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Insurance Coder information

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$15

$27

$43

How much do insurance coder jobs pay per hour?

As of Jun 20, 2026, the average hourly pay for insurance coder in Delaware is $27.51, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $34.66 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Insurance Coder position, and why are they important?

Insurance Coders require a strong grasp of medical terminology, anatomy, and health insurance guidelines, usually backed by a relevant certification such as CPC or CCS. They must be proficient with coding software, electronic health records (EHRs), and systems like ICD-10 and CPT. Attention to detail, analytical thinking, and strong organizational skills are vital soft skills for accuracy and efficiency. These competencies ensure correct claim submission, compliance with insurance regulations, and effective reimbursement processes.

Is CPC certification worth it?

For an insurance coder, CPC certification from the American Academy of Professional Coders validates coding skills and knowledge of medical billing and coding standards, which can improve job prospects and earning potential. It is often required or preferred by employers and can lead to higher salaries and career advancement. Maintaining certification also requires ongoing education to stay current with industry updates.

What does an Insurance Coder do?

An Insurance Coder translates medical procedures, diagnoses, and treatments into standardized codes for billing and insurance purposes. They ensure accuracy in medical documentation and help healthcare providers receive proper reimbursement from insurance companies. Insurance Coders must be familiar with coding systems like CPT, ICD, and HCPCS. They often work in hospitals, clinics, or insurance companies and must follow strict coding guidelines and regulations.

Do insurance companies hire coders?

Yes, insurance companies often hire insurance coders to review and code medical claims, ensuring accurate billing and reimbursement. These roles typically require knowledge of medical coding systems like ICD and CPT, and may involve working with electronic health records and claim processing software.

What does an insurance coder do?

An insurance coder reviews medical records and assigns appropriate codes for diagnoses, procedures, and services using coding systems like ICD and CPT. They ensure accurate billing and reimbursement for healthcare providers and often work with electronic health records and coding software.

What are typical challenges Insurance Coders face on the job?

Insurance Coders often encounter challenges such as interpreting complex medical documentation, keeping up with frequent updates to coding standards and insurance policies, and ensuring absolute accuracy to avoid claim denials. Working under tight deadlines and managing a high volume of claims can also be demanding, requiring strong time management skills. Collaboration with physicians and billing teams may be necessary to clarify information and resolve discrepancies. Despite these challenges, success in this role provides opportunities to advance into senior coding, auditing, or supervisory positions within healthcare organizations.

What pays more, CCS or CPC?

In the field of insurance coding, Certified Coding Specialists (CCS) typically earn higher salaries than Certified Professional Coders (CPC) due to their specialized skills and advanced certifications. CCS professionals often work in hospital settings and handle more complex coding, which can lead to higher pay compared to CPCs, who usually work in outpatient or physician office environments. Salary differences can also depend on experience, location, and employer.
What are popular job titles related to Insurance Coder jobs in Delaware? For Insurance Coder jobs in Delaware, the most frequently searched job titles are:
What job categories do people searching Insurance Coder jobs in Delaware look for? The top searched job categories for Insurance Coder jobs in Delaware are:
Insurance Coder jobs near you
Infographic showing various Insurance Coder job openings in Delaware as of June 2026, with employment types broken down into 1% As Needed, 96% Full Time, and 3% Part Time. Highlights an 62% Physical, 2% Hybrid, and 36% Remote job distribution, with an average salary of $57,231 per year, or $27.5 per hour.

RISK ADJUSTMENT CODING SPECIALIST - VBC OPERATIONS AND TRANSFORMATION

Bebee Healthcare

Lewes, DE • On-site

$23.67/hr

Full-time

Medical, Dental, Vision, Life, PTO

Posted 28 days ago

Job description

Why Beebe?
Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence.
Benefits
In addition to competitive compensation and wellness benefits (medical, dental, vision and prescription) Beebe Healthcare also offers:
  • Sign-on and Referral Bonuses for select positions
  • Tuition Assistance up to $5,000
  • Paid Time Off
  • Long Term Sick accrual
  • Employer Contribution Plan
  • Free Short and Long-Term Disability for Full Time employees
  • Zero copay for drugs on prescription plan for certain conditions
  • College Bound 529 Savings Plan
  • Life Insurance
  • Beebe Perks via Work Advantage
  • Employee Assistance Program
  • Pet Insurance

Overview
Provides thorough concurrent, prospective, and retrospective review of ambulatory medical record clinical documentation to ensure accurate and complete capture of the clinical picture, severity of illness, and complexity of the patient. Utilizes knowledge of official coding guidelines (ICD-10, CPT, HCPCs), Hierarchical Condition Categories (HCC), M.E.A.T (Monitored, Evaluated/Assessed/Addressed, Treated) standards, Risk Adjustment Factor (RAF) scoring, and AHIMA/ACDIS physician query brief. Provides education to providers on the importance of diagnosis specificity. May participate in developing, presenting, and disseminating provider communication and other activities related to clinical documentation.
Responsibilities
  • Review provider documentation of diagnostic data from medical record to verify that all Medicare Advantage, MSSP and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum
  • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC)
  • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines
  • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
  • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing
  • Provides ongoing feedback to physicians and other providers regarding coding guidelines and requirements, including education and support for improvement in HCC coding and RAF scoring. Assists with educational in-services for physicians, other providers, and clinic staff relating to clinical documentation compliance related to billing.

Qualifications
Required Certification/Licensure: Certified Risk Adjustment Coder (CRC) & Certified Coding Specialist (CCS-P), CCS, CPC
Minimum of two years' experience in medical coding
Reliable transportation/Valid Driver's License/Must be able to travel at least 50% of work time
Credentials
Education
Entry
USD $23.67/Hr.
Max
USD $36.69/Hr.

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