As a key component of accurate, timely coding, acts as medical records administrator and manages ... Proficiency in HFHS programs such as MPAC, PEMS, Transaction Capture, EC2000 McKesson Claim Editor ...
As a key component of accurate, timely coding, acts as medical records administrator and manages ... Proficiency in HFHS programs such as MPAC, PEMS, Transaction Capture, EC2000 McKesson Claim Editor ...
Patient Account Rep / Medical Accounts Receivable
$17.25 - $22.75/hr
... insurance denials, claim editing and submission, payment posting and collections. Job Duties ... Competencies: * Prior work experience in medical billing setting a must. * Preferred work ...
Patient Account Rep / Medical Accounts Receivable
$17.25 - $22.75/hr
... insurance denials, claim editing and submission, payment posting and collections. Job Duties ... Competencies: * Prior work experience in medical billing setting a must. * Preferred work ...
Patient Account Rep / Medical Accounts Receivable
Indianapolis, IN · On-site
$17.25 - $22.75/hr
... insurance denials, claim editing and submission, payment posting and collections. Job Duties ... Competencies: * Prior work experience in medical billing setting a must. * Preferred work ...
Patient Account Rep / Medical Accounts Receivable
Indianapolis, IN · On-site
$17.25 - $22.75/hr
... insurance denials, claim editing and submission, payment posting and collections. Job Duties ... Competencies: * Prior work experience in medical billing setting a must. * Preferred work ...
As a key component of accurate, timely coding, acts as medical records administrator and manages ... Proficiency in HFHS programs such as MPAC, PEMS, Transaction Capture, EC2000 McKesson Claim Editor ...
As a key component of accurate, timely coding, acts as medical records administrator and manages ... Proficiency in HFHS programs such as MPAC, PEMS, Transaction Capture, EC2000 McKesson Claim Editor ...
Performs configuration changes for coding, contracts, benefits, fee schedules and claim editing ... schedules/medical policy payment rules experience A bachelor's degree may substitute for the ...
Performs configuration changes for coding, contracts, benefits, fee schedules and claim editing ... schedules/medical policy payment rules experience A bachelor's degree may substitute for the ...
Configuration Analyst
Bellaire, TX · On-site
Performs configuration changes for coding, contracts, benefits, fee schedules and claim editing ... schedules/medical policy payment rules experience A bachelor's degree may substitute for the ...
Configuration Analyst
Bellaire, TX · On-site
Performs configuration changes for coding, contracts, benefits, fee schedules and claim editing ... schedules/medical policy payment rules experience A bachelor's degree may substitute for the ...
Claim Review Specialist
OR · Remote
$18 - $24/hr
Select and review claims for review based on trends/data analysis in the PARA Data Editor; organize information and access to medical documentation. * Audit all aspects of claim including (but not ...
Claim Review Specialist
OR · Remote
$18 - $24/hr
Select and review claims for review based on trends/data analysis in the PARA Data Editor; organize information and access to medical documentation. * Audit all aspects of claim including (but not ...
Epic Resolute HB Application System Analyst III (Remote)
Columbia, MD · Remote
$42.64 - $64/hr
Support end-to-end claims processing, including claim creation, editing, submission, and remittance. Troubleshoot claim rejections, clearinghouse errors, EDI issues, and denial workflows. * Revenue ...
Epic Resolute HB Application System Analyst III (Remote)
Columbia, MD · Remote
$42.64 - $64/hr
Support end-to-end claims processing, including claim creation, editing, submission, and remittance. Troubleshoot claim rejections, clearinghouse errors, EDI issues, and denial workflows. * Revenue ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
Epic Resolute HB Application System Analyst III (Remote)
Columbia, MD · On-site +1
$42.64 - $64/hr
Support end-to-end claims processing, including claim creation, editing, submission, and remittance. Troubleshoot claim rejections, clearinghouse errors, EDI issues, and denial workflows. * Revenue ...
