Requires a AA/AS and minimum of 3 years medical coding/auditing experience, including minimum of 1 year in fraud, waste abuse experience; or any combination of education and experience, which would ...
Requires a AA/AS and minimum of 3 years medical coding/auditing experience, including minimum of 1 year in fraud, waste abuse experience; or any combination of education and experience, which would ...
Requires a AA/AS and minimum of 3 years medical coding/auditing experience, including minimum of 1 year in fraud, waste abuse experience; or any combination of education and experience, which would ...
Requires a AA/AS and minimum of 3 years medical coding/auditing experience, including minimum of 1 year in fraud, waste abuse experience; or any combination of education and experience, which would ...
Requires a AA/AS and minimum of 3 years medical coding/auditing experience, including minimum of 1 year in fraud, waste abuse experience; or any combination of education and experience, which would ...
Requires a AA/AS and minimum of 3 years medical coding/auditing experience, including minimum of 1 year in fraud, waste abuse experience; or any combination of education and experience, which would ...
Requires a AA/AS and minimum of 3 years medical coding/auditing experience, including minimum of 1 year in fraud, waste abuse experience; or any combination of education and experience, which would ...
Requires a AA/AS and minimum of 3 years medical coding/auditing experience, including minimum of 1 year in fraud, waste abuse experience; or any combination of education and experience, which would ...
Requires a AA/AS and minimum of 3 years medical coding/auditing experience, including minimum of 1 year in fraud, waste abuse experience; or any combination of education and experience, which would ...
Requires a AA/AS and minimum of 3 years medical coding/auditing experience, including minimum of 1 year in fraud, waste abuse experience; or any combination of education and experience, which would ...
Certified Medical Assistant Exam Tutor
Milwaukee, WI · Remote
$40/hr
Ability to explain patient intake procedures, phlebotomy techniques, medical coding basics, and infection control protocols while preparing medical assistant graduates for national CMA certification.
Certified Medical Assistant Exam Tutor
Milwaukee, WI · Remote
$40/hr
Ability to explain patient intake procedures, phlebotomy techniques, medical coding basics, and infection control protocols while preparing medical assistant graduates for national CMA certification.
Claims Analyst
$21.83/hr
Claims Analyst The Claims Analyst is responsible for the accurate and timely processing of medical, dental, and vision claims in accordance with plan provisions, policies, and current coding ...
Quick apply
Claims Analyst
$21.83/hr
Claims Analyst The Claims Analyst is responsible for the accurate and timely processing of medical, dental, and vision claims in accordance with plan provisions, policies, and current coding ...
Claims Analyst
Pewaukee, WI · On-site
$21.83/hr
Claims Analyst The Claims Analyst is responsible for the accurate and timely processing of medical, dental, and vision claims in accordance with plan provisions, policies, and current coding ...
Quick apply
Claims Analyst
Pewaukee, WI · On-site
$21.83/hr
Claims Analyst The Claims Analyst is responsible for the accurate and timely processing of medical, dental, and vision claims in accordance with plan provisions, policies, and current coding ...
Medical Receptionist
Brookfield, WI · On-site
$15.50 - $19/hr
Familiarity with medical terminology, medical billing, and coding (or willingness to learn). * Strong organizational skills and attention to detail. * Excellent verbal and written communication ...
Quick apply
Medical Receptionist
Brookfield, WI · On-site
$15.50 - $19/hr
Familiarity with medical terminology, medical billing, and coding (or willingness to learn). * Strong organizational skills and attention to detail. * Excellent verbal and written communication ...
Claims Analyst
$21.83/hr
... medical, dental, and vision claims in accordance with plan provisions, policies, and current coding standards. This role requires excellent communication skills and the ability to maintain a ...
Quick apply
Claims Analyst
$21.83/hr
... medical, dental, and vision claims in accordance with plan provisions, policies, and current coding standards. This role requires excellent communication skills and the ability to maintain a ...
Advanced knowledge of medical terminology, anatomy and physiology. * Knowledge of Medicare, Medicaid and commercial payer coding guidelines. * Advanced computer skills including the use of Microsoft ...
Advanced knowledge of medical terminology, anatomy and physiology. * Knowledge of Medicare, Medicaid and commercial payer coding guidelines. * Advanced computer skills including the use of Microsoft ...
Advanced knowledge of medical terminology, anatomy and physiology. * Knowledge of Medicare, Medicaid and commercial payer coding guidelines. * Advanced computer skills including the use of Microsoft ...
Advanced knowledge of medical terminology, anatomy and physiology. * Knowledge of Medicare, Medicaid and commercial payer coding guidelines. * Advanced computer skills including the use of Microsoft ...
Advanced knowledge of medical terminology, anatomy and physiology. * Knowledge of Medicare, Medicaid and commercial payer coding guidelines. * Advanced computer skills including the use of Microsoft ...
Advanced knowledge of medical terminology, anatomy and physiology. * Knowledge of Medicare, Medicaid and commercial payer coding guidelines. * Advanced computer skills including the use of Microsoft ...
Be Seen First
AR-Medical Billler
Milwaukee, WI · On-site
$19 - $25/hr
AR Medical Biller Summary: Responsible for billing and follow-up of patient and client accounts ... codes, Medicare, Medicaid, managed care, and commercial insurance guidelines. Researches and ...
