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Pay Per Chart Medical Coder Jobs in Iowa (NOW HIRING)

Medical Coder - Spencer Hospital

Spencer, IA ยท On-site

$18 - $24/hr

Assigns codes to diagnosis and procedures for inpatient and outpatient medical records using ICD-10 ... Schedule: * 80 hours per pay period * Mon-Fri; 8a-4:30p * The schedule may fluctuate based upon ...

New

Medical Coder - Des Moines, IA

Des Moines, IA ยท On-site

$18.25 - $24.50/hr

Medical Coder No of Positions/Candidates Required: 4 FTE (3.0 FTE Outpatient/Ancillary/Surgical + 1 ... Training 08:00-16:30 CST, Mon-Fri, Post Training between 06:00-17:00 Shifts Needed per Month: ~20 ...

Coder (Clinic - II)

Carroll, IA

$18 - $24/hr

Audits medical record documentation for completeness and accuracy. Educates and/or collaborates ... Remote coding position, yet preference for WI based applicants * 40 hrs/week * Flexible business ...

Coder (Clinic - III)

Carroll, IA

$18 - $24/hr

Audits medical record documentation and educates providers on documentation improvement ... SCHEDULE : * Full time, benefit eligible * 40 hrs/week * Business hours (i.e 8:00am-5:00pm)

CODER

Sioux City, IA ยท Remote

Review patient medical records to assign codes for diagnoses, treatments, surgical procedures, and ... Ensures services documented in patient's chart are coded with appropriate diagnoses and procedure ...

CODER

Sioux City, IA ยท Remote

Review patient medical records to assign codes for diagnoses, treatments, surgical procedures, and ... Ensures services documented in patient's chart are coded with appropriate diagnoses and procedure ...

CODER

Sioux City, IA ยท On-site

Review patient medical records to assign codes for diagnoses, treatments, surgical procedures, and ... Ensures services documented in patient's chart are coded with appropriate diagnoses and procedure ...

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Pay Per Chart Medical Coder information

What is a pay per chart medical coder?

A Pay Per Chart Medical Coder is a healthcare professional who reviews medical records and assigns standardized codes for diagnoses, procedures, and services. Instead of earning an hourly wage or salary, they are compensated based on the number of charts they code. This role requires strong attention to detail, knowledge of coding guidelines (such as ICD-10, CPT, and HCPCS), and often certification from organizations like AAPC or AHIMA. It can provide flexibility, as many positions are remote, but earnings depend on accuracy, speed, and chart volume.

What skills and qualifications are needed to thrive as a pay per chart medical coder?

To excel as a Pay Per Chart Medical Coder, you need a thorough understanding of medical terminology, anatomy, and coding guidelines, often supported by completion of a coding certification such as CPC, CCS, or equivalent. Expertise in using coding software, electronic health record (EHR) systems, and medical billing platforms is typically required. Precision, time management, and strong self-motivation are standout soft skills for those working in this productivity-based position. These competencies are crucial for accurately and efficiently converting clinical documentation into codes, ensuring proper reimbursement, and meeting productivity targets.

What are common challenges faced by pay per chart medical coders, and how can they be managed?

Pay Per Chart Medical Coders often face challenges such as managing variable workloads, maintaining accuracy with tight turnaround times, and adapting to evolving coding standards. Since compensation is tied directly to productivity, maintaining a high level of accuracy is essential to prevent denials and ensure reliable income. Staying organized, keeping current with industry updates, and utilizing productivity tools can help manage these challenges effectively. Many coders also find it helpful to participate in training sessions and collaborate with peers to share best practices. Ultimately, developing efficient workflows and prioritizing quality helps maintain both job satisfaction and professional growth in this dynamic field.

What are the most commonly searched types of Pay Per Chart Medical Coder jobs in Iowa?

The most popular types of Pay Per Chart Medical Coder jobs in Iowa are:

What are popular job titles related to Pay Per Chart Medical Coder jobs in Iowa?

For Pay Per Chart Medical Coder jobs in Iowa, the most frequently searched job titles are:

What cities in Iowa are hiring for Pay Per Chart Medical Coder jobs?