Epic Resolute HB Application System Analyst III (Remote)
Columbia, MD · On-site +1
$42.64 - $64/hr
Support end-to-end claims processing, including claim creation, editing, submission, and remittance. Troubleshoot claim rejections, clearinghouse errors, EDI issues, and denial workflows. * Revenue ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
Utilizes provider documentation and queries, coding software tools and Insurance carrier medical ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
Utilizes provider documentation and queries, coding software tools and Insurance carrier medical ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim ... The appeals process may include collaboration with the Claim Editing Manager, Physician, Specialty ...
Medical Claim Editor information
See salary details
$19.47 - $22.71
6% of jobs
$22.71 - $25.94
3% of jobs
$25.94 - $29.17
0% of jobs
$29.17 - $32.41
2% of jobs
$35.10 is the 25th percentile. Wages below this are outliers.
$32.41 - $35.64
16% of jobs
$35.64 - $38.88
10% of jobs
The median wage is $40.82 / hr.
$38.88 - $42.11
21% of jobs
$42.11 - $45.35
9% of jobs
$45.35 - $48.58
7% of jobs
$48.76 is the 75th percentile. Wages above this are outliers.
$48.58 - $51.81
10% of jobs
$51.81 - $55.05
16% of jobs
$19
$41
$55
How much do medical claim editor jobs pay per hour?
As of Jun 8, 2026, the average hourly pay for medical claim editor in the United States is $41.22, according to ZipRecruiter salary data. Most workers in this role earn between $34.62 and $50.24 per hour, depending on experience, location, and employer.
What types of challenges might a Medical Claim Editor face when reviewing and editing claims, and how can these be managed effectively?
Medical Claim Editors often encounter challenges such as incomplete patient information, discrepancies in coding, or missing documentation. Additionally, keeping up with frequent changes in healthcare regulations and payer requirements can be demanding. To manage these challenges, it's important to maintain strong attention to detail, stay updated on the latest coding standards, and communicate regularly with billing teams and healthcare providers. Utilizing up-to-date claim editing software and participating in ongoing training can also help ensure accuracy and compliance.
What is the difference between Medical Claim Editor vs Medical Billing Specialist?
| Aspect | Medical Claim Editor | Medical Billing Specialist |
|---|---|---|
| Credentials | Certification in medical coding or claims processing | Certification in medical billing or coding |
| Work Environment | Insurance companies, healthcare providers, or billing companies | Hospitals, clinics, or healthcare practices |
| Primary Responsibilities | Reviewing and editing insurance claims for accuracy | Submitting and managing patient bills and insurance claims |
| Common Usage | Ensuring claims are correctly processed before submission | Handling overall billing process and patient invoicing |
While both roles involve working with insurance claims, a Medical Claim Editor primarily reviews and edits claims for accuracy before submission, ensuring compliance with insurance requirements. A Medical Billing Specialist manages the entire billing process, including submitting claims, following up on payments, and managing patient invoices. Both roles require similar certifications and work in healthcare settings, but their focus and daily tasks differ.
What are the key skills and qualifications needed to thrive as a Medical Claim Editor, and why are they important?
To thrive as a Medical Claim Editor, you need a solid understanding of medical terminology, coding systems (such as ICD-10 and CPT), and healthcare billing processes, often supported by a background in health information management or a related certification. Familiarity with medical billing software, claim management systems, and electronic health record (EHR) platforms is essential. Attention to detail, analytical thinking, and strong communication skills help you accurately review, edit, and resolve claim discrepancies. These skills ensure efficient claims processing, minimize errors, and contribute to timely reimbursement for healthcare providers.
What is a Medical Claim Editor?
A Medical Claim Editor is a professional responsible for reviewing, correcting, and processing medical claims before they are submitted to insurance companies. They ensure that claims are accurate, complete, and compliant with current healthcare regulations and coding standards. By catching errors and inconsistencies, Medical Claim Editors help healthcare providers receive timely and proper reimbursement for services rendered. Their work helps reduce claim denials and delays, ultimately improving the efficiency of healthcare billing processes.
