Coder Jobs in North Carolina
Coder jobs in North Carolina are concentrated in healthcare systems, insurance, and government agencies, with demand steady across entry-level and experienced positions. Charlotte, Raleigh, and Durham are the largest hiring markets, anchored by employers like Duke University Health System, UNC Health, and Blue Cross Blue Shield of North Carolina. The most consistent openings are in medical coding, HIM, and compliance-focused roles tied to the state's dense hospital network. Find a role that fits below and apply directly.
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Description
Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
Summary
Performs technical and administrative work reviewing, abstracting and assigning accepted medical CPT, HCPCS, and ICD-10 codes for professional services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures. Employees report to an administrative superior but independently handle assigned tasks.
Responsibilities
- Assigns International Classification of Diseases (ICD-10-CM) diagnosis codes in an accurate and productive manner.
- Assigns all diagnosis codes to chronic conditions documented that may impact Hierarchal Condition Categories (HCCs) or expected mortality.
- Assigns Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) codes in an accurate and productive manner.
- Groups codes and completed product into payment groups. Analyzes information for optimal and proper reimbursement.
- Reviews National Coverage Determination (NCD), Local Coverage Determination (LCD), and Correct Coding Initiative (CCI) edits and any other coding edits and applies changes to code assignments appropriately, and/or adds modifiers appropriately.
- Recognizes and has knowledge of Medical Necessity requirements and resolves edits during code assignments.
- Ensures compliance with all appropriate coding, billing and data collection regulations and procedures.
- Provides information to physicians and other health care staff regarding current coding practices and changes in 3rd party, state and federal regulations and guidelines.
- Reviews, analyzes and abstracts physician/other documentation for diagnoses, procedures, and other services provided.
- Obtains missing information and/or clarifies existing information.
- Accepts feedback from Auditor as needed to avoid future errors.
- Researches appropriate databases for validation of information.
- Utilizes a variety of software (e.g. Epic, Optum CAC, MS Office, etc.) to compile and validate medical information.
Education Requirements
- High school diploma or GED required; higher-level degree may satisfy this requirement. Successful completion of the UNC HCS Hospital Outpatient Coder Proficiency Test.
Licensure/Certification Requirements
- Must have one of the following:
- AHIMA (American Health Information Management Association) certification and credential
- AAPC (American Academy of Professional Coders) certification and credential
Professional Experience Requirements
- Twelve (12) months of experience in hospital coding.
Knowledge/Skills/and Abilities Requirements
- Strong knowledge of ICD-10-CM and HCPCS/CPT coding with strong analytical and data mining skills. Ability to effectively manage projects. Ability to work effectively with various levels of staff (including on-site and remote). Must possess strong communication skills, both written and verbal and have extensive attention to detail. Exhibits effective organizational skills, time management, and management of multiple priorities. Ability to interpret moderately complex medical conditions and work with complex coding applications. Ability to have an excellent balance of being highly productive and yet produce high quality work. Ability to interpret federal and state regulations as they relate to coding and compliance.
Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: HIM Hospital Coding
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $23.24 - $33.41 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Remote
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
Description
Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
Summary
Performs technical and administrative work reviewing, abstracting and assigning accepted medical CPT, HCPCS, and ICD-10 codes for professional services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures. Employees report to an administrative superior but independently handle assigned tasks.
Responsibilities
- Assigns International Classification of Diseases (ICD-10-CM) diagnosis codes in an accurate and productive manner.
- Assigns all diagnosis codes to chronic conditions documented that may impact Hierarchal Condition Categories (HCCs) or expected mortality.
- Assigns Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) codes in an accurate and productive manner.
- Groups codes and completed product into payment groups. Analyzes information for optimal and proper reimbursement.
- Reviews National Coverage Determination (NCD), Local Coverage Determination (LCD), and Correct Coding Initiative (CCI) edits and any other coding edits and applies changes to code assignments appropriately, and/or adds modifiers appropriately.
- Recognizes and has knowledge of Medical Necessity requirements and resolves edits during code assignments.
- Ensures compliance with all appropriate coding, billing and data collection regulations and procedures.
- Provides information to physicians and other health care staff regarding current coding practices and changes in 3rd party, state and federal regulations and guidelines.
