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Medical Claim Coding Edit Rule Specialist Jobs (NOW HIRING)

UMR

Medical Director, Vascular Surgery - | , |

$248K - $373K/yr

Medical Director Optum is a global organization that delivers care, aided by technology to help ... Knowledge of claim coding resources and techniques * Proficient computer skills and ability to ...

UMR

Medical Director, Vascular Surgery - | , |

$248K - $373K/yr

Medical Director Optum is a global organization that delivers care, aided by technology to help ... Knowledge of claim coding resources and techniques * Proficient computer skills and ability to ...

UMR

Medical Director, Vascular Surgery - | , |

$248K - $373K/yr

Medical Director Optum is a global organization that delivers care, aided by technology to help ... Knowledge of claim coding resources and techniques * Proficient computer skills and ability to ...

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Medical Claim Coding Edit Rule Specialist information

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How much do medical claim coding edit rule specialist jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for medical claim coding edit rule specialist in the United States is $28.13, according to ZipRecruiter salary data. Most workers in this role earn between $23.08 and $32.69 per hour, depending on experience, location, and employer.

What are popular job titles related to Medical Claim Coding Edit Rule Specialist jobs?

For Medical Claim Coding Edit Rule Specialist jobs, the most frequently searched job titles are:

Infographic showing various Medical Claim Coding Edit Rule Specialist job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $58,510 per year, or $28.1 per hour.

Family Medicine Biller and Coder (End to End)

Lubbock, TX • Remote

WOUND CENTRICS LLC
See more jobs at WOUND CENTRICS LLCexternal

$25 - $30/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Job description

Specific Responsibilities of the Job: 

  • Responsible for full end to end process of Family Medicine providers assigned. 

    • Claim Coding and Submission
    • Rejected Claims
    • Denied Claims
  • Work closely with providers and staff to ensure timely billing processes. 
  • Work within the EMR system to ensure charge capture and sequencing. 
  • Reviewing and interpreting documentation. 
  • Billing and Coding according to payer and facility guidelines. 
  • Following up on needed coding edits. 
  • Working denied claims to ensure appeal deadline is not exceeded.
  • Working with billing team to ensure proper billing and coding processes. 
  • Ability to handle workload or daily productivity.  
  • Responsible for providing coding support to the Billing Team. 
  • Performs all other related duties as assigned. 

Skill Set: 

  • Two to Five years of experience in family practice facility (preferred)
  • Current certification CPC, AHIMA etc. (preferred) 
  • Knowledge of CPT, HCPCS, and ICD-10-CM 
  • Knowledge of E/M coding guidelines including outpatient, CCM, Annual Wellness etc. 
  • Knowledge in LCD, NCD and NCCI edits 
  • Extensive knowledge with different payer guidelines e.g., Medicare, HMO, PPO, Medicare Advantage Plans etc. 
  • EMR experience (eClinical preferred) 
  • Knowledge of medical practice revenue processes. 
  • Denial management and coding edit processes. 
  • Ability to analyze documentation and assign appropriate codes. 
  • Ability to work independently with a high degree of attention to detail and reliable decision making. 
  • Strong analytical skills. 
  • High school diploma or GED 

Work setting: 

  • Office / On Site Lubbock, TX or Remote

Experience: 

  • Family Practice coding: 2 to 5 years (Preferred) 

License/Certification: 

  • Medical Coding Certification (Preferred) 

Job Type: Full-time 

Schedule: 

  • Monday to Friday

Pay: From $25 to $30 per hour 

Expected hours: 40 per week 

Benefits: 

  • 401(k) 
  • Dental insurance 
  • Health insurance 
  • Vision insurance 
  • Life insurance 
  • Paid time off 

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