Mid Level Associate Medical Coder Jobs
Mid level associate medical coder jobs go to coders ready to own complex case assignments, mentor entry-level colleagues, and resolve coding discrepancies with minimal oversight. Opportunities run across Insurance, Healthcare & Medical Services, and Consulting & Professional Services, with 100% remote or hybrid availability, and employers like Optum, Banner Health, and BCVS hiring at this level now.
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Showing 5 of 10+ Mid Level Associate Medical Coder jobs
Position: Medical Coder
Rate: $48.57
Location: Remote in IL only (Candidate must reside in IL)
Note: Looking for RN with an active license and coding certification (CPC, COC, CIC, CPMA, CCS, CCS-P or RHIT/RHIA)
Prefer:
- Behavioral Health coding and auditing experience.
- Knowledge of DSM-5 documentation requirements.
- Experience auditing mental health, substance use disorder, psychiatric facility, and behavioral health outpatient claims.
Description:
Investigates complex healthcare claims flagged by third-party referrals, tips, or external allegations prior to payment. This role combines advanced clinical coding expertise (ICD-10, CPT, HCPCS) with investigative scrutiny. The auditor reviews medical records to verify that documented services match the billed codes, adhere to medical necessity guidelines, and comply with state, federal, and contractual coding regulations.
Key responsibilities:
- Allegation Triaging & Investigation: Analyze incoming third-party referrals, compliance tips, and external fraud allegations to identify specific billing patterns, suspect providers, or unbundled services.
- Identify potential fraud, waste, abuse, billing irregularities, and patterns of non-compliance through medical record review and claims analysis.
- Pre-Payment Clinical Review: Perform comprehensive clinical and technical reviews of high-dollar or highly complex medical records before a claim is finalized for payment.
- Coding & Documentation Validation: Audit clinical documentation to ensure strict alignment with CPT, HCPCS, ICD-10-CM, ICD-10-PCS, and Official Coding Guidelines.
- Medical Necessity Assessment: Evaluate medical records against internal medical policies, prepare review summary as needed and work closely with Medical Directors.
- Prepare audit summaries and support referrals to Special Investigations Unit (SIU), Provider Performance, or Compliance teams when warranted.
Required Qualifications & Education:
- Education: Nursing RN, active license
- Core Coding Credentials: Must hold at least one active, nationally recognized coding certification:
- AAPC: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC) or Certified Professional Medical Auditor (CPMA).
- AHIMA: Certified Coding Specialist (CCS), Certified Coding Specialist – Physician-based (CCS-P), or Registered Health Information Technician/Administrator (RHIT/RHIA).
- Experience: 5 years combined experience in clinical auditing, medical coding, payment integrity, SIU investigations, utilization management, or healthcare compliance, or related healthcare reimbursement functions, including medical record review and claims auditing.
Technical Expertise:
- Demonstrated proficiency in CPT, HCPCS Level II, ICD-10-CM, and medical record documentation review.
- Working knowledge of CMS reimbursement methodology, National Correct Coding Initiative (NCCI) edits, and applicable federal and state regulations.
Pay: From $48.57 per hour
Expected hours: 40.0 per week
Benefits:
- Referral program
Experience:
- clinical auditing and medical coding: 5 years (Required)
License/Certification:
- RN License (Required)
- Certificate-CPC, COC, CIC, CPMA, CCS, CCS-P or RHIT/RHIA (Required)
Location:
- Illinois (Required)
Work Location: Remote
Position: Medical Coder
Rate: $48.57
Location: Remote in IL only (Candidate must reside in IL)
Note: Looking for RN with an active license and coding certification (CPC, COC, CIC, CPMA, CCS, CCS-P or RHIT/RHIA)
Prefer:
- Behavioral Health coding and auditing experience.
- Knowledge of DSM-5 documentation requirements.
- Experience auditing mental health, substance use disorder, psychiatric facility, and behavioral health outpatient claims.
Description:
Investigates complex healthcare claims flagged by third-party referrals, tips, or external allegations prior to payment. This role combines advanced clinical coding expertise (ICD-10, CPT, HCPCS) with investigative scrutiny. The auditor reviews medical records to verify that documented services match the billed codes, adhere to medical necessity guidelines, and comply with state, federal, and contractual coding regulations.
