Highmark Health
Highmark Health

62 Highmark Health Medical Coding Specialist Jobs Hiring Near You

Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims ... Medical Coding Specialist to support the accurate configuration, testing, and maintenance of ...

Job Type Full-time Description MAKE A DIFFERENCE AT OCHIN OCHIN is a nonprofit leader in health ... The Outpatient Coding Specialist plays a critical role in delivering accurate and high-quality ...

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Highmark Health Jobs Information

What is it like to work at Highmark Health?

Highmark Health is a mission-driven organization that prioritizes collaboration, innovation, and community involvement, fostering a culture of teamwork and mutual respect among its employees. The company's work environment is dynamic, with various teams working together to improve healthcare outcomes and advance population health, often incorporating cutting-edge technology and data-driven insights. Working at Highmark Health may appeal to individuals who are passionate about making a positive impact on people's lives, as the company offers opportunities for professional growth, development, and contributions to a broader mission of improving healthcare for all.

What makes Highmark Health an attractive place to work?

Highmark Health is a leading health insurance organization that plays a significant role in shaping the healthcare landscape through its commitment to improving the health and well-being of its members. The company fosters a collaborative work environment that encourages innovation, teamwork, and professional growth, with opportunities for employees to develop their skills and expertise in a dynamic and supportive setting. By joining Highmark Health, individuals can contribute to making a meaningful impact in the lives of millions of people, while also advancing their careers and achieving their personal and professional goals.

Do workers at Highmark Health get paid breaks?

Yes. Most people get paid breaks.
78% of people say they get paid breaks.
Based on data from 18 people who took the Breakroom Quiz between November 2024 and December 2025.

Does Highmark Health pay people when they’re sick?

Yes. Most people get paid when they’re sick.
83% of people say they would get paid if they were sick but scheduled to work.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and December 2025.

At Highmark Health, are sick days and vacation days separate paid time off?

Sick days and vacation days are used from the same paid time off.
100% of people say they have to use vacation days when they’re out sick.
Based on data from 5 people who took the Breakroom Quiz between May 2025 and December 2025.

Is the health insurance from Highmark Health affordable enough for their workers?

Most people say the health insurance costs are okay.
94% of people say the health insurance costs are okay
Based on data from 16 people who took the Breakroom Quiz between March 2025 and December 2025.

Do people get paid time off at Highmark Health?

Most people get paid time off work.
100% of people say they get paid time off.
Based on data from 6 people who took the Breakroom Quiz between May 2025 and December 2025.

How far ahead of time do people find out their work schedule?

Only some people find out their schedule four weeks ahead of time.
  • 40% of people with changing schedules find out their shifts one week or less ahead of time.
  • 20% of people with changing schedules find out their shifts two weeks ahead of time.
  • 0% of people with changing schedules find out their shifts three weeks ahead of time.
  • 40% of people with changing schedules find out their shifts four weeks or more ahead of time.

Based on data from 10 people who took the Breakroom Quiz between January 2025 and July 2025.

Do workers at Highmark Health worry about hours?

Most people don’t worry about getting enough hours.
91% of people report they don’t worry about getting enough hours.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and July 2025.

Do Highmark Health workers get to choose the shifts they work?

Some people don’t get to choose which shifts they work.
41% report that they don’t have enough control over which shifts they work.
Based on data from 17 people who took the Breakroom Quiz between November 2024 and July 2025.

How easy is it for Highmark Health workers to change shifts?

Most people find it easy to change shifts.
75% of people report that it’s easy to change shifts if they need to.
Based on data from 16 people who took the Breakroom Quiz between November 2024 and July 2025.

How easy is it to get time off at Highmark Health?

Most people find it easy to get time off.
85% of people report it’s easy to get time off.
Based on data from 20 people who took the Breakroom Quiz between November 2024 and December 2025.

Do Highmark Health managers change schedules at the last minute?

Most managers don’t change people’s schedules at the last minute.
91% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and July 2025.

Do jobs at Highmark Health spill into time workers aren’t paid for?

Rarely. The job doesn't usually spill into unpaid time.
8% of people report that their job takes up time that they don’t get paid for.
Based on data from 24 people who took the Breakroom Quiz between November 2024 and July 2025.

How easy is it to take sick days at Highmark Health?

Most people find it easy to take sick days.
79% of people report that it’s easy to take time off if they are sick.
Based on data from 24 people who took the Breakroom Quiz between November 2024 and December 2025.

Is working at Highmark Health good if you’re a parent or caregiver?

Most parents and caregivers say this is a good place to work.
89% of people who care for a child or other relative report this is a good place to work.
Based on data from 9 people who took the Breakroom Quiz between December 2024 and December 2025.

Do people at Highmark Health feel treated with respect by their managers?

Most people feel treated with respect by their managers.
87% of people say they’re treated with respect by their managers.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and December 2025.

Do people at Highmark Health get to take their breaks without interruption?

Most people get breaks without interruption.
87% of people report that they get to take their breaks without interruption.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and December 2025.

Is it stressful to work at Highmark Health?

Most people feel stressed here.
83% of people say they often feel stressed at work.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and December 2025.

Do people at Highmark Health enjoy their jobs?