Full-time
Posted 18 days ago
Henry Ford Health rating
7.0
Based on 544 frontline employees who took The Breakroom Quiz
404th of 869 rated healthcare providers
Job description
GENERAL SUMMARY:
Manages, coordinates, or participates in a wide variety of operational functions related to front end and billing processes for system emergency services. The successful manager will have a comprehensive knowledge of a wide range of revenue cycle processes and systems, a working knowledge of clinical processes and procedures in the DEM, and a thorough understanding of DEM registration functions. Plans & directs day to day operations. Key player in the development and implementation of revenue cycle improvement processes as well as metrics to measure performance. Initiates quality assessment & continuous quality improvement activities. Performs other responsibilities to ensure an efficient and high-quality operation. As a key component of accurate, timely coding, acts as medical records administrator and manages data entry for the DEM making corrections as needed.
EDUCATION/EXPERIENCE REQUIRED:
CERTIFICATIONS/LICENSURES REQUIRED:
Manages, coordinates, or participates in a wide variety of operational functions related to front end and billing processes for system emergency services. The successful manager will have a comprehensive knowledge of a wide range of revenue cycle processes and systems, a working knowledge of clinical processes and procedures in the DEM, and a thorough understanding of DEM registration functions. Plans & directs day to day operations. Key player in the development and implementation of revenue cycle improvement processes as well as metrics to measure performance. Initiates quality assessment & continuous quality improvement activities. Performs other responsibilities to ensure an efficient and high-quality operation. As a key component of accurate, timely coding, acts as medical records administrator and manages data entry for the DEM making corrections as needed.
EDUCATION/EXPERIENCE REQUIRED:
- Bachelor's degree in Health Information Management or related field is required.
- 4 years of relevant experience, or an associates degree with 2 years relevant experience will be considered in lieu of a Bachelor's degree.
- Minimum of five years experience in health care revenue.
- Five or more years of progressively more responsible experience directly related to coding, medical billing, registration, insurance verification or the equivalent.
- Computer proficiency is required.
- Proficiency in HFHS programs such as MPAC, PEMS, Transaction Capture, EC2000 McKesson Claim Editor Reports, EmStat, CarePlus, etc. is preferred. Prior supervisory experience in health care revenue preferred.
- Ability to create, analyze and interpret reports and spread sheets.
- Excellent problem-solving skills.
- Must have the ability to independently organize and prioritize responsibilities; problem solve and implement solution-based ideas.
- Ability to work and adapt to diverse customers, employees, colleagues in varying settings is required.
- Knowledge of state and government billing standards as they relate to the DEM and to insurances is preferred.
- Excellent written and verbal communication skills & strong facilitative interpersonal skills.
CERTIFICATIONS/LICENSURES REQUIRED:
- CPC or RHIA or RHIT required.
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About Henry Ford Health
Sourced by ZipRecruiter
Henry Ford Health provides a full continuum of services from Primary and Preventative care, to Complex and Cpecialty care, Health Insurance, a full suite of home health offerings, Virtual care, Pharmacy, Eye care and other Healthcare retail. It is one of the Nation’s leading Academic Medical Centers, recognized for Clinical excellence in Cancer care, Cardiology and Cardiovascular Surgery, Neurology and Neurosurgery, Orthopedics and Sports medicine, and Multi organ transplants. Consistently ranked among the top five NIH funded institutions in Michigan, Henry Ford Health engages in more than 2,000 research projects annually. Equally committed to educating the next generation of Health Professionals, Henry Ford Health trains more than 4,000 Medical students, Residents and fellows every year across 50+ accredited programs. With more than 33,000 valued team members, Henry Ford Health is also among Michigan’s largest and most Diverse employers, including nearly 6,000 physicians and researchers from the Henry Ford Medical Group, Henry Ford Physician Network and Jackson Health Network.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Detroit, MI, US
Year founded
1915