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Medical Insurance Billing Coding Jobs in Columbia, SC

Medical, dental, and vision coverage starting day one, with preventive care at 100%, a $50/month ... In addition, IMEG provides a variety of benefits to employees, including health insurance coverage ...

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Medical Insurance Billing Coding information

See Columbia, SC salary details

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$26

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

As of Sep 7, 2026, the average hourly pay for medical insurance billing coding in Columbia, SC is $20.31, according to ZipRecruiter salary data. Most workers in this role earn between $16.68 and $21.35 per hour, depending on experience, location, and employer.

What is medical insurance billing and coding?

Medical insurance billing and coding is the process of translating healthcare services, treatments, and diagnoses into standardized codes that are used for billing purposes. Medical coders review clinical documentation and assign appropriate codes, while billers use these codes to prepare and submit insurance claims for reimbursement. This ensures that healthcare providers are paid correctly and that claims comply with regulations and insurance requirements. The work requires attention to detail, knowledge of medical terminology, and familiarity with coding systems like ICD-10, CPT, and HCPCS.

What are the key skills and qualifications needed to thrive as a medical insurance billing and coding specialist?

To thrive as a Medical Insurance Billing and Coding Specialist, you need a strong understanding of medical terminology, anatomy, coding systems (such as ICD-10, CPT, and HCPCS), and typically a certification like CPC or CCS. Familiarity with billing software, electronic health records (EHRs), and claims management platforms is essential. Attention to detail, integrity, and strong organizational and communication skills set top performers apart in this role. These competencies are crucial to ensure accurate claim submissions, reduce errors, and facilitate smooth reimbursement processes for healthcare providers.

What are some common challenges faced by medical insurance billing and coding professionals, and how can they be managed?

Medical Insurance Billing and Coding professionals often encounter challenges such as keeping up with constantly changing insurance regulations, accurately interpreting complex medical codes, and minimizing claim denials or rejections. Staying current with industry updates through continuous education and certification renewals is essential. Effective communication with healthcare providers and insurance representatives, as well as attention to detail and strong organizational skills, help manage workload and ensure accurate, timely claim submissions.

What is the difference between Medical Insurance Billing Coding vs Medical Claims Specialist?

AspectMedical Insurance Billing CodingMedical Claims Specialist
CertificationsCertified Professional Coder (CPC), Certified Coding Associate (CCA)Typically similar certifications, may include claims processing certifications
Work EnvironmentHospitals, clinics, insurance companiesInsurance companies, healthcare providers, billing offices
Job FocusAssigning codes to diagnoses and procedures for billingProcessing, reviewing, and managing insurance claims
Common Search IntentUnderstanding coding roles, certification requirementsClaims processing, reimbursement procedures

Both roles involve working with healthcare documentation and insurance processes. Medical Insurance Billing Coding focuses on assigning accurate codes for billing, while Medical Claims Specialists handle the submission and management of insurance claims. They often work together but have distinct responsibilities within the healthcare revenue cycle.

Is a job in medical insurance billing coding worth it?

Medical insurance billing and coding is a stable healthcare job that involves translating medical procedures into standardized codes for billing purposes. It typically requires certification, such as CPC or CCS, and offers opportunities for remote work and career advancement. The role provides steady employment with moderate entry requirements and a growing demand due to healthcare industry expansion.

Is it hard to get a job as a medical insurance billing coding specialist?

Getting a job as a medical insurance billing and coding specialist can vary depending on location and experience, but generally, the field has steady demand due to the need for accurate medical record management. Certification and familiarity with coding systems like ICD-10 and CPT can improve job prospects, and many roles offer flexible schedules. Entry-level positions are often available for those with relevant training or certification programs.

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

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

Infographic showing various Medical Insurance Billing Coding job openings in Columbia, SC as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 15% Part Time, and 5% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $42,253 per year, or $20.3 per hour.

Facility Medical Coder II

Lexington Medical Center

West Columbia, SC • On-site

$17.25 - $23.25/hr

Full-time

Medical, Dental, Life, Retirement

Posted 7 days ago


Lexington Medical Center rating

7.0

Company rating: 7.0 out of 10

Based on 105 frontline employees who took The Breakroom Quiz

507th of 1,065 rated hospitals


Job description

Coding
Full Time
Day Shift
8:00-4:30
Sign-On Bonus: 5,000
Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer.
Lexington Health also includes an accredited Cancer Center of Excellence, the state's first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer's care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship.
Job Summary
Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from medical records for complete and accurate statistical documentation.
Minimum Qualifications
Minimum Education: High School Diploma or Equivalent
Minimum Years of Experience: 3 Years of Experience in Facility Coding Covering Multiple Services (Combination of DRG and OP Services or Multiple OP Services), which they successfully met quality and productivity standards.
Substitutable Education & Experience (Optional): None.
Required Certifications/Licensure: At least one active certification (RHIA/RHIT//CCS/CCS-P//CPC/CPC-H/COC//CIC)
Required Training: Experience working in a combination of the following areas: ED, OPS, or IP;
Completion of courses in Anatomy, Physiology, and Medical Terminology;
Must be computer literate and have experience with Microsoft applications (i.e., Word, Excel, Outlook);
Experience with electronic health records software.
Essential Functions
  • Reviews and interprets facility inpatient and outpatient medical documentation to accurately assign ICD and CPT codes for reimbursement and statistical purposes.
  • Abstracts information into computer for reimbursement and statistical purposes.
  • Researches and stay current with trends in healthcare coding and compliance.
  • Keeps department manager up to date with any coding or documentation issues.
  • Must work independently and collaboratively to support the achievement of department People, Quality, Finance, and Service goals as well as organizational goals.

Duties & Responsibilities
  • Works as a team with physicians, coding staff and other hospital personnel to ensure proper and accurate code assignment and continuous quality improvement.
  • Reports to work in a timely manner and adheres to attendance policies. Conscientious of scheduling time off in advance so as not to interfere dramatically with coding turnaround times.
  • Other duties may include:
    a. Review of Daily Medical Necessity Report
    b. Assisting Coding Manager with supervision of Clinical Affiliations
  • Performs all other duties as assigned.

We are committed to offering quality, cost-effective benefits choices for our benefit eligible employees and their families:
  • Day ONE medical, dental and life insurance benefits
  • Health care and dependent care flexible spending accounts (FSAs)
  • Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%.
  • Employer paid life insurance - equal to 1x salary
  • Employee may elect supplemental life insurance with low cost premiums up to 3x salary
  • Adoption assistance
  • LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment
  • Tuition reimbursement
  • Student loan forgiveness

Equal Opportunity Employer
It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee's desires and abilities and the hospital's needs.

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