Key responsibilities:
- Allegation Triaging & Investigation: Analyze incoming third-party referrals, compliance tips, and external fraud allegations to identify specific billing patterns, suspect providers, or unbundled services.
- Identify potential fraud, waste, abuse, billing irregularities, and patterns of non-compliance through medical record review and claims analysis.
- Pre-Payment Clinical Review: Perform comprehensive clinical and technical reviews of high-dollar or highly complex medical records before a claim is finalized for payment.
- Coding & Documentation Validation: Audit clinical documentation to ensure strict alignment with CPT, HCPCS, ICD-10-CM, ICD-10-PCS, and Official Coding Guidelines.
- Medical Necessity Assessment: Evaluate medical records against internal medical policies, prepare review summary as needed and work closely with Medical Directors.
- Prepare audit summaries and support referrals to Special Investigations Unit (SIU), Provider Performance, or Compliance teams when warranted.
Required Qualifications & Education:
- Education: Nursing RN, active license
- Core Coding Credentials: Must hold at least one active, nationally recognized coding certification:
- AAPC: Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC) or Certified Professional Medical Auditor (CPMA).
- AHIMA: Certified Coding Specialist (CCS), Certified Coding Specialist – Physician-based (CCS-P), or Registered Health Information Technician/Administrator (RHIT/RHIA).
- Experience: 5 years combined experience in clinical auditing, medical coding, payment integrity, SIU investigations, utilization management, or healthcare compliance, or related healthcare reimbursement functions, including medical record review and claims auditing.
Technical Expertise:
- Demonstrated proficiency in CPT, HCPCS Level II, ICD-10-CM, and medical record documentation review.
- Working knowledge of CMS reimbursement methodology, National Correct Coding Initiative (NCCI) edits, and applicable federal and state regulations.
Pay: From $48.57 per hour
Expected hours: 40.0 per week
Benefits:
- Referral program
Experience:
- clinical auditing and medical coding: 5 years (Required)
License/Certification:
- RN License (Required)
- Certificate-CPC, COC, CIC, CPMA, CCS, CCS-P or RHIT/RHIA (Required)
Location:
- Illinois (Required)
Work Location: Remote
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Mid Level Associate Medical Coder Jobs: Frequently Asked Questions
How do I get a mid level associate medical coder job?
Position yourself by emphasizing the complexity of cases you have handled independently, not just the volume. Highlight experience with payer audits, denial resolution, or multi-specialty coding that shows you operate beyond basic claim submission. Certifications like a CPC or CCS strengthen your application significantly. Tailor your resume to show ownership, accuracy rates, and any process improvements you contributed to.
Which companies hire mid level associate medical coders?
Companies hiring mid level associate medical coders right now include Optum, Banner Health, and BCVS, based on current listings on Migrate Mate as of November 2026. At this level, hiring comes from hospital systems, revenue cycle management firms, physician group practices, and managed care organizations that need coders who can work with limited supervision.
Are there remote mid level associate medical coder jobs?
Yes, remote work is common at this experience level. About 100% of mid level associate medical coder openings are remote or hybrid as of November 2026, reflecting how broadly healthcare organizations have adopted distributed coding teams. Mid level coders are well-positioned for remote roles because employers trust their ability to manage workloads and audit queues independently.
How do I move up to a mid level associate medical coder role?
Moving into a mid level role requires building a record of coding accuracy across progressively complex case types and taking ownership of tasks beyond your initial scope. Earning a recognized coding credential, volunteering for denial management projects, and demonstrating consistent productivity metrics signals readiness to employers. Mid level coders are distinguished by their ability to self-audit and reduce rework without being directed.
Which industries hire the most mid level associate medical coders?
Mid Level associate medical coder roles concentrate in Insurance, Healthcare & Medical Services, and Consulting & Professional Services, based on current listings on Migrate Mate as of November 2026. These sectors drive hiring because their billing environments are complex, high-volume, and subject to frequent payer rule changes that demand coders with enough experience to work accurately under pressure.