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Medical Coding Billing Jobs in Lexington, SC (NOW HIRING)

Patient Services Rep, Full Time Day

Columbia, SC · On-site

$16.25 - $20.50/hr

... medical authorizations, and insurance slips. * Researches all information needed to complete outpatient billing process including getting charge information from physicians.Codes information about ...

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Medical Coding Billing information

See Lexington, SC salary details

$11

$18

$24

How much do medical coding billing jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for medical coding billing in Lexington, SC is $18.79, according to ZipRecruiter salary data. Most workers in this role earn between $15.43 and $19.76 per hour, depending on experience, location, and employer.

What is a medical coding billing?

A Medical Coding and Billing job involves translating healthcare services, procedures, diagnoses, and treatments into standardized codes for billing and insurance purposes. Medical coders use classification systems like ICD-10, CPT, and HCPCS to ensure accuracy in medical records and claims. Medical billers submit claims to insurance companies and manage reimbursements to healthcare providers. This role is essential for healthcare revenue cycle management and requires attention to detail, knowledge of medical terminology, and compliance with industry regulations.

What does a medical coding billing do?

Medical coding and billing professionals typically review patient records, assign appropriate medical codes based on documentation, and prepare claims for submission to insurance companies. Daily tasks often include following up on unpaid claims, correcting coding errors, communicating with healthcare providers for clarification, and updating patient accounts. You may also be responsible for verifying insurance benefits and addressing patient inquiries about billing statements. These responsibilities require both technical coding expertise and strong interpersonal skills for effective collaboration. Working in this role offers valuable experience in healthcare administration and can lead to further career advancement within medical billing, auditing, or healthcare management.

What are the key skills and qualifications needed to thrive in medical coding billing?

To excel in Medical Coding Billing, you need a strong understanding of medical terminology, anatomy, health insurance processes, and coding systems such as ICD-10, CPT, and HCPCS, often supported by formal training or relevant certification (e.g., CPC, CCS). Familiarity with electronic health record (EHR) systems and medical billing software is essential for processing and submitting claims accurately. Attention to detail, organizational skills, and effective communication are important soft skills that help you navigate complex billing scenarios and interact with patients, providers, and payers. Mastery of these skills ensures accurate reimbursement, reduces claim denials, and facilitates efficient healthcare operations.

Are medical coders still in demand?

Medical coders are still in demand due to ongoing healthcare needs and the shift toward electronic health records. The role requires knowledge of coding systems like ICD-10 and CPT, and job growth is expected to remain steady as healthcare providers seek accurate billing and compliance.

Is a career in medical coding billing worth it?

A career in medical coding and billing offers stable employment opportunities, as it is essential for healthcare administration and reimbursement processes. It typically requires certification, attention to detail, and proficiency with coding systems like ICD-10 and CPT. The field often provides flexible schedules and the potential for remote work, making it a viable option for many healthcare support professionals.

Is it hard to get a job in medical coding and billing?

Medical coding and billing jobs generally require certification and knowledge of coding systems like ICD-10 and CPT. While some entry-level positions are available, competition can vary based on location and experience, and having relevant skills or certifications can improve job prospects.

What are popular job titles related to Medical Coding Billing jobs in Lexington, SC?

For Medical Coding Billing jobs in Lexington, SC, the most frequently searched job titles are:

What job categories do people searching Medical Coding Billing jobs in Lexington, SC look for?

The top searched job categories for Medical Coding Billing jobs in Lexington, SC are:

What cities near Lexington, SC are hiring for Medical Coding Billing jobs?

Cities near Lexington, SC with the most Medical Coding Billing job openings:

Infographic showing various Medical Coding Billing job openings in Lexington, SC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 75% In-person, and 25% Remote job distribution, with an average salary of $39,093 per year, or $18.8 per hour.

Health Information Management Inpatient Coder, FT, Days, - Remote

Prisma Health

Columbia, SC • Remote

$20 - $24.25/hr

Full-time

Re-posted 15 hours ago


Prisma Health rating

7.1

Company rating: 7.1 out of 10

Based on 351 frontline employees who took The Breakroom Quiz

379th of 898 rated healthcare providers


Job description

Inspire health. Serve with compassion. Be the difference.
Job Summary
Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes.
Essential Functions
  • All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
  • Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Performs Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation.
  • Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Incumbent(s) operate under the general supervision of HIM Coding leadership.
  • Applies ICD and ICD-PCS codes to inpatient records, including major traumas, and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines.
  • Reviews work queues to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on On-hold accounts daily for final coding.
  • Identifies and requests physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies. Ensures all open queries initiated by Clinical Documentation Specialists have been addressed prior to final coding.
  • Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Adheres to department standards for productivity and accuracy. Identifies and trends coding issues escalating identified concerns
  • Consults, provides professional expertise to and collaborates with clinical documentation specialists on coding and documentation practices and standards.
  • Performs other duties as assigned.

Supervisory/Management Responsibilities
  • This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements
  • Education - Certification Program or Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program.
  • Experience - Three (3) years coding experience in an acute care or ambulatory setting. Inpatient coding experience. EPIC health information system experiences preferred.

In Lieu Of
  • In lieu of education and experience requirements noted above, successful completion of the IP Coder Associate program or coder associate may be considered.

Required Certifications, Registrations, Licenses
  • Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential.

Knowledge, Skills and Abilities
  • Participates in on site, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS and Quality.
  • Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment.
  • Knowledge of electronic medical records and 3M or Encoder System.
  • Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process.
  • Knowledge of MS DRG prospective payment system and severity systems.
  • Ability to concentrate for extended periods of time.
  • Ability to work and make decisions independently.

Work Shift
Day (United States of America)
Location
5 Medical Park Rd Richland
Facility
1500 Midlands Corporate
Department
70017512 HIM-Coding
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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