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Insurance Coder Jobs in Raleigh, NC (NOW HIRING)

City of Durham, NC

Building Field Inspector

Durham, NC · On-site

$63K - $98K/yr

Contact the North Carolina Department of Insurance, Code Officials Qualification Board at 919-647-0000 or by going to the website Pre-Qualify or Military Service , to obtain the level of ...

Duke Health

CHARGE CODE AUDITOR

Durham, NC · On-site

Serve as a resource to Billing, Patient Accounting, and insurance representatives to resolve ... Level Characteristics The Charge Code Auditor serves as a key representative of Birthing Center ...

Duke Health

CHARGE CODE AUDITOR

Durham, NC · On-site

Serve as a resource to Billing, Patient Accounting, and insurance representatives to resolve ... Level Characteristics The Charge Code Auditor serves as a key representative of Birthing Center ...

Duke University

CHARGE CODE AUDITOR

Durham, NC · On-site

Serve as a resource to Billing, Patient Accounting, and insurance representatives to resolve ... Level Characteristics The Charge Code Auditor serves as a key representative of Birthing Center ...

Duke University

CHARGE CODE AUDITOR

Durham, NC · On-site

Serve as a resource to Billing, Patient Accounting, and insurance representatives to resolve ... Level Characteristics The Charge Code Auditor serves as a key representative of Birthing Center ...

Deloitte

Insurance Tech Senior Manager

Raleigh, NC · On-site

$110K - $152K/yr

... enforce coding standards and continuous integration/continuous deployment quality gates ... Insurance moves the world forward. It's the invisible safety net behind everything else that ...

Gallery Residential

Community Director

Raleigh, NC · On-site

$24.25 - $33/hr

Approves and submits invoices from vendors, contractors, and service providers for payment by reconciling work performed or products purchased, ensuring validity of certificates of insurance, coding ...

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Insurance Coder information

See Raleigh, NC salary details

$15

$26

$42

How much do insurance coder jobs pay per hour?

As of Jun 19, 2026, the average hourly pay for insurance coder in Raleigh, NC is $26.72, according to ZipRecruiter salary data. Most workers in this role earn between $18.46 and $33.65 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 the most commonly searched types of Insurance Coder jobs in Raleigh, NC? The most popular types of Insurance Coder jobs in Raleigh, NC are:
What are popular job titles related to Insurance Coder jobs in Raleigh, NC? For Insurance Coder jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Insurance Coder jobs in Raleigh, NC look for? The top searched job categories for Insurance Coder jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Insurance Coder jobs? Cities near Raleigh, NC with the most Insurance Coder job openings:
Insurance Coder jobs near you
Infographic showing various Insurance Coder job openings in Raleigh, NC as of June 2026, with employment types broken down into 1% As Needed, and 99% Full Time. Highlights an 62% Physical, 2% Hybrid, and 36% Remote job distribution, with an average salary of $55,585 per year, or $26.7 per hour.
RCS Medical Coding Auditor (CPC, CPMA)

RCS Medical Coding Auditor (CPC, CPMA)

Veradigm

Raleigh, NC

$57K - $80K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

Job description

Position Summary

The RCS Medical Coding Auditor is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback.

The ideal candidate brings strong hands-on experience with professional fee coding, deep knowledge of E/M, surgical, and modifier use, and the ability to translate audit findings into actionable insights.

Key Responsibilities

  • Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback
  • Validate ICD10CM, CPT, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelines
  • Conduct medical chart audits of professional services across multiple specialties
  • Identify coding discrepancies, compliance risks, trends, root causes, and documentation gaps
  • Support coding education through feedback, targeted training, and reference materials
  • Prepare clear, defensible audit documentation including rationale and references
  • Provide actionable recommendations to address audit findings and reduce future risk
  • Track audit outcomes and trends to support leadership reporting and risk mitigation strategies
  • Support denial prevention, resolution and appeal strategies
  • Collaborate across teams to assist with coding support
  • Maintain confidentiality and comply with HIPAA and organizational policies

Required Qualifications

  • CPC (Required) and CPMA (Required/In Process)
  • 2+ years of ProFee auditing experience
  • Knowledge of:
    • E/M documentation guidelines
    • Modifier rules and NCCI edits
    • CPT, ICD10CM, HCPCS Level II
  • High attention to detail with strong analytical and criticalthinking skills
  • Excellent written and verbal communication skills for audit reporting and education
  • Proficiency with EHRs, coding and auditing tools
  • Proficiency with Microsoft Office Suite

Preferred Qualifications

  • Multi-specialty coding and auditing experience with preferred background in E/M Coding, Orthopedics, Pain Management, Urology
  • Background in coding quality programs or compliance teams
  • Advanced reporting skills for audit tracking and trend analysis
  • Prior consulting or clientfacing audit experience

Compensation Range:

$57,728-$80,243

Compensation for this job is subject to market conditions, geographic considerations, the candidate's unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates' unique contributions and support their professional growth.


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Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network. Interested in learning more?


Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings.


Visa Sponsorship is not offered for this position.


At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.


Veradigm's policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.


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