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Medical Billing Coding Externship information

What is the difference between Medical Billing Coding Externship vs Medical Billing Specialist?

AspectMedical Billing Coding ExternshipMedical Billing Specialist
CredentialsOften requires enrollment in training programs; certifications optionalTypically requires certification (e.g., CPC, CBCS)
Work EnvironmentInternship setting, often in healthcare facilities or training programsOffice-based, healthcare provider offices, or billing companies
Job FocusLearning and training in billing and coding proceduresPerforming billing, coding, and claims submission tasks
Experience LevelEntry-level, training-focusedEntry to mid-level experience

The Medical Billing Coding Externship provides hands-on training for beginners, focusing on learning billing and coding processes. In contrast, a Medical Billing Specialist is a trained professional responsible for managing billing tasks independently. The externship is ideal for gaining initial experience, while the specialist role involves applying skills in a professional setting.

What skills and qualifications are needed for a medical billing coding externship?

To thrive in a Medical Billing and Coding Externship, you need foundational knowledge of medical terminology, ICD-10 and CPT coding systems, and basic understanding of healthcare reimbursement processes, often supported by completion of a billing and coding certification program. Familiarity with electronic health record (EHR) systems, medical billing software, and compliance regulations such as HIPAA is typically required. Attention to detail, strong organizational skills, and effective communication set candidates apart in this role. These skills and qualifications are essential for accurate claims processing, reducing errors, and supporting efficient healthcare revenue cycles.

What is a medical billing coding externship?

A Medical Billing Coding Externship is a temporary, hands-on training experience where students or recent graduates work in healthcare settings to gain practical skills in medical billing and coding. During the externship, participants apply what they've learned in the classroom by working with real patient records, processing insurance claims, and using medical coding systems like ICD-10 and CPT. Externships help bridge the gap between education and employment, offering valuable experience and networking opportunities. They are often required as part of certification programs and can improve job prospects in the field.

What does a medical billing coding externship involve?

During a Medical Billing Coding Externship, you can expect to gain hands-on experience with tasks such as reviewing patient records, assigning appropriate diagnosis and procedure codes, and assisting with insurance claim submissions. You'll likely work closely with experienced billing and coding professionals, learning to navigate electronic health record (EHR) systems and understand compliance regulations like HIPAA. Externs often have opportunities to observe the workflow of a medical billing office, interact with healthcare providers, and ask questions about real-world scenarios, which helps bridge the gap between classroom learning and on-the-job practice.
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Medical Billing Coding Externship jobs near you
Infographic showing various Medical Billing Coding Externship job openings in Texas as of August 2026, with employment types broken down into 76% Full Time, 12% Part Time, 6% Temporary, and 6% Contract. Highlights an 94% In-person, and 6% Remote job distribution.

Medical Billing Coding Analyst

The US Oncology Network

Richardson, TX • On-site

$18 - $23/hr

Full-time

Re-posted 26 days ago

US Oncology rating

7.1

Company rating: 7.1 out of 10

Based on 109 frontline employees who took The Breakroom Quiz

378th of 887 rated healthcare providers

Job description

Overview
The US Oncology Network is looking for a Coding Analyst to join our team at Texas Oncology. This full-time hybrid position will support the Research Billing Department at our 3001 E. President George Bush Hwy Suite 100 location in Richardson, Texas. Typical work week is Monday through Friday 8:30a - 5:00p.
Note from Hiring Manager: Great culture, opportunity for growth, and work with a dedicated team.
This position will be a level 1 based on relevant candidate experience.
As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology, we use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." ® in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.
The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.
What does the Coding Analyst do? (including but not limited to)
Working under limited supervision, performs billing and coding activities. Assigns appropriate billing codes to patient accounts and ensures accurate and completeness of claims. This position reports to the Business Office Director. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
Responsibilities
The essential duties and responsibilities (including but not limited to):
  • Review requests for coding changes (including but not limited to CPT/HCPCS, diagnosis, modifiers, place of service, authorizations, UOM, MUE, NDC) based on payer denials to ensure accurate coding and billing.
  • Abstract relevant clinical information from the medical record and provider documentation to assign ICD-10 and CPT/HCPCS codes in accordance with coding and reimbursement guidelines.
  • Review and correct coding errors post-claim processing/denial, ensuring accurate refiling of corrected claims to payers.
  • Use LCD/NCD policies to ensure accurate coding for the CMS region.
  • Utilize coding tools such as Optum Encoder and CMS guidelines.
  • Code with an accuracy of 95% or higher based on QA internal reviews.

Qualifications
The ideal candidate for the position will have the following background and experience:
Level 1
  • High school diploma or equivalent required.
  • Successful completion of AAPC Certified Professional Coder Exam required.
  • Minimum three years medical coding experience required.
  • Proficiency with computer systems and Microsoft (Office Outlook, Word, Power Point, and Excel) required.
  • Prior oncology experience preferred.
  • Prior medical billing experience preferred.

Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.
Work Environment:
The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites. At our clinic, you'll join a collaborative, patient-focused team dedicated to delivering high-quality oncology care. We foster a supportive environment where staff are encouraged to grow professionally, contribute ideas, and make a meaningful impact on patient experiences. As a leader, I prioritize clear communication, teamwork, and ongoing development to ensure each team member feels valued and set up for success.

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