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Medical Coder Jobs in Lexington, SC (NOW HIRING)

BOTG LLC

Medical Coder Reviewer

Columbia, SC · Remote

$15.25 - $20.50/hr

Medical Coder/Reviewer Duration: 12 Months (With possible extension) Location: 100% Remote Responsibilities: Initiates annual (and quarterly) updates from CMS of all ICD-10, CPT/HCPCS coding changes.

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How much do medical coder jobs pay per hour?

As of May 31, 2026, the average hourly pay for medical coder in Lexington, SC is $19.19, according to ZipRecruiter salary data. Most workers in this role earn between $15.43 and $20.58 per hour, depending on experience, location, and employer.

What Does a Medical Coder Do?

A medical coder works in the billing department of doctor's offices, hospitals, or other medical facilities. Medical coders transfer healthcare claims into universal medical codes for insurance reimbursement. To work as a medical coder, you must have great attention to detail and a solid base knowledge of medical terminology, procedure and visit authorizations, and insurance billing procedures. Having a degree is not required, but many employers prefer candidates who have an associate degree in medical coding or the Certified Professional Coder (CPC) credential. When you first start in this job, your employer may have you shadow other billing staff members and be supervised when you submit your first few claims.

What are the key skills and qualifications needed to thrive as a Medical Coder, and why are they important?

To thrive as a Medical Coder, you need a solid understanding of medical terminology, anatomy, and coding systems, often supported by a certification such as CPC, CCS, or CCA. Familiarity with electronic health record (EHR) systems and coding software like ICD-10-CM, CPT, and HCPCS is typically required. Attention to detail, analytical thinking, and strong organizational skills help ensure accurate and efficient code assignment. These skills are crucial to maximize reimbursement, maintain compliance, and reduce billing errors in healthcare settings.

What are some common challenges medical coders face when working with complex patient records?

Medical coders often encounter challenges when interpreting complex patient records, such as incomplete physician documentation or ambiguous medical terminology. Accurately assigning the correct codes requires strong attention to detail and frequent communication with healthcare providers to clarify information. Staying updated on coding guidelines and regulations is essential, as errors can impact billing and compliance. Many coders find that developing effective organizational habits and leveraging coding software helps manage these challenges efficiently.

What are medical coders?

Medical coders are healthcare professionals who review clinical documents and translate medical diagnoses, procedures, and services into standardized codes. These codes are used for billing, insurance claims, and maintaining accurate patient records. Medical coders play a crucial role in ensuring healthcare providers are reimbursed correctly and that records comply with regulatory requirements. They must have a strong understanding of medical terminology, anatomy, and the coding systems used in healthcare, such as ICD-10, CPT, and HCPCS.

What is the difference between Medical Coder vs Medical Biller?

AspectMedical CoderMedical Biller
CertificationsCertified Professional Coder (CPC), Certified Coding Specialist (CCS)Certified Medical Reimbursement Specialist (CMRS), Certified Professional Biller (CPB)
Work EnvironmentHospitals, clinics, physician offices, insurance companiesMedical offices, billing companies, hospitals
Primary ResponsibilitiesAssigning codes to diagnoses and procedures based on medical recordsSubmitting claims, following up on payments, managing billing processes

Medical coders and medical billers work closely in healthcare revenue cycle management. While medical coders focus on translating medical records into standardized codes, medical billers handle the billing process to ensure healthcare providers are reimbursed. Both roles require understanding of healthcare documentation and often share certifications, but their core functions differ in coding versus billing tasks.

More about Medical Coder jobs
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Medical Coder jobs near you
Infographic showing various Medical Coder job openings in Lexington, SC as of May 2026, with employment types broken down into 100% Full Time. Highlights an 91% In-person, and 9% Remote job distribution, with an average salary of $39,920 per year, or $19.2 per hour.

Medical Coder Reviewer

BOTG LLC

Columbia, SC • Remote

$15.25 - $20.50/hr

Other

Posted 13 days ago

Job description

Job Title: Medical Coder/Reviewer
Duration: 12 Months (With possible extension)

Location: 100% Remote

Responsibilities:

Initiates annual (and quarterly) updates from CMS of all ICD-10, CPT/HCPCS coding changes.

Performs initial review of codes to determine scope of changes.

Prepares listings of codes changes to Reference Administration staff and Medicaid Program staff for review and analysis.

Conducts meetings with Agency personnel, stakeholders, and process owners.

(Future) Participates in DASH (Replacement MMIS) project meetings, as needed, where reference administration expertise is required.

Serves as an agency subject matter expert (SME) for medical coding methodologies, Medicaid policy, and related topics.

Research business rules, requirements, and models to complete initial analysis and recommendations.

Maintains business rules, requirements, and models in a repository.

Collaborates with team to ensure process documentation is complete, owner and stakeholder, as needed, training content is complete and routinely updated.

May serve as a back-up to review patient records against established criteria to determine medical necessity.

Other project-related duties.

5+ years written and oral communications skills, strong proficiency in English.

Knowledge of Microsoft Office Suite

Required Skills:

Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN)

5+ years in healthcare insurance; medical review, program integrity, or appeals.

5+ years working with IT developers/programmers in a payor environment.

5+ years Medical Coding in payer environment.

3+ years clinical experience in a healthcare environment (strong clinical assessment and critical thinking skills.)

5+ years knowledge of ICD/CPT/HCPCS translation and coding methodologies.

5+ years knowledge of anatomy, physiology, pharmacology, and medical terminology.

Required Certifications:

Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse.

Currently credentialed as CPC (Certified Professional Coder) or as CCS (Certified Coding Specialist). ICD-10 Proficiency demonstrated by exam; or able to become certified within one year of employment.

Preferred Skills:

5+ years experience in policy remediation.

5+ years claims processing systems experience.

5+ years Optum Encoder and/or other medical coding software programs

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