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Senior Medical Coder Jobs in Texas (NOW HIRING)

Remote Certified Coder

Dallas, TX · Remote

$22.25 - $30.50/hr

Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and ... Report work-related concerns to assigned Coder Advocate and if not adequately addressed to Sr. ...

Remote Certified Coder

Dallas, TX · On-site +1

$22.25 - $30.50/hr

Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and ... adequately addressed to Sr. Manager of Clinical Operations. • Comply with the Standards of ...

ED Senior Coder

Houston, TX · Remote

$32 - $35/hr

Work cooperatively with the medical staff and other health care professionals in obtaining documentation to complete medical records and ensure quality coding. Select the DRG for each inpatient ...

Certified Coder I

Houston, TX · On-site

$21.50 - $29.25/hr

Senior Psych Care provides fully integrative behavioral health services to the long-term care ... Comprehensive benefits packages including Medical, Dental, Vision, 401k, Long Term and Short-Term ...

Specialty Coder Senior

Tyler, TX · On-site

$34 - $39/hr

Specialty Coder Sr- Remote- Urology/Nephrology- preferred specialty certification in Urology ... electronic medical record systems, verifying accurate patient dispositions and physician data ...

Knowledge of medical terminology and anatomy and physiology is preferred. Knowledge of ... Thomas Frist, Sr. HCA Healthcare Co-Founder If you find this opportunity compelling, we encourage ...

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Showing results 1-20

Senior Medical Coder information

See Texas salary details

$14

$24

$35

How much do senior medical coder jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for senior medical coder in Texas is $24.55, according to ZipRecruiter salary data. Most workers in this role earn between $20.14 and $27.55 per hour, depending on experience, location, and employer.

What is a senior medical coder?

Senior Medical Coders are experienced professionals who review clinical documents and assign standardized codes for diagnoses, procedures, and medical services. They ensure that coding is accurate and compliant with healthcare regulations, which is essential for proper billing and reimbursement. Senior Medical Coders often mentor junior staff, audit coding work, and stay updated on changes in coding guidelines and healthcare laws. Their expertise helps healthcare providers maintain accurate records and avoid billing errors.

How does a senior medical coder typically collaborate with clinical staff and billing teams?

Senior Medical Coders frequently work alongside physicians, nurses, and billing specialists to ensure accurate and compliant coding of medical records. They may clarify documentation with clinical staff, resolve coding discrepancies, and provide guidance on complex coding scenarios. Collaboration ensures that claims are processed efficiently and that the organization remains compliant with regulations. Strong communication skills and attention to detail are essential for navigating these interactions and supporting both clinical and administrative teams.

What are the key skills and qualifications needed to thrive as a senior medical coder, and why are they important?

To thrive as a Senior Medical Coder, you need in-depth knowledge of medical terminology, anatomy, coding systems (ICD-10-CM, CPT, HCPCS), and compliance regulations, often supported by certification such as CPC or CCS. Expertise in coding software, electronic health record (EHR) systems, and auditing tools is typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for accuracy and collaboration with healthcare teams. These skills ensure precise coding, minimize errors, and support healthcare organizations in maintaining compliance and optimizing reimbursement.

What is the difference between Senior Medical Coder vs Medical Coder?

AspectSenior Medical CoderMedical Coder
CertificationsAHIMA or AAPC credentials, experience in codingEntry-level certifications, such as CPC or CCS
Work EnvironmentHospitals, clinics, insurance companies, often with complex casesSimilar settings but with less complex coding tasks
ResponsibilitiesReviewing complex medical records, mentoring, quality assuranceAssigning codes based on medical documentation

The main difference between a Senior Medical Coder and a Medical Coder lies in experience, responsibilities, and complexity of cases handled. Senior Medical Coders typically have more experience, advanced certifications, and handle complex coding tasks, often mentoring junior staff. Medical Coders are usually entry-level or less experienced, focusing on standard coding duties. Both roles are essential in healthcare billing and coding, but the senior position involves greater expertise and oversight.

What are the most commonly searched types of Medical Coder jobs in Texas?

