilize a computerized encoding system to facilitate accurate coding
  3. Sequence diagnoses and procedures by following the ICD, Uniform Hospital Data Set, Medicare, Medicaid, and other fiscal Intermediary guidelines
  4. Work cooperatively with the medical staff and other healthcare professionals in obtaining documentation to complete medical records and ensure quality coding
  5. Select the APC for each outpatient visit, ensuring coding compliance based on approved coding guidelines and conventions
  6. Abstract medical data from the record to complete a discharge abstract on each inpatient, ambulatory surgery, emergency room, outpatient, and ancillary visit, completing and verifying diagnostic and demographic information
  7. Enter patient information into computerized inpatient and outpatient medical record databases
  8. Ensure the accuracy and integrity of medical record abstract data prior to billing interface and claims submission.
  9. Code outpatient, emergency department and outpatient diagnostic records as determined by Coding Operations Manager.
  10. Consistently maintain established productivity requirements and maintain a 96% or greater accuracy rate
  11. Communicate and advise the Patient Accounts on coding and APC assignment and submission
  12. Review chart documentation for accurate diagnosis and procedure reporting for medical necessity and other edits.
  13. Complete other duties as assigned.

Summary of Other Job Duties and Expectations
  1. Adhere to the Service Excellence Standards and Expectations at Chesapeake Regional Medical Center
  2. Exhibit excellent customer relations to patients, visitors, physicians, and co-workers
  3. Exhibit courteous communication skills and an ability to work with others, exercising good judgment in performance of job duties

  1. Demonstrate courtesy, compassion, and respect to others in adherence of the hospital's philosophy and policy for promoting positive work and customer environments
  2. Work as a team to continuously improve work quality
  3. Demonstrate a commitment to flexible work schedules when it is necessary to ensure patient care
  4. Present self in a positive manner as reflected by personal attire, etiquette, and behavior

Attend required hospital-wide orientations, meetings, and in-services
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and Experience
Minimum Required Education: Completion of an approved coding program with AHIMA or AAPC approval status
Preferred Education: N/A
Experience: 3+ years recent experience coding in an acute hospital setting required; coding ability will need to be demonstrated via a skills assessment
Certificates, Licenses, Registrations
Qualified applicants must have one of the following certifications: CCS, CIC, COC, RHIA, or RHIT or other coding certification through AHIMA and AAPC.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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