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Medical Coder Jobs in Sumter, SC (NOW HIRING)

Varsity Tutors

Medical Terminology Tutor

Columbia, SC · Remote

$40/hr

... coding careers. * Conceptual Teaching & Problem-Solving: Skilled at teaching systematic word analysis, medical term construction, and clinical vocabulary application. Guides students through breaking ...

Varsity Tutors

CPC Tutor

Columbia, SC · Remote

$40/hr

Deep knowledge of CPC examination content covering medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets, anatomy and physiology, medical terminology, coding guidelines, compliance, and ...

CenterWell Primary Care

Medical Assistant

Columbia, SC · On-site

$16.50 - $21/hr

The Medical Assistant 2 performs varied activities and moderately complex administrative ... ICD coding, and CAHPS/HOS Patient Experience. • Bilingual proficiency in English and Spanish ...

CenterWell Primary Care

Medical Assistant

Columbia, SC · On-site

$16.50 - $21/hr

The Medical Assistant 2 performs varied activities and moderately complex administrative ... CPT/ICD coding, and CAHPS/HOS Patient Experience. Bilingual proficiency in English and Spanish ...

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All JobsMedical Coder JobsMedical Coder Jobs in Sumter, SC

Medical Coder information

See Sumter, SC salary details

$14

$19

$30

How much do medical coder jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for medical coder in Sumter, SC is $19.97, according to ZipRecruiter salary data. Most workers in this role earn between $16.06 and $21.39 per hour, depending on experience, location, and employer.

Is becoming a Medical Coder worth it?

Medical coding is a stable healthcare job that involves translating medical records into standardized codes using coding systems like ICD and CPT. It typically requires certification, such as the CPC, and offers opportunities for remote work and career advancement. The profession has steady demand due to ongoing healthcare documentation needs.

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?

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.

What exactly do you do as a Medical Coder?

A Medical Coder reviews patient medical records and assigns standardized codes for diagnoses, procedures, and services using coding systems like ICD-10 and CPT. This process ensures accurate billing, insurance claims processing, and compliance with healthcare regulations. Medical Coders often work with electronic health record (EHR) systems and require certification to perform their duties effectively.

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.

Is a Medical Coder still in demand?

Yes, medical coders are in demand due to the ongoing need for accurate medical billing and coding in healthcare. The role requires knowledge of coding systems like ICD-10 and CPT, and employment opportunities are expected to grow with the expansion of healthcare services and electronic health records.

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.

Which Medical Coder position pays the most?

Senior medical coder roles, such as Certified Professional Coder (CPC) with specialized expertise or those working in high-demand settings like hospitals or insurance companies, tend to offer the highest salaries. Advanced certifications, experience, and knowledge of coding systems like ICD-10 and CPT can also increase earning potential.
More about Medical Coder jobs
What are the most commonly searched types of Medical Coder jobs in Sumter, SC? The most popular types of Medical Coder jobs in Sumter, SC are:
What are popular job titles related to Medical Coder jobs in Sumter, SC? For Medical Coder jobs in Sumter, SC, the most frequently searched job titles are:
What job categories do people searching Medical Coder jobs in Sumter, SC look for? The top searched job categories for Medical Coder jobs in Sumter, SC are:
What cities near Sumter, SC are hiring for Medical Coder jobs? Cities near Sumter, SC with the most Medical Coder job openings:
Medical Coder jobs near you
Business Analyst - Clinical Analyst & Coding Specialist - Contract - Remote

Business Analyst - Clinical Analyst & Coding Specialist - Contract - Remote

SUNSHINE ENTERPRISE USA LLC

Columbia, SC • On-site, Remote

Contractor

Posted 27 days ago

Job description

Job Description
Business Analyst - Clinical Analyst & Coding Specialist
Location: Fully Remote
Interview Process: 1 round, Virtual/Online
Duration: 12 MonthsEmployment Type: ContractExperience Required: 08+ Years
Candidate Location: Candidate MUST be a SC resident. No relocation allowed.
Project Scope:
We are seeking an experienced Business Analyst - Clinical Analyst & Coding Specialist to support Medicaid policy, coding analysis, claims processing, and MMIS initiatives for a large healthcare and government environment. This role will serve as a subject matter expert (SME) supporting medical coding compliance, coding updates, policy remediation, and Medicaid business process improvements.
The ideal candidate will have strong experience in medical coding, healthcare insurance operations, Medicaid claims processing, and payer systems, along with a clinical background and the ability to collaborate with both technical and business teams. This role will also contribute to future MMIS modernization and replacement initiatives.
Key Responsibilities:
• Serve as a subject matter expert (SME) for medical coding methodologies, Medicaid policy, and healthcare claims processing.
• Support annual, quarterly, and ad hoc ICD-10, CPT, and HCPCS coding updates received from CMS.
• Perform analysis of medical coding changes and assess impact on business processes, claims adjudication, and system functionality.
• Conduct initial code reviews and determine the scope and business impact of coding updates.
• Prepare and distribute coding change listings for review by Medicaid program teams and reference administration staff.
• Collaborate with policy owners, stakeholders, developers, and business teams to support change requests and MMIS enhancements.
• Participate in MMIS modernization and replacement project meetings, providing coding and business process expertise.
• Research business rules, operational requirements, and process models to develop recommendations and solutions.
• Maintain business rules, coding documentation, requirements repositories, and process documentation.
• Facilitate meetings with agency personnel, stakeholders, and operational teams.
• Support policy remediation efforts and ensure alignment between coding standards and operational workflows.
• Assist with development and maintenance of training documentation and process materials.
• May review patient records against established medical necessity criteria as backup support.
• Work collaboratively with cross-functional teams supporting Medicaid operations and healthcare initiatives.
Required Skills & Experience:
• 5+ years of experience in healthcare insurance, medical review, program integrity, or appeals
• 5+ years of experience working with IT developers/programmers in a payer environment
• 5+ years of hands-on medical coding experience in a payer environment
• 5+ years of Strong expertise in ICD-10, CPT, and HCPCS coding methodologies and translation
• 5+ years of Strong understanding of anatomy, physiology, pharmacology, and medical terminology
• 3+ years clinical experience in a healthcare environment (strong clinical assessment and critical thinking skills.)
• Experience supporting Medicaid operations and MMIS systems
• Strong analytical, documentation, and business requirements gathering skills
• Excellent written and verbal communication skills
• Proficiency with Microsoft Office Suite
Preferred Skills:
• 5+ years of experience in policy remediation
• 5+ years of experience with claims processing systems
• 5+ years of Experience using: Optum Encoder, Other medical coding software platforms
• 3+ years of clinical experience in a healthcare environment
• Strong clinical assessment and critical-thinking skills
• Experience supporting government healthcare or managed care operations
LicenseMust have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse.CertificationCurrently 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.
Education:Bachelor of Science in Nursing (BSN) OR Associate Degree in Nursing (ADN)

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