- Reviews, analyzes and abstracts physician/other documentation for diagnoses, procedures, and other services provided.
- Obtains missing information and/or clarifies existing information.
- Accepts feedback from Auditor as needed to avoid future errors.
- Researches appropriate databases for validation of information.
- Utilizes a variety of software (e.g. Epic, Optum CAC, MS Office, etc.) to compile and validate medical information.
Education Requirements
- High school diploma or GED required; higher-level degree may satisfy this requirement. Successful completion of the UNC HCS Hospital Outpatient Coder Proficiency Test.
Licensure/Certification Requirements
- Must have one of the following:
- AHIMA (American Health Information Management Association) certification and credential
- AAPC (American Academy of Professional Coders) certification and credential
Professional Experience Requirements
- Twelve (12) months of experience in hospital coding.
Knowledge/Skills/and Abilities Requirements
- Strong knowledge of ICD-10-CM and HCPCS/CPT coding with strong analytical and data mining skills. Ability to effectively manage projects. Ability to work effectively with various levels of staff (including on-site and remote). Must possess strong communication skills, both written and verbal and have extensive attention to detail. Exhibits effective organizational skills, time management, and management of multiple priorities. Ability to interpret moderately complex medical conditions and work with complex coding applications. Ability to have an excellent balance of being highly productive and yet produce high quality work. Ability to interpret federal and state regulations as they relate to coding and compliance.
Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: HIM Hospital Coding
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $23.24 - $33.41 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Remote
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
See All 26 Coder Jobs in North Carolina
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Find Coder JobsCoder Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Coder Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What North Carolina Employers Look For
The qualifications that appear most often in coder jobs across North Carolina.
- CPC, CCS, or equivalent coding certification recognized in North Carolina healthcare settings
- Proficiency in ICD-10-CM, CPT, and HCPCS Level II coding systems
- Experience with electronic health record platforms such as Epic or Cerner
- Knowledge of medical terminology, anatomy, and clinical documentation requirements
- Ability to meet productivity and accuracy benchmarks in a remote or on-site environment
- Associate degree or higher in health information management or a related field
Coder Jobs in North Carolina: Frequently Asked Questions
How do you become a coder in North Carolina?
North Carolina does not require a state-issued license to work as a coder, but employers consistently require a recognized national credential such as the CPC from the American Academy of Professional Coders or the CCS from AHIMA. Most candidates earn an associate degree in health information management from a North Carolina community college, complete a coding program, and sit for a certification exam before applying. Hospitals and health systems in the state treat certification as a baseline hiring requirement.
Which companies hire coders in North Carolina?
Companies currently hiring coders in North Carolina include Cone Health, UNC Health, and Atrium Health, per current listings on Migrate Mate as of September 2026. North Carolina's large academic medical centers and statewide insurance carriers generate some of the most consistent coding demand in the region.
Which North Carolina cities have the most coder jobs?
Raleigh, Winston-Salem, and Greensboro have the most coder openings in North Carolina. Charlotte leads because of its large hospital systems and Blue Cross Blue Shield of North Carolina's headquarters, while the Raleigh-Durham area draws volume from UNC Health, Duke Health, and the concentration of healthcare and tech employers in the Research Triangle.
Are there remote coder jobs in North Carolina?
Yes, and more than most fields. About 85% of coder openings tied to North Carolina are remote or hybrid as of September 2026, reflecting that coding is largely documentation work that translates well to off-site settings. Outpatient and physician practice coding roles tend to be the most consistently remote, while inpatient and audit positions may still require occasional on-site presence.
How can I get hired as a coder in North Carolina with little or no experience?
The most realistic entry path is completing a coding certificate or associate degree program at a North Carolina community college, such as those offered through the North Carolina Community College System, then applying to internship or new-grad positions at large health systems like UNC Health or Novant Health. Candidates who earn a CPC-A designation before their first role show hiring managers a verified foundation. Adjacent roles such as patient access representative or medical records clerk at a North Carolina hospital are also common stepping stones into coding.
Where can I find and apply to coder jobs in North Carolina?
You can find and apply to coder jobs in North Carolina on Migrate Mate, which lists current openings across the state. Find roles that fit your experience and specialty and apply directly to the employers posting them.
See All 26 Coder Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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