Cities in Iowa with the most Pay Per Chart Medical Coder job openings:

Infographic showing various Pay Per Chart Medical Coder job openings in Iowa as of August 2026, with employment types broken down into 1% As Needed, 66% Full Time, 26% Part Time, 6% Contract, and 1% Nights. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

Medical Coder - Spencer Hospital

Avera Health

Spencer, IA โ€ข On-site

$18 - $24/hr

Full-time

Retirement, PTO

Posted 2 days ago

New


Job description

Location:

Spencer, IA

Worker Type:

Regular

Work Shift:

Day Shift (United States of America)

Spencer Hospital is proud to employ highly skilled and caring staff members. We offer competitive salaries and benefits as well as a pleasant work environment.

Position Highlights

Spencer Hospital is a rural hospitallocated in northwest Iowa employing over 500+ employees. Positions at Spencer Hospital are not affiliated with Avera; however, we collaborate to provide services to the communities we serve. Employment offers, if accepted, are exclusively with Spencer Hospital.

Responsibilities:

  • Assigns codes to diagnosis and procedures for inpatient and outpatient medical records using ICD-10 and CPT 4 coding classification systems.
  • Coding assignments are made for the purposes of reimbursement, research, compliance with federal and state regulations/guidelines and for severity of illness.
  • Adheres to regulatory requirements, is ethical in assignment of codes and meets continuing education requirements.
  • Complete continuing educations requirements for maintenance of credential(s) and departmental Coding Compliance Plan.
  • Monitors the status of coding backlog and unbilled accounts receivable.
  • Flexible in moving to various assignments to maximize section efficiency and reduce A/R.
  • Interacts with Patient Accounts and Physician Office staff on billing related issues with particular attention to regulatory requirements and ethics.
  • Enter necessary charges.
  • Assigns E & M code assignments for Emergency, Hospitalist, Wound Care and Behavioral Health physician/provider for billing purposes.
  • Routes questionable E & M coding cases to physician representative for clarification.
  • Assigns codes for specialty areas such as clinics, oncology etc, which are accurate and meet special regulatory requirements.
  • Assigns codes for interim billing purposes (RCA).
  • Conduct quality review audits
  • Assigns appropriate status on surgical patients
  • Validates abstracted data against the medical record and enters additional data elements as appropriate.
  • Utilizes critical thinking while completing the abstract for recognition of data elements requiring follow-up.
  • Engages in caring and professional communication.

Requirements:

  • Associate degree in Health Information/Medical Record Technology (RHIT or eligible) or Bachelors degree in Health Information/Registered Health Information Administration (RHIA or eligible); and/or Certified Coding Specialist (CCS); and/or Associate degree of Applied Science in Medical Secretary Program preferred.
  • Hospital or clinic coding experience preferred.
  • Experience with EPIC preferred.
  • Position has the ability to be remote; must adhere to Spencer Hospital's Home Employment Policy.

Schedule:

  • 80 hours per pay period
  • Mon-Fri; 8a-4:30p
  • The schedule may fluctuate based upon needs of the department

Spencer Hospital offers competitive wages, affordable insurance, IPERS retirement, in-house education, paid time off, family gym membership and so much more!

Please contact Spencer Hospital Human Resources for any questions at 712.264.6205 or email hr@spencerhospital.org.

Learn more about Spencer Hospital: spencerhospital.org


    Avera Health logo

    About Avera Health

    Sourced by ZipRecruiter

    Avera Health, based in Sioux Falls, SD, US, is a significant player in the healthcare industry. This notable network of healthcare providers, hospitals, and health facilities serves over a million people across five Midwestern states. The health network was formed with the 1994 partnership of the Benedictine and Presentation Sisters, with its roots in compassionate service dating back to the late 1800s. Renowned for its commitment to providing excellent care and improving the health of individuals and communities, it has made significant strides in the medical field. Notable achievements include consistently high rankings in the top 15% of U.S. hospitals for clinical performance and patient outcomes.

    Industry

    Hospitals

    Company size

    10,000+ Employees

    Headquarters location

    Sioux Falls, SD, US