Medical Billing and Coding Jobs Salary — Apply on Rex.zone

A medical billing and coding professional is a healthcare revenue cycle specialist who assigns ICD-10-CM, CPT, and HCPCS codes, prepares claims, and manages payer adjudication. This page explains salary ranges, career levels, and hiring options, and connects the role to modern AI/ML workflows (clinical NLP, computer vision document capture, content safety for PHI, and LLM training pipelines). Candidates can explore remote, contract, freelance, and full-time openings directly on Rex.zone, compare compensation by level, and apply to hospitals, AI labs, tech startups, BPOs, and annotation vendors seeking coding accuracy and compliance.

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About the Role

Medical billing and coding roles ensure accurate code assignment, clean claims submission, and denial management across the revenue cycle. Practitioners translate clinical documentation into ICD-10-CM, CPT, and HCPCS codes, validate E/M levels, manage DRGs and HCC risk adjustment, and maintain HIPAA compliance. They collaborate with providers, auditors, and payers to improve coding productivity, reimbursement integrity, and documentation quality, while increasingly using NLP-assisted coding and AI-enabled audit tools.

Salary Overview

Compensation varies by certification (CPC, CCS, CCA), care setting (inpatient, outpatient, pro-fee), specialization (surgical, oncology, risk adjustment), geography, productivity metrics, and employer type. Typical annual ranges: entry-level $40,000–$55,000; mid-level $55,000–70,000; senior/lead $70,000–95,000+. Remote contract roles often pay $25–$45 per hour depending on scope, SLAs, and audit rigor. Bonuses may be tied to claim accuracy, turnaround time, denial rate reduction, and quality scores.

Salary by Level

Entry-level: $40k–$55k with foundational ICD-10-CM and CPT skills, supervised QA, and EHR navigation. Mid-level: $55k–$70k handling complex payer rules, edits (NCCI), modifiers, and appeals, with strong audit readiness. Senior/Lead: $70k–$95k+ overseeing teams, conducting internal audits, leading DRG/HCC projects, optimizing revenue cycle KPIs, and guiding documentation improvement initiatives.

Factors Affecting Pay

Key determinants include certifications (CPC, CCS, CRC, CPB), inpatient vs outpatient experience, specialization (orthopedics, cardiology, anesthesia, risk adjustment), productivity and accuracy rates, familiarity with payer policies, EMR/EHR proficiency, audit performance, and experience with NLP-assisted coding or LLM validation workflows.

Key Responsibilities

Assign ICD-10-CM, CPT, HCPCS codes and validate medical necessity; build and submit clean claims; manage edits, rejections, and appeals; perform denial management; conduct internal coding audits; ensure HIPAA and compliance standards; collaborate on documentation improvement; contribute to training data quality for clinical NLP by reviewing model outputs; follow annotation guidelines compliance when validating AI-assisted code suggestions; provide feedback for model performance improvement.

Required Skills & Certifications

Strong knowledge of ICD-10-CM, CPT, HCPCS; payer rules and NCCI edits; E/M guidelines; DRG and HCC risk adjustment; claim lifecycle and RCM operations. Proficiency with EHRs, clearinghouses, audit tools, and spreadsheets. Certifications such as CPC, CCS, CCA, CPB, CRC increase marketability and salary. Familiarity with NLP-assisted coding, LLM prompt evaluation, and QA evaluation workflows is increasingly valued.

Job Types and Modifiers

Openings include remote, contract, freelance, full-time, entry-level, and senior roles. Domains intersect with NLP (clinical text extraction), computer vision (document and claim image processing), content safety and PHI privacy labeling, and LLM training pipelines (prompt evaluation, RLHF for healthcare coding assistants). Employers range from hospitals and health systems to AI labs, tech startups, BPOs, and annotation vendors.

Domains & AI Workflow Alignment

Coders increasingly collaborate with AI teams on data labeling for clinical notes, QA evaluation of model outputs, prompt evaluation for LLM-based coding assistants, and RLHF to refine healthcare models. Responsibilities may include verifying code suggestions, tagging PHI content for privacy, ensuring annotation guidelines compliance, and documenting edge cases to improve training data quality across NLP and computer vision pipelines.

Employers & Industries

Hiring organizations include hospitals, multi-specialty practices, payer organizations, RCM vendors, BPOs, AI labs, and health-tech startups. Teams seek professionals who can bridge coding accuracy with audit rigor, documentation excellence, and emerging AI workflows that boost coding throughput and compliance.

Compensation & Benefits

Compensation may include base salary, hourly rates for contractors, productivity bonuses, audit incentives, health insurance, retirement plans, paid certifications/CEUs, and remote-work stipends. Senior roles may offer leadership bonuses tied to denial reduction, compliance metrics, and model validation outcomes in AI-enabled environments.

Apply on Rex.zone

Explore curated listings for medical billing and coding jobs on Rex.zone. Filter by remote, contract, freelance, full-time, entry-level, and senior roles. Compare salary bands and employer types (AI labs, tech startups, BPOs, annotation vendors, hospitals), then submit your profile and certifications to start interviewing.

Frequently Asked Questions

  • Q: What does a medical billing and coding professional do?

    They review clinical documentation, assign accurate ICD-10-CM, CPT, and HCPCS codes, submit clean claims, manage payer edits and denials, and ensure HIPAA and compliance standards across the revenue cycle.

  • Q: What salary can I expect?

    Approximate ranges are entry-level $40k–$55k, mid-level $55k–$70k, and senior/lead $70k–$95k+. Remote contracts often pay $25–$45/hr, varying by specialization, certifications, productivity targets, and audit complexity.

  • Q: Do certifications increase pay?

    Yes. Credentials like CPC, CCS, CCA, CPB, and CRC signal verified expertise and often result in higher compensation and access to senior or audit-heavy roles.

  • Q: Is remote work common and does it affect salary?

    Remote roles are common. Pay may vary based on productivity, QA metrics, time zone overlap, and whether the role is contract or full-time. Contractors often command higher hourly rates without traditional benefits.

  • Q: Which specialties pay more?

    Complex specialties—surgical, cardiology, anesthesia, oncology, inpatient DRG coding, and HCC risk adjustment—tend to offer higher pay due to complexity and audit rigor.

  • Q: How do AI and LLMs fit into coding jobs?

    Coders may validate NLP-assisted suggestions, perform QA evaluation, contribute to data labeling, and support RLHF and prompt evaluation for LLM-based coding tools to improve model performance and compliance.

  • Q: What is the difference between medical billing and coding?

    Coding assigns standardized codes from clinical documentation; billing compiles coded data into clean claims, submits to payers, manages adjudication, and handles appeals and denials.

  • Q: How do geography and employer type impact salary?

    Pay differs by region, cost of living, and employer (hospital systems, RCM vendors, BPOs, AI labs, tech startups). Specialized settings and audit-heavy teams often pay more.

  • Q: Are freelance or contract coding jobs available?

    Yes. Many organizations hire contractors for surge projects, audits, and backlog reduction. Rates depend on scope, SLAs, compliance requirements, and specialty.

  • Q: How do I apply on Rex.zone?

    Create a profile, upload certifications, select preferences (remote, contract, freelance, full-time, entry-level, senior), and apply to curated postings from hospitals, startups, BPOs, and AI labs.

  • Q: What skills most strongly influence compensation?

    Coding accuracy, speed, audit performance, payer policy mastery, DRG/HCC expertise, documentation improvement, EHR fluency, and experience with NLP/LLM validation workflows.

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