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Medical Insurance Billing And Coding Jobs in Raleigh, NC

WakeMed

Manager, Physician Coding *hybrid*

Raleigh, NC · On-site

Direct responsibility for overseeing the processes related to accurate coding and timely release of accounts for billing. Responsible for the coding denial WQ to review, work and give feedback and ...

Deloitte

Hospital Billing Operator

Raleigh, NC · Remote

$17.75 - $22.75/hr

Validate claim data for demographics, insurance coverage, authorizations, provider information, modifiers, and coding-related elements; identify and correct claim edits, rejections, and billing ...

Deloitte

Hospital Billing Coordinator

Raleigh, NC · Remote

$50K - $60K/yr

Validate claim data for demographics, insurance coverage, authorizations, provider information, modifiers, and coding-related elements; identify and correct claim edits, rejections, and billing ...

Oakpoint

RCM Dental Specialist

Holly Springs, NC · On-site

Maintain up-to-date knowledge of billing, coding, and productivity auditing * Maintain knowledge of ... Medical billing knowledge, preferred. * Possess the ability to work in a constantly changing and ...

Duke Health

MEDICAL RECORDS CODER II

Durham, NC · On-site

$18 - $24.25/hr

This includes scheduling, registration, coding, billing, and other essential revenue functions for ... Occ Summary The Medical Records Coder II is a certified coder. Coordinate/review the work of ...

Duke University

MEDICAL RECORDS CODER II

Durham, NC · Remote

$18 - $24.25/hr

This includes scheduling, registration, coding, billing, and other essential revenue functions for ... Code medical records utilizing ICD-10-CM and CPT-4 coding conventions. Review the medical record to ...

Duke Health

MEDICAL RECORDS CODER II

Durham, NC · Remote

$18 - $24.25/hr

This includes scheduling, registration, coding, billing, and other essential revenue functions for ... Code medical records utilizing ICD-10-CM and CPT-4 coding conventions. Review the medical record to ...

Duke University

MEDICAL RECORDS CODER II

Durham, NC · Remote

$18 - $24.25/hr

This includes scheduling, registration, coding, billing, and other essential revenue functions for ... Occ Summary The Medical Records Coder II is a certified coder. Coordinate/review the work of ...

Duke University

MEDICAL RECORDS CODER II

Durham, NC · On-site

$18 - $24.25/hr

This includes scheduling, registration, coding, billing, and other essential revenue functions for ... Occ Summary The Medical Records Coder II is a certified coder. Coordinate/review the work of ...

Duke University

MEDICAL RECORDS CODER II

Durham, NC · Remote

$18 - $24.25/hr

This includes scheduling, registration, coding, billing, and other essential revenue functions ... Occ Summary The Medical Records Coder II is a certified Coder. Coordinate/review the work of ...

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All JobsMedical Insurance Billing And Coding JobsMedical Insurance Billing And Coding Jobs in Raleigh, NC

Medical Insurance Billing And Coding information

See Raleigh, NC salary details

$13

$21

$28

How much do medical insurance billing and coding jobs pay per hour?

As of Jun 29, 2026, the average hourly pay for medical insurance billing and coding in Raleigh, NC is $21.34, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $22.45 per hour, depending on experience, location, and employer.

What is the difference between Medical Insurance Billing And Coding vs Medical Office Administrative Assistant?

AspectMedical Insurance Billing And CodingMedical Office Administrative Assistant
CredentialsCertification in billing and coding (e.g., CPC, CCS)Administrative or office management training
Work EnvironmentHealthcare settings, hospitals, clinicsMedical offices, clinics, healthcare facilities
Job FocusProcessing insurance claims, coding diagnoses and proceduresScheduling, patient communication, administrative tasks
Industry UsageHigh overlap in healthcare billing departmentsCommon in front-office healthcare roles

While both roles are essential in healthcare settings, Medical Insurance Billing And Coding specialists focus on insurance claims and coding, whereas Medical Office Administrative Assistants handle broader administrative tasks. Understanding these differences helps job seekers identify the right career path in healthcare administration.

Do insurance companies hire medical coders?

Yes, insurance companies often hire medical coders to review and process claims, ensure accurate billing, and maintain compliance with coding standards like ICD-10 and CPT. These roles typically require knowledge of medical coding systems, attention to detail, and sometimes certification such as CPC or CCS.

What is medical insurance billing and coding?

Medical insurance billing and coding is the process of translating healthcare services, procedures, and diagnoses into standardized codes for billing and insurance purposes. Medical coders review clinical documentation and assign appropriate codes, while billers use these codes to submit claims to insurance companies for reimbursement. This role is essential to ensure healthcare providers are properly compensated and that patient records are accurate. Professionals in this field must have a strong understanding of medical terminology, coding systems like ICD-10 and CPT, and healthcare regulations.

What are some common challenges faced in a Medical Insurance Billing and Coding position, and how can they be overcome?

