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Pharmacy Benefit Coder Jobs in Georgia (NOW HIRING)

Hospice Medical Coder

Rex, GA · On-site

$17.25 - $23.25/hr

Our services include comprehensive primary care, specialty services, and pharmacy support, tailored ... Here are some of the benefits that are available to our employees. * Competitive Compensation ...

Pharmacy Technician

Decatur, GA · On-site

$17 - $24.26/hr

Reviews and complies with the Pharmacy Technician Code of Conduct. * Helps healthcare providers and ... EMPLOYEE BENEFITS We're ChenMed and we're transforming healthcare for seniors and changing America ...

Pharmacy Technician

Decatur, GA · On-site

$17 - $24.26/hr

Reviews and complies with the Pharmacy Technician Code of Conduct. * Helps healthcare providers and ... EMPLOYEE BENEFITS We're ChenMed and we're transforming healthcare for seniors and changing America ...

Pharmacy Technician

Decatur, GA · On-site

$17 - $24.26/hr

Reviews and complies with the Pharmacy Technician Code of Conduct. * Helps healthcare providers and ... EMPLOYEE BENEFITS We're ChenMed and we're transforming healthcare for seniors and changing America ...

Pharmacy Technician

Tifton, GA · On-site

$14.50 - $17.50/hr

Tift Regional Medical Center WORK TYPE: Part Time With Benefits SHIFT: Varied SUMMARY: The Pharmacy ... TRHS' compliance standards as they appear in TRHS's Corporate Compliance Policy, Code of Conduct ...

Pharmacy Technician

Tifton, GA · On-site

$14.50 - $17.50/hr

Tift Regional Medical Center WORK TYPE: Part Time With Benefits SHIFT: Varied SUMMARY: The Pharmacy ... TRHS' compliance standards as they appear in TRHS's Corporate Compliance Policy, Code of Conduct ...

Pharmacy Technician

Tifton, GA · On-site

$13 - $15.75/hr

Tift Regional Medical Center WORK TYPE: Part Time With Benefits SHIFT: Varied SUMMARY: The Pharmacy ... TRHS' compliance standards as they appear in TRHS's Corporate Compliance Policy, Code of Conduct ...

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Pharmacy Benefit Coder information

See Georgia salary details

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$16

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How much do pharmacy benefit coder jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for pharmacy benefit coder in Georgia is $16.27, according to ZipRecruiter salary data. Most workers in this role earn between $14.23 and $17.26 per hour, depending on experience, location, and employer.

What is a pharmacy benefit coder?

Pharmacy Benefit Coders are professionals responsible for translating prescription drug information into standardized codes used for processing pharmacy claims and ensuring proper medication coverage under health insurance plans. They work closely with pharmacists, insurance companies, and healthcare providers to ensure accurate reimbursement and compliance with regulatory guidelines. Their role is crucial in managing formularies, resolving claim issues, and optimizing the efficiency of pharmacy benefit management.

What are the key skills and qualifications needed to thrive as a pharmacy benefit coder?

To thrive as a Pharmacy Benefit Coder, you need a strong understanding of pharmacy benefit management, medical coding, and insurance processes, often supported by certification such as CPC or CPhT. Familiarity with pharmacy billing software, coding systems like ICD-10 and CPT, and claims processing tools is typically required. Strong attention to detail, analytical thinking, and effective communication skills help ensure accuracy and collaboration with healthcare teams. These skills are crucial for minimizing claim errors, ensuring regulatory compliance, and optimizing reimbursement for pharmacy services.

What are some common challenges pharmacy benefit coders face when interpreting complex insurance policies?

Pharmacy Benefit Coders often encounter challenges when interpreting the nuances of various insurance policies, particularly as formularies, coverage tiers, and reimbursement rules can frequently change. Keeping up-to-date with these policy updates and accurately translating them into coding systems requires attention to detail and strong analytical skills. Additionally, coders must collaborate closely with pharmacists and insurance specialists to clarify ambiguities and ensure accurate claims processing, which can be demanding in a fast-paced environment.

What is the difference between Pharmacy Benefit Coder vs Pharmacy Technician?

AspectPharmacy Benefit CoderPharmacy Technician
CredentialsCertification in coding or pharmacy benefit managementCertification or registration with pharmacy boards often required
Work EnvironmentInsurance companies, pharmacy benefit management firmsRetail pharmacies, hospitals, clinics
Job FocusAnalyzing and coding pharmacy benefit claims, ensuring proper reimbursementDispensing medications, assisting pharmacists, managing prescriptions

The main difference is that Pharmacy Benefit Coders focus on analyzing and coding pharmacy benefit claims for insurance reimbursement, while Pharmacy Technicians assist pharmacists with dispensing medications and managing prescriptions. Both roles require relevant certifications and are integral to pharmacy operations, but they serve distinct functions within the healthcare and pharmacy industry.

What job categories do people searching Pharmacy Benefit Coder jobs in Georgia look for?

The top searched job categories for Pharmacy Benefit Coder jobs in Georgia are:

Medical Coder - Orthopedics and Podiatry Services

UnitedHealth Group

Albany, GA • Remote

$20 - $36/hr

Full-time

Retirement

Re-posted 15 days ago


UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

192nd of 898 rated healthcare providers


Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

  • Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts
  • Assigns CPT and ICD-10 codes
  • Monitors assigned work queues to ensure all records are charged/coded in a timely matter
  • Generates coding queries for clarification regarding physician documentation as needed
  • Stays abreast of all changes in coding conventions and coding updates
  • Ability to manage significant workload, and to work efficiently under pressure meeting established deadlines with minimal supervision
  • Moderate work experience within own function
  • Some work is completed without established procedures
  • Basic tasks are completed without review by others
  • Supervision/guidance is required for higher level tasks

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

  • High School Diploma/GED
  • Professional CPC coder certification with credentialing from AHIMA and/or AAPC to be maintained annually
  • 5 years pro-fee coding experience in Orthopedics and podiatry services
  • Intermediate knowledge of Medicare guidelines and modifier application
  • Intermediate level of experience in Epic and working with denials

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20 to $36 per hour based on full-time employment. We comply with all minimum wage laws as applicable. 

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.    

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. 

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

     

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #GREEN


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