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Medical Record Coding Jobs in Texas (NOW HIRING)

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Reviews and interprets patient medical record documentation to identify pertinent diagnoses and ... Assists with coding outpatient ancillary clinic, specialty clinic and emergency room record coding ...

Medical Records Coder-Int

San Antonio, TX · On-site

$17 - $22.50/hr

... record documentation according to correct coding principles. * Provides technical work in documentation and coding for medical billing, abstracts patient-related data from medical records and coding ...

Medical Coder

Dallas, TX · Remote

$25 - $28/hr

Description Coding surgeries directly use PMD Pull up auto note and fill out work 13-15 cases an hour The Coding Specialist performs all medical record coding activities. Assigns appropriate ...

MEDICAL RECORDS CODER 2

Dallas, TX

$18.50 - $24.75/hr

High schoolgraduate or its equivalent Minimum of 2 years of DRG based coding experience in an acute ... Medical Center is one of North Texas' best places to work. And it keeps getting better. The ...

MEDICAL RECORDS CODER 2

Dallas, TX · On-site

$18.50 - $24.75/hr

... coding DRG based records as well as all other payers. Your Job Requirements: • High school ... Medical Center is one of North Texas' best places to work. And it keeps getting better. The ...

Medical Records Coder-Int

San Antonio, TX · On-site +1

$17 - $22.50/hr

... record documentation according to correct coding principles. * Provides technical work in documentation and coding for medical billing, abstracts patient-related data from medical records and coding ...

MEDICAL RECORDS CODER 2

Dallas, TX · On-site

$18.75 - $24.75/hr

... proficient in coding DRG based records as well as all other payers. Job Requirements: • High ... Medical Center is one of North Texas' best places to work. And it keeps getting better. The ...

$24 - $27.25/hr

Summary The MID REVENUE CYCLE CODING EDUCATOR SR, serves as the subject matter expert and educational resource for any medical record coding and patient charge related issues. This position provides ...

$24 - $27.25/hr

Summary The MID REVENUE CYCLE CODING EDUCATOR SR, serves as the subject matter expert and educational resource for any medical record coding and patient charge related issues. This position provides ...

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Medical Record Coding information

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$4

$27

$43

How much do medical record coding jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for medical record coding in Texas is $27.94, according to ZipRecruiter salary data. Most workers in this role earn between $23.08 and $32.02 per hour, depending on experience, location, and employer.

What is medical record coding?

Medical record coding is the process of converting healthcare diagnoses, procedures, medical services, and equipment into universal alphanumeric codes. These codes are taken from medical record documentation, such as physician's notes, lab results, and radiologic findings. The coding process is essential for billing, insurance claims, and maintaining accurate patient records. Professionals who perform this work are known as medical coders, and they play a critical role in the healthcare revenue cycle and compliance.

What are the key skills and qualifications needed to thrive as a medical record coder, and why are they important?

To thrive as a Medical Record Coder, you need a strong understanding of medical terminology, anatomy, and coding systems such as ICD-10-CM and CPT, typically supported by certification like CPC or CCS. Familiarity with electronic health record (EHR) systems and coding software is essential for accurate data entry and retrieval. Attention to detail, analytical thinking, and strong organizational skills are valuable soft skills in this role. These skills ensure accurate documentation, compliance, and optimal reimbursement for healthcare providers.

What are some common challenges faced by professionals in medical record coding, and how can they be addressed?

Medical Record Coding professionals often encounter challenges such as keeping up with frequent changes in coding standards (like ICD-10 and CPT updates), ensuring accuracy under time constraints, and interpreting complex medical documentation. These challenges can be addressed by participating in ongoing training, utilizing coding resources and guidelines, and collaborating closely with healthcare providers for clarification. Many organizations also support coders with software tools and regular team meetings to discuss difficult cases and share best practices.

What is the difference between Medical Record Coding vs Medical Billing?

AspectMedical Record CodingMedical Billing
Primary FocusAssigning codes to diagnoses and proceduresSubmitting claims and managing payments
CredentialsCertified Professional Coder (CPC), CCSCertified Professional Biller (CPB), CPC
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies, hospitals
Industry UsageHealthcare providers, insurance

Medical Record Coding involves translating patient diagnoses and procedures into standardized codes, primarily for documentation and billing purposes. Medical Billing focuses on submitting claims to insurance companies and ensuring payment collection. While both roles require similar certifications and often work in healthcare settings, coding emphasizes accurate documentation, whereas billing centers on financial transactions.

Infographic showing various Medical Record Coding job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 13% Part Time, and 5% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $58,114 per year, or $27.9 per hour.

Certified Medical Coder

AA2IT

Fort Worth, TX • On-site

$35 - $39/hr

Contractor

Medical, Dental, Vision

This job post has expired today. Applications are no longer accepted.


Job description

37492142
Title: HIM CODER ANALYST II
Location: For tWorth TX
Pay Rate: $35-40/HR on W2 

26- Week Contract Local Candidates only (Remote) This is a day shift position with a start time no earlier than 6:00 AM CST.
Required Qualifications: Minimum of two (2) years of current, full-time coding experience. Required certification: RHIA, RHIT, CCS, or CPC. Must provide current AHIMA continuing education certification records.
Preferred Qualifications: Pediatric coding experience highly preferred. Previous hospital children’s coding experience highly preferred. Epic experience highly preferred.
Equipment Requirements: Contractor will be responsible for providing their own equipment. Two monitors are recommended to support daily job functions. Candidates must successfully complete an assessment before being considered for an interview. The hiring manager will identify candidates selected to move forward with the assessment and will provide the assessment link directly to the candidate.
Job Summary:
Requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records.  Primarily codes complex ambulatory surgery and observation visit medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all types of CCHCS reporting.  Assists with coding outpatient ancillary clinic, specialty clinic and emergency room record coding as necessary.  Minimum expected accuracy rate for all coding assignments is 95%. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists on patient cases regarding documentation needs and requirements, and coding assignment accuracy. Maintains current knowledge of coding and documentation changes, rules and guidelines.
Job Responsibilities:
-Coding: Reviews and interprets health record documentation to identify pertinent diagnoses and procedures, assign ICD-10-CM and CPT 4 codes to the highest level of specificity.  Apply coding rules and policy guidelines primarily for ambulatory surgery, special procedure and observation cases, and also, when required, may assist with coding of emergency department, outpatient ancillary/clinics visit records.
-Abstracting: Accurately identifies and abstracts required medical record documentation data and enters into the electronic health record system.
-Physician Communication:   Submits physician query post discharge to request clarification and/or additional documentation to ensure appropriate documentation for accurate coding.
-Appropriately identifies and reports documentation and risk management issues

Required Skills & Experience:
-RHIA, RHIT, CCS or CPC with two (2) year minimum current full-time ICD-10-CM & CPT-4 hospital outpatient ambulatory surgery and observation cases and abstracting experience required.
-Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for job role required.
-Ability to work well independently and productively with minimal guidance and without direct supervision.
-Must be highly detail oriented, have the ability to remain focused with good organization, interpersonal and communication skills.
-Ability to maintain confidentiality.
-Goal oriented, flexible and energetic.
-Demonstrates coding skills, and critical thinking skills.
-Ability to solve problems appropriately using job knowledge and current policies and procedures.
-Demonstrated coding knowledge and proficiency is required through on-site skills assessment with a passing score of 90% prior to hire.

Preferred Skills & Experience:
-Pediatric coding experience highly desired.
-Experience using Microsoft Office Excel and Word highly desired.


Company Description

At AA2IT, we deliver solutions that align with your business goals, built on innovation, backed by a team of experts, and guided by measurable outcomes.