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Nurse Coding Jobs in Pennsylvania (NOW HIRING)

Must abide by all Standard Operating Procedures, rules and regulations, post orders and Code of ... Required Knowledge, Skills and Abilities When a nurse relieves the nurse on previous tour of duty ...

Must abide by all Standard Operating Procedures, rules and regulations, post orders and Code of ... Required Knowledge, Skills and Abilities When a nurse relieves the nurse on previous tour of duty ...

DRG Coding Auditor Principal

Indiana, PA · On-site

$122 - $183/hr

DRG Coding Auditor Principal Location: This role enables associates to work virtually full-time, ... * RN license strongly preferred. For candidates working in person or virtually in the below ...

Nurse

Wilkes Barre, PA · On-site

$63K/yr

Must abide by all Standard Operating Procedures, rules and regulations, post orders and Code of ... Required Knowledge, Skills and Abilities When a nurse relieves the nurse on previous tour of duty ...

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Nurse Coding information

See Pennsylvania salary details

$13

$33

$54

How much do nurse coding jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for nurse coding in Pennsylvania is $33.10, according to ZipRecruiter salary data. Most workers in this role earn between $25.05 and $40.00 per hour, depending on experience, location, and employer.

What is a nurse coding job?

Nurse coding jobs involve registered nurses who specialize in medical coding, which is the process of translating healthcare diagnoses, procedures, and services into standardized codes for billing and record-keeping purposes. These professionals use their clinical knowledge to ensure accurate coding of medical records, which helps healthcare organizations receive proper reimbursement and maintain compliance with regulations. Nurse coders often work in hospitals, clinics, insurance companies, or remotely. Their expertise improves the accuracy of coding, reduces billing errors, and supports quality healthcare documentation.

What skills and qualifications are needed to thrive as a nurse coder?

To thrive as a Nurse Coder, you need a solid background in nursing, a deep understanding of medical terminology, and expertise in coding systems like ICD-10, CPT, and HCPCS, often supported by certifications such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS). Proficiency with electronic health records (EHRs) and specialized coding software is required for accurate documentation and billing. Attention to detail, analytical thinking, and strong communication skills are crucial soft skills for ensuring accuracy and collaborating with clinical and administrative teams. These skills and qualifications are essential for maximizing reimbursement, minimizing errors, and maintaining compliance with healthcare regulations.

How does a nurse coding professional typically collaborate with clinical staff and physicians?

Nurse Coding professionals frequently interact with clinical staff and physicians to clarify patient documentation and ensure accurate coding of diagnoses and procedures. This collaboration often involves reviewing medical records, seeking additional details when documentation is incomplete, and educating healthcare providers about coding requirements. Building strong relationships and maintaining clear communication with clinical teams is essential, as it helps reduce errors and supports compliance with industry standards. This teamwork not only improves coding accuracy but also positively impacts the organization’s reimbursement and quality reporting.

What is the difference between Nurse Coding vs Medical Coding Specialist?

AspectNurse CodingMedical Coding Specialist
CredentialsRN license, coding certifications (e.g., CPC, CCS)Certified Professional Coder (CPC), CCS, or similar
Work EnvironmentHospitals, clinics, healthcare facilitiesHospitals, outpatient clinics, insurance companies
Industry UsageHealthcare providers, patient record managementMedical billing, insurance claims processing
Job FocusCoding with clinical knowledge, patient care contextMedical coding for billing and reimbursement

While both roles involve medical coding, Nurse Coding combines clinical nursing knowledge with coding skills, often working directly within healthcare settings. Medical Coding Specialists focus primarily on coding for billing and insurance purposes, with less clinical patient interaction. Understanding these differences helps in choosing the right career path or job search focus.

Are registered nurse coders in demand?

Registered nurse coders are in demand due to the increasing need for accurate medical coding and documentation in healthcare. Their skills in clinical knowledge and coding systems like ICD-10 and CPT are essential for revenue cycle management and compliance, leading to steady job opportunities across healthcare settings.

Can a nurse become a coder?

Yes, nurses can become medical coders by gaining knowledge of coding systems like ICD-10 and CPT, often through certification programs such as CPC. Their clinical experience can be an asset in understanding medical documentation and procedures, making the transition feasible with additional training. Many employers value healthcare experience combined with coding skills for medical billing and coding roles.

