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Medical Coding Reviewer Jobs (NOW HIRING)

Ortho Illinois

Medical Coding Coordinator

Rockford, IL · On-site

$26.82 - $36.28/hr

The Medical Coding Coordinator is responsible for supervising the daily operations of the coding ... Reviews daily charge capture for all assigned Providers/Ancillary Services • Reviews claims ...

LMH Health

Medical Coding Auditor

Lawrence, KS · On-site

Job Summary The Medical Coding Auditor is responsible for conducting prospective and retrospective compliance reviews of documentation supporting codes reported by providers or facility coding to ...

Humana, Inc.

Inpatient Medical Coding Auditor

Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits ... Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate ...

Tampa Family Health Centers

Medical Coding Lead

Tampa, FL · On-site

$20.50 - $28/hr

Medical Coding Lead (Coding Supervisor) (Remote) Location: Tampa, Florida (Remote with occasional ... Review and validate ICD-10, CPT, and HCPCS coding for completeness and compliance * Identify coding ...

Stony Brook University

Medical Coding Educator

Commack, NY · On-site

$28.25 - $32/hr

Perform coding audits and validation by reviewing medical records for correct ICD-10-CM and ICD-10 PCS coding. Compile and communicate results of the audits to the appropriate managers. * Prepare ...

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$42

$100

How much do medical coding reviewer jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for medical coding reviewer in the United States is $42.06, according to ZipRecruiter salary data. Most workers in this role earn between $22.84 and $54.09 per hour, depending on experience, location, and employer.

Will a medical coder be replaced by AI?

Medical coding reviewers oversee the accuracy of coded medical records and ensure compliance with coding standards. While AI tools can assist with coding tasks, human oversight remains essential to handle complex cases, interpret ambiguous information, and ensure quality, so full replacement by AI is unlikely in the near future.

What is a medical coding reviewer?

A medical coding reviewer is a professional who examines medical codes assigned to patient records to ensure accuracy and compliance with coding standards such as ICD-10 and CPT. They verify that diagnoses, procedures, and services are correctly coded, often using coding software, and may work closely with healthcare providers and billing teams to improve documentation and billing accuracy.

What pays more, CCS or CPC?

In medical coding, Certified Coding Specialist (CCS) credential holders often earn higher salaries than Certified Professional Coder (CPC) holders due to the advanced training and specialization involved. However, salaries can vary based on experience, location, and work setting, with CCS generally commanding higher pay in hospital and facility environments. Both certifications are valuable, but CCS typically offers higher earning potential for medical coding reviewers and professionals working in complex healthcare settings.

What is the difference between Medical Coding Reviewer vs Medical Coding Specialist?

AspectMedical Coding ReviewerMedical Coding Specialist
CertificationsAHIMA or AAPC coding certifications, reviewer credentialsSame certifications, focus on coding accuracy
Work EnvironmentReviewing coded records, quality assuranceAssigning codes, data entry, coding documentation
Employer & IndustryHospitals, clinics, insurance companiesHospitals, physician offices, billing companies
Search & Comparison IntentUnderstanding review roles, quality controlLearning coding duties, certification info

Medical Coding Reviewers focus on auditing and ensuring the accuracy of coded medical records, while Medical Coding Specialists are responsible for assigning the appropriate codes to diagnoses and procedures. Both roles require similar certifications and often work in healthcare settings like hospitals and clinics. The main difference lies in their primary duties: reviewers verify and improve coding quality, whereas specialists perform the initial coding process.

How to get hired as a medical coder with no experience?

To become a medical coding reviewer with no experience, start by obtaining a relevant certification such as the Certified Professional Coder (CPC) or Certified Coding Associate (CCA), which demonstrates foundational knowledge. Gaining familiarity with coding software and medical terminology through online courses or training programs can also improve your chances; entry-level positions often provide on-the-job training to develop necessary skills.

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

To thrive as a Medical Coding Reviewer, you need a thorough understanding of medical terminology, ICD-10/CPT/HCPCS coding systems, and detailed knowledge of healthcare regulations, usually supported by a certification like CPC or CCS. Familiarity with electronic health records (EHRs), coding audit tools, and compliance tracking systems is also essential. Strong analytical thinking, attention to detail, and effective communication skills distinguish top performers in this role. These skills are crucial for ensuring accurate coding, maintaining regulatory compliance, and supporting proper reimbursement processes in healthcare organizations.

What are Medical Coding Reviewers?

Medical Coding Reviewers are healthcare professionals responsible for evaluating and verifying the accuracy of medical codes assigned to patient diagnoses, procedures, and treatments. They review medical records and documentation to ensure compliance with coding standards such as ICD-10, CPT, and HCPCS. Their work helps healthcare organizations maintain accurate billing, reduce claim denials, and comply with regulations. Medical Coding Reviewers also identify coding errors, provide feedback to coders, and may assist in training and quality improvement initiatives.

