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Insurance Coding Jobs in Easton, PA (NOW HIRING)

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Insurance Coding information

See Easton, PA salary details

$12

$31

$51

How much do insurance coding jobs pay per hour?

As of Jul 8, 2026, the average hourly pay for insurance coding in Easton, PA is $31.34, according to ZipRecruiter salary data. Most workers in this role earn between $23.75 and $37.88 per hour, depending on experience, location, and employer.

What is the difference between Insurance Coding vs Medical Billing?

AspectInsurance CodingMedical Billing
Primary FocusAssigning codes to diagnoses and proceduresSubmitting claims and managing payments
CredentialsCertified Professional Coder (CPC), CPC-HCertified Professional Biller (CPB), CPC
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies, hospitals
Industry UsageHealthcare, insuranceHealthcare, insurance

Insurance Coding and Medical Billing are closely related healthcare roles. Insurance Coding involves assigning accurate codes to diagnoses and procedures, which is essential for proper billing and reimbursement. Medical Billing focuses on submitting claims, following up on payments, and managing patient accounts. While they often work together, coding is more about classification, and billing is about financial transactions.

Do insurance companies hire coders?

Yes, insurance companies often hire medical coders to review and assign codes for healthcare claims, ensuring proper billing and reimbursement. These roles typically require knowledge of coding systems like ICD-10 and CPT, and may involve working in claims processing or compliance departments.

What is coding in insurance?

In insurance coding, it refers to the process of translating medical procedures, diagnoses, and services into standardized codes used for billing and claims processing. Insurance coders use coding systems like ICD, CPT, and HCPCS to ensure accurate and compliant documentation for reimbursement. Attention to detail and familiarity with coding guidelines are essential skills for insurance coding professionals.

What field of coding pays the most?

In the field of coding, roles such as software engineers, especially those working in specialized areas like machine learning, data science, or cybersecurity, tend to have the highest salaries. Insurance coding is a medical billing specialty that generally offers moderate pay compared to these high-demand tech roles, which often require advanced technical skills and certifications.

Will a medical coder be replaced by AI?

Medical coders play a crucial role in translating healthcare diagnoses and procedures into standardized codes, and while AI tools are increasingly used to assist with coding accuracy and efficiency, they are unlikely to fully replace human coders soon. Skilled medical coders are needed to review complex cases, ensure compliance, and handle exceptions that AI may not interpret correctly.
Insurance Coding jobs near you
Coding Appeals Specialist

Coding Appeals Specialist

St. Luke's University Health Network

Allentown, PA • Remote

Part-time

Posted 21 days ago

St. Luke's University Health Network rating

7.2

Company rating: 7.2 out of 10

Based on 264 frontline employees who took The Breakroom Quiz

328th of 880 rated healthcare providers

Job description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Assures that the most accurate and descriptive codes from the AHA ICD-9-CM/ICD-10-CM/PCS diagnoses and/or procedures support the services/treatment rendered.

JOB DUTIES AND RESPONSIBILITIES:

  • Conduct retrospective medical record reviews for diagnosis and procedure code assignment and MS-DRG accuracy.
  • Identify and provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that affect proper documentation and coding of documented medical care for appropriate reimbursement.
  • Work with the physician liaison in review of patient medical records identified by RAC/MIC/CGI/QIO and other outside auditors in retrospective reviews for DRG and coding-related issues.  May participate in review of other medical necessity issues as needed.
  • Develop and apply appeal arguments to defend the coding of and by the coding professionals and be able to refute the coding determination made by the outside payor including but not limited to CMS, Aetna, IBC, Omniclaim, QIP, Gateway Health, etc.
  • Draft appeal letters, including the coding argument, to support network coding.
  • Identify clinical documentation improvement issues and through excellent communication with physicians, nurses, coding and other members of the health care team and work independently to resolve such issues.
  • Participate as needed in Administrative Law Judge (ALJ) hearings.
  • Spends approximately 20% of their time weekly coding/abstracting patient medical records according to ICD-10-CM/PCS, UHDDS and CMS guidelines.  Utilizes the 3M Encoder to verify and assign ICD-10-CM/PCS diagnosis and procedure codes, and MS-DRG assignment.
  • Performs data entry of coded patient medical records into EPIC, maintaining a 95% coding accuracy rate as measured through quality reviews.
  • Queries physicians when code assignments are not clear and consistent, or when documentation in the record is inadequate, ambiguous, or unclear for coding assignment.

PHYSICAL/SENSORY DEMANDS:

Sitting, standing and light lifting.   Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information. Corrected vision and hearing to within normal range.  Hearing as it relates to normal conversation. Works inside with adequate lighting, comfortable temperature and ventilation.

EDUCATION:

RHIA, RHIT and/or CCS with knowledge of ICD-9-CM and ICD-10-CM/PCS diagnosis/procedure coding and MS-DRG assignment.  Minimum of 5 years coding experience in an acute care, teaching hospital, inpatient setting required.

TRAINING, KNOWLEDGE AND EXPERIENCE:

Minimum 5 years demonstrated inpatient and/or outpatient coding experience in acute care, teaching setting.  Knowledge of anatomy and physiology, pathophysiology, and medical terminology required.  Working knowledge of ICD-10-CM/PCS and ability to understand complex disease processes strongly preferred.  Possesses extensive knowledge of reimbursement systems; extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding and, as needed, medical necessity.  Previous experience with electronic patient medical record/EPIC and 3M encoding system preferred.

Please complete your application using your full legal name andcurrent home address. Be sure toincludeemployment history forthe past seven (7) years, including your present employer. Additionally, you areencouraged to upload a current resume, including all work history, education, and/or certifications andlicenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer.

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