How much does a nurse coding make?

Nurse coders typically earn between $50,000 and $75,000 annually, depending on experience, certification, and location. They analyze medical records and assign appropriate codes for billing and documentation, often requiring knowledge of coding systems like ICD-10 and CPT.

What cities in Pennsylvania are hiring for Nurse Coding jobs?

Cities in Pennsylvania with the most Nurse Coding job openings:

Infographic showing various Nurse Coding job openings in Pennsylvania as of August 2026, with employment types broken down into 3% As Needed, 54% Full Time, 21% Part Time, and 22% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $68,848 per year, or $33.1 per hour.

Coding Appeals Specialist

Allentown, PA • Remote

Part-time

Posted 18 days ago


Job description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.The Coding Appeals Specialist analyzes patient medical records, claims data and coding on all diagnosis and procedure codes to assure properly assigned MS-DRG for the purposes of appealing proposed MS-DRG and coding changes by insurance providers or their auditors. Assures that the most accurate and descriptive codes from the AHA ICD-9-CM/ICD-10-CM/PCS diagnoses and/or procedures support the services/treatment rendered.

JOB DUTIES AND RESPONSIBILITIES:

  • Conduct retrospective medical record reviews for diagnosis and procedure code assignment and MS-DRG accuracy.
  • Identify and provide feedback, including identification of trends, to the Network Coding and CDMP Managers for education of the medical staff, clinical documentation professionals and the coding professionals on documentation issues that affect proper documentation and coding of documented medical care for appropriate reimbursement.
  • Work with the physician liaison in review of patient medical records identified by RAC/MIC/CGI/QIO and other outside auditors in retrospective reviews for DRG and coding-related issues.  May participate in review of other medical necessity issues as needed.
  • Develop and apply appeal arguments to defend the coding of and by the coding professionals and be able to refute the coding determination made by the outside payor including but not limited to CMS, Aetna, IBC, Omniclaim, QIP, Gateway Health, etc.
  • Draft appeal letters, including the coding argument, to support network coding.
  • Identify clinical documentation improvement issues and through excellent communication with physicians, nurses, coding and other members of the health care team and work independently to resolve such issues.
  • Participate as needed in Administrative Law Judge (ALJ) hearings.
  • Spends approximately 20% of their time weekly coding/abstracting patient medical records according to ICD-10-CM/PCS, UHDDS and CMS guidelines.  Utilizes the 3M Encoder to verify and assign ICD-10-CM/PCS diagnosis and procedure codes, and MS-DRG assignment.
  • Performs data entry of coded patient medical records into EPIC, maintaining a 95% coding accuracy rate as measured through quality reviews.
  • Queries physicians when code assignments are not clear and consistent, or when documentation in the record is inadequate, ambiguous, or unclear for coding assignment.

PHYSICAL/SENSORY DEMANDS:

Sitting, standing and light lifting.   Repetitive arm/finger use retrieving/viewing computerized patient medical record and abstracting of patient information. Corrected vision and hearing to within normal range.  Hearing as it relates to normal conversation. Works inside with adequate lighting, comfortable temperature and ventilation.

EDUCATION:

RHIA, RHIT and/or CCS with knowledge of ICD-9-CM and ICD-10-CM/PCS diagnosis/procedure coding and MS-DRG assignment.  Minimum of 5 years coding experience in an acute care, teaching hospital, inpatient setting required.

TRAINING, KNOWLEDGE AND EXPERIENCE:

Minimum 5 years demonstrated inpatient and/or outpatient coding experience in acute care, teaching setting.  Knowledge of anatomy and physiology, pathophysiology, and medical terminology required.  Working knowledge of ICD-10-CM/PCS and ability to understand complex disease processes strongly preferred.  Possesses extensive knowledge of reimbursement systems; extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding and, as needed, medical necessity.  Previous experience with electronic patient medical record/EPIC and 3M encoding system preferred.

Please complete your application using your full legal name andcurrent home address. Be sure toincludeemployment history forthe past seven (7) years, including your present employer. Additionally, you areencouraged to upload a current resume, including all work history, education, and/or certifications andlicenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer.