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Medical Insurance Billing Coding Jobs in Muskogee, OK

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Medical Insurance Billing Coding information

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$13

$21

$27

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 Muskogee, OK is $21.12, according to ZipRecruiter salary data. Most workers in this role earn between $17.36 and $22.21 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 job categories do people searching Medical Insurance Billing Coding jobs in Muskogee, OK look for?

The top searched job categories for Medical Insurance Billing Coding jobs in Muskogee, OK are:

What cities near Muskogee, OK are hiring for Medical Insurance Billing Coding jobs?

Cities near Muskogee, OK with the most Medical Insurance Billing Coding job openings:

Medical Insurance Billing Coding jobs near you
Infographic showing various Medical Insurance Billing Coding job openings in Muskogee, OK as of August 2026, with employment types broken down into 86% Full Time, 7% Part Time, and 7% Contract. Highlights an 87% In-person, and 13% Remote job distribution, with an average salary of $43,930 per year, or $21.1 per hour.

CHS Claims & Payment Specialist - CHS - Okmulgee

Muscogee Nation Department of Health

Okmulgee, OK • On-site

$14.50 - $19.25/hr

Full-time

Posted 13 days ago

Job description

MINIMUM QUALIFICATIONS
Education - High School Diploma or GED equivalent is required. Associate Degree in Healthcare or Business Administration, Medical Billing and Coding, Accounting, or any related field preferred.
Experience - Minimum two (2) years of relevant experience in medical billing, healthcare claims processing, insurance verification, revenue cycle, Contract Health Service/Purchased Referred Care, third party healthcare billing or related field preferred.
Preferred Experience- Indian Health Service (IHS), Purchased Referred Care (PRC)/Contract Health Service (CHS), Medicare/Medicaid, Commercial Insurance Coordination, Medical Claims adjudication, and Electronic Health records (EHR).
Licenses & Certification - Must possess valid State of Oklahoma Driver's License and be insurable.
Knowledge & Skills -
  1. Knowledge of Contract Health Services (CHS), Indian Health Services (IHS) and Department of Health Administration Policies, regulations, and Procedures.
  2. Knowledge of healthcare reimbursement methodologies and claims adjudication.
  3. Knowledge of general medical terminology, CPT, HCPCS, ICD coding concepts and of the terminology used in the process of referrals.
  4. Ability to prioritize and complete multiple work assignments in a timely manner.
  5. Knowledge of HIPPA, Privacy Act, and medical record confidentiality requirements.
  6. Knowledge of Medicare, Medicaid, and commercial insurance billing practices.
  7. Ability to analyze complex billing and reimbursement information.
  8. Knowledge of healthcare financial management principles.
  9. Ability to identify payment discrepancies and billing irregularities.
  10. Ability to interpret healthcare regulations, policies, and reimbursement guidelines.
  11. Strong analytical and problem-solving skills
  12. Advance data entry and computer proficiency.
  13. Ability to manage multiple priorities in a high-volume healthcare environment.
  14. Ability to communicate courteously and effectively with patients and their families, MCNDH Staff and the general public via orally and in writing.
  15. Ability to maintain a professional demeanor and maintain strict confidentiality.
JOB PURPOSE
The purpose of this position is responsible for review, adjudication and reimbursement of approved Purchased/Referred Care (PRC)/ Contract Health Services claims. This position serves as a critical financial and compliance role within the organization, ensuring responsible stewardship of tribal healthcare funds by verifying patient eligibility, coordinating benefits, exhausting alternate resources, validating medical claims, and processing payments in accordance with federal regulations, Indian Health Service guidelines, Muscogee Creek Nation polices, and healthcare reimbursement standards. The incumbent exercise independent judgement in reviewing complex healthcare claims, identifying billing discrepancies, coordinating with providers and insurance carries, maintaining regulatory compliance, and supporting reimbursement initiatives including Catastrophic Health Emergency Funds (CHEF) Recoveries. Incumbent is supervised by the Claims/Payment Manager. It also has responsibility in conjunction with the coordination of the staff within Muscogee (Creek) Nation Department of Health Clinic CHS Coordinators.
JOB DUTIES
  1. Review, analyze, and process medical claims for payment in accordance with approved referrals, authorizations, eligibility requirements, and established reimbursement guidelines.
  2. Verify accuracy of provider billing, coding, and supporting documentation prior to payment authorization.
  3. Issues payments and checks to providers that have seen our patients with approved referrals/call-ins.
  4. Receiving and processing incoming call regarding claim status or patient's bills
  5. Apply Medicare-Like-Rates (MLR), contractual pricing methodologies, and established payment policies.
  6. Identify billing discrepancies, duplicate claims, coding errors, and payment variances.
  7. Maintain compliance with HIPAA, Privacy Act requirements, IHS regulations, CMS guidelines, and departmental policies.
  8. Generate and process provider payments and reimbursement request in a timely manner.
  9. Scans and distributes refund checks to appropriate parties.
  10. Determine patient's eligibility utilizing internal eligibility systems and external verification resources.
  11. Verify and coordinate benefits through Medicare, Medicaid, private insurance, and other third-party resources.
  12. Review Explanation of Benefits (EOB) and insurance remittances to ensure alternate resources have been exhausted prior to expenditure of tribal healthcare funds/federal fund.
  13. Protect tribal healthcare resources through detailed claim review and adherence to payment guidelines.
  14. Generate reports, payments summaries, and supporting documentation as requested.
  15. Participate in audits and quality assurance activities related to claims processing and payment accuracy.
  16. Assist with identifying and documenting potential reimbursement to ensure alternate resources have been exhausted prior to expenditure of tribal healthcare funds.
  17. Maintains exemplary attendance.
  18. Generates and distributes claims inquiry letters and refund request letters.
  19. Maintain and update claims data within the EHR and WADE, SPARC, EPIC and other healthcare information systems.
  20. Ensure accurate documentation and record retention for all reimbursement activities.
  21. Perform technical review and validation of referrals, authorizations, and payment records.
  22. Serve as primary point of contact for providers inquiries regarding claim status, reimbursement, and payment resolutions.
  23. Communicate effectively with healthcare providers, patients, insurance companies, and internal stakeholders.
  24. Research and resolve claim-related issues while maintaining exceptional customer service standards.
  25. To perform any other duties as requested, or as become evident.
SKILLS/QUALIFICTIONS
Basic Accounting Principles, HIPPA Privacy Act Knowledge, Reporting Skills, Deadline-Oriented, Time Management, Attention to Detail, Confidentiality, PC Proficiency (MS Office Suite of Products), Productivity, Verbal Communication, General Math Skills, Customer Service, Team Player, Knowledge of Third-Party Administrator industry.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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