Responsibilities include conducting billing and coding audits, and communicating results and ... Support compliance policies with government (Medicare & Medicaid) and private payer regulations.
Responsibilities include conducting billing and coding audits, and communicating results and ... Support compliance policies with government (Medicare & Medicaid) and private payer regulations.
Certified Coding Specialist - Z TEMP
Orange, CA · On-site
$27.98 - $43.37/hr
HCPCS * Ensure compliance with Medicare and Medi-Cal protocols. * Identify questionable billing practices and coding discrepancies. * Respond to inquiries regarding coding appropriateness and ...
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Certified Coding Specialist - Z TEMP
Orange, CA · On-site
$27.98 - $43.37/hr
HCPCS * Ensure compliance with Medicare and Medi-Cal protocols. * Identify questionable billing practices and coding discrepancies. * Respond to inquiries regarding coding appropriateness and ...
Coding Lead
Reno, NV · Remote
Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines. • Corrects claim edit errors in the work queues, assures charges ...
Coding Lead
Reno, NV · Remote
Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines. • Corrects claim edit errors in the work queues, assures charges ...
Coding Lead
Reno, NV · Remote
Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines. • Corrects claim edit errors in the work queues, assures charges ...
Coding Lead
Reno, NV · Remote
Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines. • Corrects claim edit errors in the work queues, assures charges ...
Coding Lead
Reno, NV · On-site
$32.76 - $45.87/hr
Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines. • Corrects claim edit errors in the work queues, assures charges ...
Coding Lead
Reno, NV · On-site
$32.76 - $45.87/hr
Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines. • Corrects claim edit errors in the work queues, assures charges ...
Coding Lead
Reno, NV · On-site
$32.76 - $45.87/hr
Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines. • Corrects claim edit errors in the work queues, assures charges ...
Coding Lead
Reno, NV · On-site
$32.76 - $45.87/hr
Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines. • Corrects claim edit errors in the work queues, assures charges ...
Coding Lead
Reno, NV · Remote
Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines. • Corrects claim edit errors in the work queues, assures charges ...
Coding Lead
Reno, NV · Remote
Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines. • Corrects claim edit errors in the work queues, assures charges ...
Coding Lead
Reno, NV · Remote
Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines. • Corrects claim edit errors in the work queues, assures charges ...
Coding Lead
Reno, NV · Remote
Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines. • Corrects claim edit errors in the work queues, assures charges ...
Coding Consultant
Brentwood, TN · On-site +1
... for Medicare and Medicaid (CMS). * Maintains up-to-date knowledge of all coding guidelines and regulations, to include, but not be-limited-to, the American Medical Association (AMA) and CMS ...
Coding Consultant
Brentwood, TN · On-site +1
... for Medicare and Medicaid (CMS). * Maintains up-to-date knowledge of all coding guidelines and regulations, to include, but not be-limited-to, the American Medical Association (AMA) and CMS ...
Coding Coordinator
Spartanburg, SC · On-site +1
$21 - $26.75/hr
Compliance & Regulatory Knowledge • CMS guidelines and compliance standards • Medicaid and Medicare billing regulations • FQHC/RHC billing requirements • ICD-10-CM, CPT, and HCPCS coding ...
Coding Coordinator
Spartanburg, SC · On-site +1
$21 - $26.75/hr
Compliance & Regulatory Knowledge • CMS guidelines and compliance standards • Medicaid and Medicare billing regulations • FQHC/RHC billing requirements • ICD-10-CM, CPT, and HCPCS coding ...
Billing & Coding Specialist
Martinsville, VA · On-site
$17.75 - $22.50/hr
Billing & Coding Specialist Connect Health + Wellness is seeking candidates for a full-time Billing ... The position also ensures alignment with HRSA, Medicare, Medicaid, and commercial payer ...
Billing & Coding Specialist
Martinsville, VA · On-site
$17.75 - $22.50/hr
Billing & Coding Specialist Connect Health + Wellness is seeking candidates for a full-time Billing ... The position also ensures alignment with HRSA, Medicare, Medicaid, and commercial payer ...
Medical Billing & Coding Specialist
Henderson, NV · On-site
$18.50 - $23.50/hr
Ensure compliance with Medicare, Medicaid, and commercial payer guidelines Qualifications * 3+ years of medical billing and coding experience * Experience with Medicare and commercial insurance ...