Only some people enjoy their job.
41% of people report they don’t enjoy their job.
Based on data from 17 people who took the Breakroom Quiz between November 2024 and December 2025.

Do people at Highmark Health recommend working with their team?

Only some people recommend working with their team.
46% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 28 people who took the Breakroom Quiz between November 2024 and December 2025.

Do people get enough training when they start at Highmark Health?

Most people got enough training when they started.
72% of people report they got enough training when they started working here.
Based on data from 25 people who took the Breakroom Quiz between November 2024 and December 2025.

Do people get support to advance at Highmark Health?

Most people aren’t given support to advance their career here.
In the last year, 68% of people report not being given support to advance their career here.
Based on data from 19 people who took the Breakroom Quiz between November 2024 and December 2025.

Do people think Highmark Health’s headquarters understands what’s happening where they work?

Most people think headquarters doesn’t understand what’s happening where they work.
87% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 23 people who took the Breakroom Quiz between November 2024 and December 2025.

Do workers feel well informed about how Highmark Health is doing?

Only some people feel well informed about how the company is doing.
37% of people feel that they aren’t kept well informed about how the company is doing as a whole.
Based on data from 27 people who took the Breakroom Quiz between November 2024 and December 2025.
Infographic showing various Medical Coding Specialist job openings at Highmark Health in the United States as of August 2026, with employment types broken down into 81% Full Time, and 19% Part Time. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution.

Medical Coding Specialist

Capital Rx

Charlotte, NC • On-site

$70K - $85K/yr

Other

Medical

Posted 28 days ago


Job description

About Judi Health

Judi Health is a health technology company providing benefit administration solutions to employers, unions, health plans, and government entities. Judi Health replaces fragmented, outdated systems with the industry's first Unified Claims Processing architecture, seamlessly consolidating pharmacy and medical benefit administration on a single, secure platform. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
At Judi Health, we're deploying the infrastructure our country needs to deliver the healthcare we all deserve. We are the intelligence platform powering benefits plans for millions of Americans and proudly leading the next generation of care. To learn more, visit www.judi.health.

Location: Hybrid (Local to Charlotte, NC; Denver, CO; or New York, NY area)

Position Overview

We are seeking a highly motivated Medical Coding Specialist to support the accurate configuration, testing, and maintenance of medical claims processing rules within our platform, Judi. This role requires deep knowledge of medical coding, health plan operations, and claims adjudication, as well as the ability to translate client requirements into scalable system configurations. The ideal candidate is detail-oriented, adaptable, and passionate about leveraging technology to improve healthcare administration.

Key Responsibilities

  • Stay current on coding and coverage guidelines from organizations such as CMS, AMA, AAPC, USPSTF, and other regulatory bodies.
  • Utilize CPT, HCPCS, ICD-10, revenue, bill type, place of service, taxonomy, specialty, and related code sets to configure claims processing logic for commercial health plans.
  • Configure, test, and maintain coding rules using internal coding and testing tools.
  • Translate client requirements into accurate and timely system configurations.
  • Research and resolve coding-related questions and escalations from claims processors, Customer Care, Account Management, and other stakeholders.
  • Conduct regular claims reviews and audits to ensure coding accuracy, consistency, and compliance.
  • Partner closely with Implementation, Benefit Operations, Product, and Technology teams to support new client implementations and platform enhancements.
  • Contribute to continuous improvement initiatives that enhance claims processing accuracy and operational efficiency.
  • Creates and maintains documentation, job aids, and reporting to support operational effectiveness and compliance.
  • Support regulatory audits, quality improvement initiatives, and RFI/RFP responses as needed.
  • Develop and maintain departmental resources, including SharePoint sites and other team documentation.
  • Performs other duties and responsibilities as needed.

Required Qualifications

  • Bachelor's degree strongly preferred.
  • AAPC Medical Coding & Billing Certification (e.g., CPC) required.
  • 5+ years of experience with a health plan, payer, or third-party administrator (TPA).
  • Strong understanding of CPT, ICD-10, HCPCS, Revenue Codes, Bill Type Codes, Place of Service Codes, and Taxonomy Codes.
  • Medicare and Medicaid experience preferred.
  • Demonstrated ability to learn and apply new technologies.
  • Proven track record of meeting deadlines and delivering high-quality results.
  • Excellent project management, time management, prioritization, and organizational skills.
  • Ability to manage multiple priorities in a fast-paced environment.
  • Proficiency with Microsoft Office Suite.
  • Strong verbal, written, presentation, and interpersonal communication skills.
  • Ability to collaborate effectively with cross-functional and virtual teams.

Preferred Qualifications

  • Analytical mindset with strong problem-solving skills and attention to detail.
  • Customer-focused approach with a passion for improving healthcare operations and driving process improvements.
  • Self-starter who can work independently, lead through subject matter expertise, and effectively collaborate across cross-functional teams.
  • Experience supporting regulatory audits, developing operational processes, and training or onboarding team members.

This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.

New York, NY Salary Range
$70,000—$85,000 USD
Denver, CO Salary Range
$70,000—$85,000 USD
Charlotte, NC Salary Range
$70,000—$85,000 USD

All employees are responsible for adherence to the Judi Health Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals.

We provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found athttps://www.judi.health/legal/privacy-policy.