Quick apply
Be Seen First
AR-Medical Billler
Milwaukee, WI · On-site
$19 - $25/hr
AR Medical Biller Summary: Responsible for billing and follow-up of patient and client accounts ... codes, Medicare, Medicaid, managed care, and commercial insurance guidelines. Researches and ...
Advanced knowledge of medical terminology, anatomy and physiology. * Knowledge of Medicare, Medicaid and commercial payer coding guidelines. * Advanced computer skills including the use of Microsoft ...
Advanced knowledge of medical terminology, anatomy and physiology. * Knowledge of Medicare, Medicaid and commercial payer coding guidelines. * Advanced computer skills including the use of Microsoft ...
Inpatient Coding (facility) in an Acute Care Hospital preferred * 2+ years medical record coding experience and knowledge of DRG assignment and reimbursement regulations as acquired in an acute care ...
Inpatient Coding (facility) in an Acute Care Hospital preferred * 2+ years medical record coding experience and knowledge of DRG assignment and reimbursement regulations as acquired in an acute care ...
Inpatient Coding (facility) in an Acute Care Hospital preferred * 2+ years medical record coding experience and knowledge of DRG assignment and reimbursement regulations as acquired in an acute care ...
Inpatient Coding (facility) in an Acute Care Hospital preferred * 2+ years medical record coding experience and knowledge of DRG assignment and reimbursement regulations as acquired in an acute care ...
Altegra's nationwide network of registered nurses and certified coders professionally acquire ... We may also consider Medical Records Professionals that have a minimum of 2 years of hands on ...
Altegra's nationwide network of registered nurses and certified coders professionally acquire ... We may also consider Medical Records Professionals that have a minimum of 2 years of hands on ...
Altegra's nationwide network of registered nurses and certified coders professionally acquire ... We may also consider Medical Records Professionals that have a minimum of 2 years of hands on ...
Altegra's nationwide network of registered nurses and certified coders professionally acquire ... We may also consider Medical Records Professionals that have a minimum of 2 years of hands on ...
Be Seen First
Medical Billing Coordinator
Milwaukee, WI · On-site
$17 - $30/hr
Responsible for the entirety of the billing function, including coding medical procedures, inputting daily charges, collecting, submitting claims, follow up and appeals with insurance companies, and ...
Quick apply
Be Seen First
Medical Billing Coordinator
Milwaukee, WI · On-site
$17 - $30/hr
Responsible for the entirety of the billing function, including coding medical procedures, inputting daily charges, collecting, submitting claims, follow up and appeals with insurance companies, and ...
Medical Coder information
See Mequon, WI salary details
$14.09 - $15.58
6% of jobs
$16.64 is the 25th percentile. Wages below this are outliers.
$15.58 - $17.07
26% of jobs
The median wage is $17.92 / hr.
$17.07 - $18.57
31% of jobs
$18.57 - $20.06
7% of jobs
$20.70 is the 75th percentile. Wages above this are outliers.
$20.06 - $21.56
11% of jobs
$21.56 - $23.05
6% of jobs
$23.05 - $24.54
5% of jobs
$24.54 - $26.04
3% of jobs
$26.04 - $27.53
2% of jobs
$27.53 - $29.03
1% of jobs
$29.03 - $30.52
1% of jobs
$14
$19
$30
How much do medical coder jobs pay per hour?
Is becoming a Medical Coder worth it?
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 is the difference between Medical Coder vs Medical Biller?
| Aspect | Medical Coder | Medical Biller |
|---|---|---|
| Certifications | Certified Professional Coder (CPC), Certified Coding Specialist (CCS) | Certified Medical Reimbursement Specialist (CMRS), Certified Professional Biller (CPB) |
| Work Environment | Hospitals, clinics, physician offices, insurance companies | Medical offices, billing companies, hospitals |
| Primary Responsibilities | Assigning codes to diagnoses and procedures based on medical records | Submitting 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.
What exactly do you do as a Medical Coder?
What are the key skills and qualifications needed to thrive as a Medical Coder, and why are they important?
What are some common challenges medical coders face when working with complex patient records?
Is a Medical Coder still in demand?
What are medical coders?
Which Medical Coder position pays the most?

Other
Medical, Dental, Vision, Life, Retirement, PTO
Posted 7 days ago
Elevance Health rating
7.8
Based on 332 frontline employees who took The Breakroom Quiz
166th of 261 rated insurance
Job description
Clinical Provider Auditor II - Payment Integrity SIU
Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health approach to making care more integrated, personalized, and affordable. We put people at the center-connecting physical, behavioral, social, and pharmacy services, along with clinical expertise, research, operations, and advanced technology to help care work better, together.
Among us are care providers, engineers, data scientists, and other dedicated professionalsdetermined to recover, eliminate and prevent unnecessary medical-expense spending.
The Clinical Provider Auditor II is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse.
How you will make an impact:
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control.
Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claims lifecycle.
Researches new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations.
Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern.
Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.
Assists with training of new associates.
Minimum Requirements:
Requires a AA/AS and minimum of 3 years medical coding/auditing experience, including minimum of 1 year in fraud, waste abuse experience; or any combination of education and experience, which would provide an equivalent background.
Requires coding certification (CPC, CCS, CPMA).
Preferred Experience:
Prepay review of Medicare and Medicaid experience highly desired.
Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology and Bachelor's degree strongly preferred.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
What Elevance Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Elevance Health
Sourced by ZipRecruiter
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Indianapolis, IN, US
Year founded
2004