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How much do medical billing coding externship jobs pay per hour?

As of Jun 21, 2026, the average hourly pay for medical billing coding externship in the United States is $20.52, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $22.60 per hour, depending on experience, location, and employer.

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 are the key skills and qualifications needed to thrive in a Medical Billing and Coding Externship, and why are they important?

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 types of tasks and responsibilities can I expect during a Medical Billing Coding Externship?

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 the United States as of June 2026, with employment types broken down into 3% Locum Tenens, 1% Internship, 1% Full Time, 1% Part Time, 3% Temporary, and 91% Contract. Highlights an 79% Physical, 4% Hybrid, and 17% Remote job distribution, with an average salary of $42,673 per year, or $20.5 per hour.
Medical Billing & Coding Analyst - Tampa Bay area

Medical Billing & Coding Analyst - Tampa Bay area

Rimkus

Fort Myers, FL • On-site, Remote

$17.50 - $22.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 hours ago

Job description

Rimkus is a global leader in engineering and technical consulting, providing objective, scientifically grounded solutions to complex challenges involving claims, disputes, and litigation. Our multidisciplinary experts support attorneys, insurers, corporations, and public entities by delivering clear, defensible analyses that stand up to scrutiny. Collaboration, integrity, and technical excellence are foundational to our work. When you join Rimkus, you become part of a team where your expertise directly shapes outcomes - from resolving complex disputes to informing decisions that matter to real people.

If you're a billing and coding professional who wants to go beyond routine claims processing and apply your expertise to complex, high stakes matters, this role offers something different. Rimkus is seeking a Medical Billing & Coding Analyst to support its forensic healthcare and litigation consulting services to bring clarity and credibility to forensic healthcare and litigation consulting services. This role contributes to medical billing and coding analyses used in insurance, regulatory, and legal matters by reviewing medical bills and records for accuracy, compliance, and adherence to industry standards.

Working closely with Legal Nurse Consultants and medical billing experts, the Analyst will apply technical expertise, industry knowledge, and analytical judgment to help clients understand medical billing practices and resolve complex disputes with confidence.

Responsibilities

Forensic Medical Billing & Coding Review

  • Analyze medical billing records, coding data, and supporting clinical documentation for accuracy, completeness, and regulatory compliance
  • Apply CPT, ICD10CM/PCS, HCPCS, and other coding systems to assess proper code selection and billing methodology
  • Evaluate medical charges in relation to usual, customary, and reasonable (UCR) standards and payer guidance

Expert & Litigation Support

  • Support senior medical billing and healthcare experts engaged in litigation, arbitration, and claims matters
  • Assist with data organization, comparative analyses, and preparation of materials used in expert reporting
  • Contribute to internal and external audits involving billing, documentation, and reimbursement practices

Analysis Documentation & Quality

  • Prepare clear, wellstructured written summaries outlining findings, observations, and supporting data
  • Accurately document sources, methodologies, and analytical assumptions in accordance with Rimkus quality standards
  • Maintain organized workpapers suitable for expert review and potential legal scrutiny

Regulatory & Industry Awareness

  • Stay current with changes in healthcare billing, coding, and reimbursement regulations
  • Apply accepted industry standards to all analyses to ensure consistency, accuracy, and defensibility
  • Identify recurring trends, risks, or deviations observed during reviews

Collaboration & Professional Development

  • Work collaboratively within multidisciplinary teams that may include nurses, engineers, scientists, and legal professionals
  • Participate in training and continuing education aligned with Rimkus professional development expectations
  • Maintain required certifications and technical competencies

Requirements

  • Minimum 3 years of experience in medical billing and coding
  • Experience with endtoend revenue cycle processes and medical record documentation review
  • Exposure to claims analysis, audits, or healthcare compliance activities
  • Strong understanding of healthcare billing practices, payer rules, and regulatory requirements
  • Proficiency with electronic health record (EHR) systems and billing platforms
  • Exceptional attention to detail with strong analytical and organizational skills
  • Active certification such as:
    • Certified Professional Coder (CPC)
    • Certified Coding Specialist (CCS)
    • Certified Medical Reimbursement Specialist (CMRS)
    • Billing and Coding Specialist Certification (BCSC)

Preferred Qualifications

  • Bachelor's degree in Health Sciences, Nursing, Business Administration, or a related field, or equivalent professional experience
  • Familiarity with litigation support, expert consulting, or forensic review environments
  • Experience supporting audits, appeals, or disputerelated billing analyses
  • Additional credentials such as CPMA, RHIA, CHDA, CPCO, CDIP, CDEI, or FMC
  • Strong written and verbal communication skills appropriate for professional and legal audiences

Work Environment & Additional Information

  • Rimkus offers a collaborative consulting environment, meaningful professional development opportunities, and a competitive benefits package
  • Work alongside nurses, engineers, scientists, and legal professionals on cases that challenge you to think critically and communicate with precision
  • Hybrid or remote work arrangements may be available based on role requirements
  • Occasional travel may be required

Benefits

  • Health Care Plan (Medical, Dental & Vision)
  • Retirement Plan (401k, IRA)
  • Life Insurance (Basic, Voluntary & AD&D)
  • Paid Time Off (Vacation, Sick & Public Holidays)
  • Family Leave (Maternity, Paternity)
  • Short Term & Long Term Disability
  • Training & Development
  • Work From Home

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