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Medical Billing & Coding Specialist
Henderson, NV · On-site
$18.50 - $23.50/hr
Ensure compliance with Medicare, Medicaid, and commercial payer guidelines Qualifications * 3+ years of medical billing and coding experience * Experience with Medicare and commercial insurance ...
New
Medical Billing & Coding Specialist
Cabot, AR · Remote
$19.25 - $24.50/hr
Ensure compliance with Medicare, Medicaid, and commercial payer guidelines Qualifications * 3+ years of medical billing and coding experience * Experience with Medicare and commercial insurance ...
New
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Medical Billing & Coding Specialist
Cabot, AR · Remote
$19.25 - $24.50/hr
Ensure compliance with Medicare, Medicaid, and commercial payer guidelines Qualifications * 3+ years of medical billing and coding experience * Experience with Medicare and commercial insurance ...
New
Medical Billing & Coding Specialist
Pasadena, CA · On-site
$20.50 - $26.50/hr
Ensure compliance with Medicare, Medicaid, and commercial payer guidelines Qualifications * 3+ years of medical billing and coding experience * Experience with Medicare and commercial insurance ...
New
Quick apply
Medical Billing & Coding Specialist
Pasadena, CA · On-site
$20.50 - $26.50/hr
Ensure compliance with Medicare, Medicaid, and commercial payer guidelines Qualifications * 3+ years of medical billing and coding experience * Experience with Medicare and commercial insurance ...
New
Outpatient Coding Auditor
Danbury, CT · On-site
$26.48 - $50.49/hr
Monitor listservs such as CMS, Medicare, NGS, AAPC etc. and third-party payers for coding and ... billing guidelines and regulations, professional peer organizations' practices/policies/guidelines ...
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Outpatient Coding Auditor
Danbury, CT · On-site
$26.48 - $50.49/hr
Monitor listservs such as CMS, Medicare, NGS, AAPC etc. and third-party payers for coding and ... billing guidelines and regulations, professional peer organizations' practices/policies/guidelines ...
Coding Quality Auditor
Neptune, NJ · On-site
$97K/yr
The Coding Quality Auditor is responsible for monitoring compliance with applicable clinical ... Reviews Diagnosis Related Group (DRG) assignment for selected Medicare/Medicaid inpatients ...
Coding Quality Auditor
Neptune, NJ · On-site
$97K/yr
The Coding Quality Auditor is responsible for monitoring compliance with applicable clinical ... Reviews Diagnosis Related Group (DRG) assignment for selected Medicare/Medicaid inpatients ...
Senior Coding Educator
Skokie, IL · On-site
$32.60 - $48.90/hr
Assigns appropriate ICD-10, CPT, and HCPCS codes to medical record documentation under review by applying physician specialty coding rules, third party payor guidelines, and Medicare Local Medical ...
Senior Coding Educator
Skokie, IL · On-site
$32.60 - $48.90/hr
Assigns appropriate ICD-10, CPT, and HCPCS codes to medical record documentation under review by applying physician specialty coding rules, third party payor guidelines, and Medicare Local Medical ...
Coding Specialist II
Fort Myers, FL · On-site
Associate's degree or equivalent. * 1+ year clinical and/or Medicare Risk Adjustment experience; quality improvement experience preferred. * Healthcare and insurance industry experience. * Knowledge ...
Coding Specialist II
Fort Myers, FL · On-site
Associate's degree or equivalent. * 1+ year clinical and/or Medicare Risk Adjustment experience; quality improvement experience preferred. * Healthcare and insurance industry experience. * Knowledge ...
Senior Coding Educator
$32.60 - $48.90/hr
Assigns appropriate ICD-10, CPT, and HCPCS codes to medical record documentation under review by applying physician specialty coding rules, third party payor guidelines, and Medicare Local Medical ...
Senior Coding Educator
$32.60 - $48.90/hr
Assigns appropriate ICD-10, CPT, and HCPCS codes to medical record documentation under review by applying physician specialty coding rules, third party payor guidelines, and Medicare Local Medical ...
Coding Quality Auditor
Neptune, NJ · On-site
$97K/yr
The Coding Quality Auditor is responsible for monitoring compliance with applicable clinical ... Reviews Diagnosis Related Group (DRG) assignment for selected Medicare/Medicaid inpatients ...
Coding Quality Auditor
Neptune, NJ · On-site
$97K/yr
The Coding Quality Auditor is responsible for monitoring compliance with applicable clinical ... Reviews Diagnosis Related Group (DRG) assignment for selected Medicare/Medicaid inpatients ...
