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Professional Medical Coder Jobs in Edison, NJ (NOW HIRING)

Highmark Health

Coder - Outpatient

New York, NY

$34.39/hr

This job performs thorough medical record review to abstract medical and demographic data ... Certified Professional Coder (CPC) * Certified Outpatient Coder (COC) * CPC-A Certified ...

St. Joseph's Health

Certified Coder

Paterson, NJ · On-site

$23.25 - $30.75/hr

The Certified Professional Coder (CPC) serves as liaison between the medical group and the external coding vendor. This role ensures consistent communication, accurate and compliant coding practices ...

St. Joseph's Health

Certified Coder

Paterson, NJ

$23.25 - $30.75/hr

The Certified Professional Coder (CPC) serves as liaison between the medical group and the external coding vendor. This role ensures consistent communication, accurate and compliant coding practices ...

The Bachrach Group

Be Seen First

Medical Coding Manager

Brooklyn, NY · On-site

$38 - $40/hr

Oversee the daily operations of the medical practice, ensuring an efficient, professional, and patient-focused environment. * Manage and supervise administrative, front-office, and coding staff.

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All JobsProfessional Medical Coder JobsProfessional Medical Coder Jobs in Edison, NJ

Professional Medical Coder information

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How much do professional medical coder jobs pay per hour?

As of Sep 2, 2026, the average hourly pay for professional medical coder in Edison, NJ is $23.21, according to ZipRecruiter salary data. Most workers in this role earn between $18.65 and $24.90 per hour, depending on experience, location, and employer.

What is a professional medical coder?

Professional medical coders are healthcare workers who review clinical documents and assign standardized codes to diagnoses, treatments, and medical procedures. These codes are used for billing insurance companies, maintaining patient records, and ensuring compliance with regulations. Medical coders play a critical role in the healthcare system by ensuring accurate and efficient processing of health information so providers are reimbursed properly. They often work in hospitals, clinics, physician offices, or remotely. Certification, attention to detail, and knowledge of medical terminology are important for this role.

What are the key skills and qualifications needed to thrive as a professional medical coder?

To thrive as a Professional Medical Coder, you need a solid understanding of medical terminology, anatomy, and coding systems such as ICD-10-CM, CPT, and HCPCS, usually supported by certification (e.g., CPC, CCS). Familiarity with coding software, electronic health records (EHRs), and billing systems is critical for accurate and efficient work. Attention to detail, analytical thinking, and effective communication with healthcare providers make a coder stand out. These skills ensure accurate coding, optimize reimbursements, and support compliance with healthcare regulations.

How do professional medical coders typically collaborate with healthcare providers to ensure accurate documentation?

Professional Medical Coders frequently work closely with physicians, nurses, and other healthcare providers to clarify clinical documentation and ensure accurate coding. This collaboration often involves reviewing patient records, querying providers for additional details, and providing feedback on documentation best practices. Effective communication is crucial, as coders bridge the gap between clinical care and administrative requirements, helping to prevent claim denials and supporting compliance with healthcare regulations. Many coding teams operate within larger billing or health information management departments, fostering ongoing collaboration and professional development.

What is the difference between Professional Medical Coder vs Medical Biller?

AspectProfessional Medical CoderMedical Biller
CertificationsCertified Professional Coder (CPC), CCSCertified Medical Reimbursement Specialist (CMRS), Certified Billing and Coding Specialist (CBCS)
Work EnvironmentHospitals, clinics, physician offices, outpatient facilitiesMedical offices, billing companies, insurance companies
Primary ResponsibilitiesAssigning codes to diagnoses and procedures for accurate billing and record-keepingSubmitting claims, following up on payments, managing billing processes

While both roles involve coding and billing processes, Professional Medical Coders focus on assigning accurate medical codes, whereas Medical Billers handle the billing and reimbursement process. These roles often work together but have distinct responsibilities within healthcare revenue cycle management.

Are professional medical coders being phased out?

Professional medical coders are not being phased out; demand remains steady due to the ongoing need for accurate medical billing and coding. Advances in technology, such as automation and AI, are supplementing but not replacing human coders, who are essential for complex coding, compliance, and audits. Certification and familiarity with coding systems like ICD-10 and CPT are important for job security in this field.