Professionals in Medical Insurance Billing and Coding often encounter challenges such as staying updated with frequently changing coding standards (like ICD-10 and CPT), handling claim denials, and ensuring accurate data entry. To overcome these challenges, it's important to participate in ongoing education, utilize up-to-date coding resources, and maintain strong communication with healthcare providers and insurance companies. Building attention to detail and organizational skills also helps minimize errors and improve claim acceptance rates.

Are medical billers and coders in demand?

Medical billers and coders are in high demand due to the ongoing need for accurate medical billing and coding in healthcare facilities. The profession offers job stability, with growth driven by healthcare industry expansion and the increasing adoption of electronic health records, often requiring certification and familiarity with coding systems like ICD-10 and CPT.

Are medical coders going to be replaced by AI?

Medical insurance billing and coding professionals perform tasks that involve interpreting medical records and applying coding standards, which currently require human judgment. While AI tools can assist with coding accuracy and efficiency, they are unlikely to fully replace medical coders soon, as complex cases and nuanced decisions still depend on human expertise and certification. Continuous learning and familiarity with coding systems like ICD-10 and CPT are important for job security in this field.

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

To thrive as a Medical Insurance Billing and Coding Specialist, you need a solid understanding of medical terminology, coding systems (like ICD-10, CPT, and HCPCS), and healthcare reimbursement processes, often supported by a certification such as CPC or CCA. Familiarity with electronic health records (EHR) systems, medical billing software, and insurance claim platforms is essential. Attention to detail, analytical thinking, and strong organizational and communication skills help you excel in this role. These competencies ensure accurate claims processing, minimize errors, and support timely reimbursements critical to healthcare operations.

What is the highest paid medical billing and coding job?

The highest paid roles in medical billing and coding typically include senior coding specialists, coding managers, and health information managers, especially those with advanced certifications like CPC, CCS, or RHIT. These positions often involve overseeing coding teams, ensuring compliance, and working in specialized healthcare settings, with salaries increasing with experience and additional responsibilities.
What are popular job titles related to Medical Insurance Billing And Coding jobs in Raleigh, NC? For Medical Insurance Billing And Coding jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Medical Insurance Billing And Coding jobs in Raleigh, NC look for? The top searched job categories for Medical Insurance Billing And Coding jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Medical Insurance Billing And Coding jobs? Cities near Raleigh, NC with the most Medical Insurance Billing And Coding job openings:
Medical Insurance Billing And Coding jobs near you
RCS Medical Coding Auditor (CPC, CPMA)

RCS Medical Coding Auditor (CPC, CPMA)

Veradigm

Raleigh, NC • On-site, Remote

$57K - $80K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Job description

Position Summary
The RCS Medical Coding Auditor is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback.
The ideal candidate brings strong hands-on experience with professional fee coding, deep knowledge of E/M, surgical, and modifier use, and the ability to translate audit findings into actionable insights.
Key Responsibilities
  • Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback
  • Validate ICD-10-CM, CPT®, HCPCS, and modifier assignment against clinical documentation to ensure accuracy and compliance with AMA CPT, ICD-10, CMS, NCCI, and payer-specific guidelines
  • Conduct medical chart audits of professional services across multiple specialties
  • Identify coding discrepancies, compliance risks, trends, root causes, and documentation gaps
  • Support coding education through feedback, targeted training, and reference materials
  • Prepare clear, defensible audit documentation including rationale and references
  • Provide actionable recommendations to address audit findings and reduce future risk
  • Track audit outcomes and trends to support leadership reporting and risk mitigation strategies
  • Support denial prevention, resolution and appeal strategies
  • Collaborate across teams to assist with coding support
  • Maintain confidentiality and comply with HIPAA and organizational policies

Required Qualifications
  • CPC (Required) and CPMA (Required/In Process)
  • 2+ years of ProFee auditing experience
  • Knowledge of:
    • E/M documentation guidelines
    • Modifier rules and NCCI edits
    • CPT, ICD-10-CM, HCPCS Level II
  • High attention to detail with strong analytical and critical-thinking skills
  • Excellent written and verbal communication skills for audit reporting and education
  • Proficiency with EHRs, coding and auditing tools
  • Proficiency with Microsoft Office Suite

Preferred Qualifications
  • Multi-specialty coding and auditing experience with preferred background in E/M Coding, Orthopedics, Pain Management, Urology
  • Background in coding quality programs or compliance teams
  • Advanced reporting skills for audit tracking and trend analysis
  • Prior consulting or client-facing audit experience

Compensation Range:
$57,728-$80,243
Compensation for this job is subject to market conditions, geographic considerations, the candidate's unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates' unique contributions and support their professional growth.
Enhancing Lives and Building Careers
Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network. Interested in learning more?
Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings.
Visa Sponsorship is not offered for this position.
At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.
Veradigm's policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.
From a "VEVRAA Federal Contractor" We request Priority Referral of Protected Veterans
This is an official Veradigm Job posting. To avoid identity theft, please only consider applying to jobs posted on our official corporate site.
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