Medicare Coding information
See salary details
$15.87 - $17.55
6% of jobs
$18.74 is the 25th percentile. Wages below this are outliers.
$17.55 - $19.23
26% of jobs
The median wage is $20.19 / hr.
$19.23 - $20.91
31% of jobs
$20.91 - $22.60
7% of jobs
$23.31 is the 75th percentile. Wages above this are outliers.
$22.60 - $24.28
11% of jobs
$24.28 - $25.96
6% of jobs
$25.96 - $27.64
5% of jobs
$27.64 - $29.33
3% of jobs
$29.33 - $31.01
2% of jobs
$31.01 - $32.69
1% of jobs
$32.69 - $34.38
1% of jobs
$15
$22
$34
How much do medicare coding jobs pay per hour?
Will a medical coder be replaced by AI?
What jobs pay $10,000 a month without a degree?
What is the difference between Medicare Coding vs Medical Billing?
| Aspect | Medicare Coding | Medical Billing |
|---|---|---|
| Primary Focus | Assigning medical codes for Medicare claims | Processing and submitting insurance claims |
| Certifications | Medical Coding Certification (e.g., CPC) | Billing and coding certifications often preferred |
| Work Environment | Hospitals, clinics, insurance companies | Medical offices, billing companies, hospitals |
| Industry Usage | Used mainly in Medicare and insurance claims | Used across various insurance providers |
Medicare Coding involves assigning specific codes to medical procedures and diagnoses for Medicare claims, focusing on accurate coding for reimbursement. Medical Billing encompasses the broader process of submitting claims, following up on payments, and managing patient billing. While they overlap, Medicare Coding is more specialized in coding accuracy for Medicare, whereas Medical Billing covers the entire billing cycle across multiple insurers.
What are the key skills and qualifications needed to thrive as a Medicare Coder, and why are they important?
What is Medicare coding?
What are some common challenges faced by professionals in Medicare coding, and how can these be managed effectively?
What is the highest paid medical coder?
How to become a Medicare reviewer?

Job description
This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis.
Essential Functions:
- Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements.
- Identify coding discrepancies and formulate suggestions for improvement.
- Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas.
- Work with medical staff department to identify and assist providers with coding.
- Report findings and recommendations to compliance and executive leadership.
- Provide continuing education to providers and ancillary staff on CPT/HCPCS and ICD-9/10 coding.
- Support compliance policies with government (Medicare & Medicaid) and private payer regulations.
- Work closely with all departments, including but not limited to, Clinical Services, Nursing, Practice Leadership, Finance, IT, Training, Rev Cycle, and Billing to assist in accuracy of reported services and with chart reviews, as requested.
- Work with the purchasing department to order and distribute annual coding materials for all clinical sites and departments.
- Advise Compliance Officer of government coding and billing guidelines and regulatory updates and work closely with department personnel to provide coding/compliance support.
- Participate in the development and enhancement of EHR templates and programming and advise on coding compliance with payor guidelines.
- Perform other duties as assigned.
Knowledge, Skills and Abilities:
- Proficiency in correct application of CPT, HCPCS procedure and ICD-10-CM diagnosis codes used for coding and billing for medical claims. High
- Knowledge of medical terminology, disease processes and pharmacology.
- Strong attention to detail and accuracy.
- Excellent verbal, written and communication skills.
- Ability to multi-task.
- Excellent organizational skills.
- Proficient in Microsoft Office Suite.
- Critical thinking/problem solving.
- Ability to provide data and recommend process improvement practices.
Education:
- High School Diploma or equivalent (higher degree accepted) with 5 years of experience
- Associates Degree (higher degree accepted)
Licenses/Certifications:
- Certified Professional Coder (CPC®) through AAPC OR Certified Coding Specialist (CCS®) through American Health Information Management Association (AHIMA) required.
Required Work Experience:
- 5 years Experience in a medical office or medical environment.
- 5 years Experience in procedural and diagnostic coding.
- 5 years Extensive knowledge of current trends in the industry based on Medicare and Texas Medicaid as well as national coding updates, such as AMA correct coding, nationally recognized coding references and/or appropriate list serves.
- 5 years Extensive knowledge of Centers for Medicare & Medicaid (CMS) regulations.
About Central Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Austin, TX, US
Year founded
2004