Are professional medical coders still in demand?

Professional medical coders are currently in demand due to ongoing healthcare industry needs for accurate billing and record-keeping. The role requires knowledge of medical terminology, coding systems like ICD-10 and CPT, and often certification, which helps ensure job stability in various healthcare settings.

What are the most commonly searched types of Medical Coder jobs in Edison, NJ?

The most popular types of Medical Coder jobs in Edison, NJ are:

What are popular job titles related to Professional Medical Coder jobs in Edison, NJ?

For Professional Medical Coder jobs in Edison, NJ, the most frequently searched job titles are:

What job categories do people searching Professional Medical Coder jobs in Edison, NJ look for?

The top searched job categories for Professional Medical Coder jobs in Edison, NJ are:

What cities near Edison, NJ are hiring for Professional Medical Coder jobs?

Cities near Edison, NJ with the most Professional Medical Coder job openings:

Professional Medical Coder jobs near you
Infographic showing various Professional Medical Coder job openings in Edison, NJ as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 20% Part Time, and 4% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $48,282 per year, or $23.2 per hour.

Special Investigations Unit Clinical Certified Coder

MetroPlusHealth

Manhattan, NY • Hybrid

$100K - $110K/yr

Full-time

Re-posted 6 days ago

MetroPlusHealth rating

6.7

Company rating: 6.7 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

275th of 315 rated insurance

Job description

Empower. Unite. Care.

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

About NYC Health + Hospitals

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers.

Position Overview

MetroPlusHealth is seeking a highly qualified candidate for a Clinical Coder role within our Special Investigations Unit. The Clinical Certified Coder will support the Plan in the detection, prevention and investigation of suspected fraud, waste, and abuse. The position reports to the Director of Special Investigations Unit.

Scope of Role & Responsibilities

  • Review medical records and healthcare claims to determine the accuracy and compliance of billed codes with appropriate regulations, standards, policies and procedures.
  • Conduct audits of high-risk claims and billing patterns to ensure adherence to healthcare regulation and
  • MetroPlusHealth policy and detect potential FWA.
  • Collaborate with other SIU team members to evaluate suspected cases of fraudulent activities, such as over-utilization of services, upcoding, and billing for non-medically necessary services.
  • Create detailed reports with medical review findings that include research, rationale, sources and corrective action recommendations to the SIU Department. The reports will also validate whether audited claims should be denied, recouped and if other mitigation strategies are required.
  • Participate as needed on provider calls to discuss findings and rationale of medical review.
  • Present findings to leadership and other stakeholders to facilitate all FWA proceedings.
  • Assist in preparing documentation for audits, recoupments, compliance/legal reviews and regulatory inquiries.
  • Maintain thorough documentation of investigations, including clinical findings, coding discrepancies and all communication with healthcare providers and investigators.
  • Stay updated to changes to coding guidelines, healthcare regulations, and fraud detection methods to ensure compliance and effective investigations.
  • Completes special projects and audits as required.

Required Education, Training & Professional Experience

  • 5 years of experience in healthcare fraud detection, investigation, or auditing
  • In depth experience and knowledge of coding regulations including ICD-10, CPT, HCPCS, AMA etc.
  • AAPC Coding certification - Certified Professional Coder (CPC), Certified Professional Medical
  • Auditor (CPMA) or Certified Coding Specialist (CCS)
  • Bachelor’s degree in Nursing, Medical Billing/Medical Coding, Healthcare or other related fields
  • Preferred candidate will have experience in Medicaid, Medicare, and Marketplace/Exchange

Licensure and/or Certification Required:

  • AAPC Coding certification - Certified Professional Coder (CPC), Certified Professional Medical
  • Auditor (CPMA) or Certified Coding Specialist (CCS) - Required
  • Valid New York State license and current registration to practice as a Registered Professional Nurse
  • (RN) issued by the New York State Education Department (NYSED).

Professional Competencies:

  • Integrity and Trust
  • Customer Focus
  • Excellent Microsoft Office Suite skills
  • Strong communication skills to interact with providers, medical management, legal teams, and
  • compliance departments.
  • Strong analytical, research and problem-solving aptitude with attention to detail and accuracy

#LI-Hybrid #MPH50

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