What are some common challenges faced by Medical Coding Reviewers, and how can they be addressed?

Medical Coding Reviewers often encounter challenges such as interpreting complex medical documentation, staying updated with frequent coding guideline changes, and ensuring coding accuracy to avoid claim denials. Overcoming these challenges requires strong attention to detail, continuous professional development, and effective communication with healthcare providers. Building collaborative relationships with clinical staff and participating in ongoing training can help reviewers stay current and maintain high-quality standards.
More about Medical Coding Reviewer jobs
What cities are hiring for Medical Coding Reviewer jobs? Cities with the most Medical Coding Reviewer job openings:
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What job categories do people searching Medical Coding Reviewer jobs look for? The top searched job categories for Medical Coding Reviewer jobs are:
Medical Coding Reviewer jobs near you
Infographic showing various Medical Coding Reviewer job openings in the United States as of June 2026, with employment types broken down into 17% As Needed, 17% Full Time, and 66% Contract. Highlights an 79% Physical, 4% Hybrid, and 17% Remote job distribution, with an average salary of $87,476 per year, or $42.1 per hour.

Medical Coding Specialist

Weill Cornell Medical College

Manhattan, NY • On-site

$31.92 - $35.44/hr

Full-time

Posted 8 days ago

Job description

Title: Medical Coding Specialist
Location: Midtown
Org Unit: Code Compliance
Work Days:
Weekly Hours: 35.00
Exemption Status: Non-Exempt
Salary Range: $31.92 - $35.44
*As required under NYC Human Rights Law Int 1208-2018 - Salary range for this role when Hired for NYC Offices
Position Summary
Responsible for reviewing medical records for compliance with coding and documentation requirements.
Job Responsibilities
  • Performs ongoing prospective coding and documentation chart reviews for physician services to ensure that the coding supports the services billed. Identifies issues and patterns related to coding.
  • Selects and assigns the appropriate ICD-10, CPT and HCPCS codes, based on chart review documentation. Identifies issues and patterns related to coding.
  • Enters charges into the practice management billing system, ensuring to meet productivity and quality-based departmental benchmarks. Performs charge entry batch quality assurance.
  • Reviews and resolves charge router and charge review edits, as needed.
  • Submits queries to physicians, as appropriate, for documentation clarification.
  • Participates in internal and external audits of billing operations and activities.
  • Participates in annual and on-going mandatory compliance training. Fulfills Continuing Education Units necessary to maintain certification status.
  • Keeps informed of changes in policy within the field.
  • Stays abreast with compliance on federal, state health care laws, regulations and rules. Reports any differentiation from institutional or departmental procedures.

Education
  • High School Diploma

Experience
Approximately 2 years of experience in physician billing, CPT, ICD-10 and HCPCS Coding.
Prior experience working with an eMR system.
Working knowledge of federal and state reimbursement regulations.
Knowledge of third party insurance billing policies and procedures.
Knowledge, Skills and Abilities
  • Ability to perform duties in a highly organized, efficient and reliable manner.
  • Conducts job related activities in a highly confidential manner and in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
  • Must be able to work independently and use sound judgment to execute assignments.
  • Demonstrated proficiency in Microsoft Office Suite, including Word, Excel and PowerPoint.
  • Strong critical thinking and problem solving skills with proven ability to apply creative approaches to complicated questions.
  • Must be able to multi-task

Licenses and Certifications
  • Certified coder (CPC, CCS-P)

Working Conditions/Physical Demands
Standard office work
Cornell welcomes students, faculty, and staff with diverse backgrounds from across the globe to pursue world-class education and career opportunities, to further the founding principle of "any person, any study." No person shall be denied employment on the basis of any legally protected status or subjected to prohibited discrimination involving, but not limited to, such factors as race, ethnic or national origin, citizenship and immigration status, color, sex, pregnancy or pregnancy-related conditions, age, creed, religion, actual or perceived disability (including persons associated with such a person), arrest and/or conviction record, military or veteran status, sexual orientation, gender expression and/or identity, an individual's genetic information, domestic violence victim status, familial status, marital status, or any other characteristic protected by applicable federal, state, or local law.
Cornell University embraces diversity in its workforce and seeks job candidates who will contribute to a climate that supports students, faculty, and staff of all identities and backgrounds. We hire based on merit, and encourage people from historically underrepresented and/or marginalized identities to apply. Consistent with federal law, Cornell engages in affirmative action in employment for qualified protected veterans as defined in the Vietnam Era Veterans' Readjustment Assistance Act (VEVRRA) and qualified individuals with disabilities under Section 503 of the Rehabilitation Act. We also recognize a lawful preference in employment practices for Native Americans living on or near Indian reservations in accordance with applicable law.

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