The most popular types of Medical Coder jobs in Texas are:

What cities in Texas are hiring for Senior Medical Coder jobs?

Cities in Texas with the most Senior Medical Coder job openings:

Infographic showing various Senior Medical Coder job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 14% Part Time, 6% Contract, and 1% Nights. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $51,072 per year, or $24.6 per hour.

Medical Records Coder-Senior

San Antonio, TX • On-site


UT Health San Antonio
Colleges, Universities, and Professional Schools • 5 - 10K employees

7.2

Company rating: 7.2 out of 10

Based on 44 frontline employees who took The Breakroom Quiz

386th of 622 rated colleges and universities

People enjoy working here

Good employer

Recommended by parents


$17 - $22.75/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago


Job description

Job Title

Medical Coding Specialist

Job Description

Under direct supervision, responsible for conducting review of inpatient and outpatient coding, assuring coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes. Performs all tasks required to facilitate medical billing to include abstracting complex patient related data from medical records and coding of diagnoses and procedures using the ICD-10 and CPT classification systems.

This position will be a hybrid position working remote and/or on campus. Candidate being considered would need to live within commuting distance of UT Health San Antonio. Upon hire candidate will be required to be onsite for orientation and training. Transition to remote work is contingent on meeting productivity and quality standards as determined by supervisor. Remote Coders may be required to occasionally attend on campus training and meetings.

Responsibilities
  • Reviews, interprets, and assigns diagnostic and procedural codes based upon medical record documentation according to correct coding principles.
  • Provides technical work in documentation and coding for medical billing, abstracts patient-related data from medical records and coding of diagnoses and procedures using ICD-10 and CPT codes.
  • Works coding related charge review and claim edits daily to ensure timely and accurate billing.
  • Obtains medical records and charge fee information from patient care area.
  • Contacts other facilities to obtain medical records and information needed to bill for services rendered.
  • Verifies charge capture and physician notes for completeness to include abstracting and entering relevant medical information from the medical records; checks for required signatures; ensures proper documentation guidelines are followed.
  • Codes diagnosis and procedures using classification coding systems.
  • Reviews charge documents for completeness.
  • Performs all other duties as assigned.
Qualifications
  • Proficiency in ICD-10 and CPT coding.
  • In-depth understanding of medical terminology, anatomy and physiology.
  • Meticulous attention to detail and accuracy.
  • A solid customer service acumen and interpersonal skills to effectively work with both internal and external customers and responds to requests in a timely and respectful manner.
  • Strong verbal, written and interpersonal communication skills.
  • Accreditation from a professional coding organization, such as American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) certification is required.

Education:

  • High school diploma or GED is required.
Required Skills
  • Five (5) years experience in medical record abstraction and coding is required.
About Us

The University of Texas at San Antonio (UT San Antonio) is a nationally recognized, top-tier public research university that unites the power of higher education, biomedical discovery and healthcare within one visionary institution. As the third-largest research university in Texas and a Carnegie R1-designated institution, UT San Antonio is a model of access and excellence — advancing knowledge, social mobility and public health across South Texas and beyond. UT San Antonio serves approximately 42,000 students in 320 academic programs spanning science, engineering, medicine, health, liberal arts, AI, cybersecurity, business, education and more. With 17,000 faculty and staff, UT San Antonio has been recognized by Forbes as one of America's Best Employers for Company Culture. Benefits Overview UT Health San Antonio offers an excellent benefits package for its employees. Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits. Medical - UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists. Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates. Dental - Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist. Vision - Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits. Disability - Employees can enroll in the Disability Insurance which provides income if a non-work related illness or injury prevents you from working. FSAs - Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses. Retirement - Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers. Time Off - A generous leave program offers multiple paid leave options:

  • Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire.
  • Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken.
  • Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment.
  • Holidays: 12 set paid holidays each year.

Discounts - Employees enjoy a range of discounts on services, tickets, and gym membership. EEO Statement UT Health San Antonio is an equal employment opportunity and affirmative action employer. It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status.



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