Medical Coder Jobs in Texas
Medical Coder jobs in Texas are among the most active in the country, with strong and steady demand across large health systems, physician groups, and outpatient networks at levels from entry-level through senior and supervisory roles. Houston, Dallas, and San Antonio anchor most of the hiring, where established employers such as HCA Houston Healthcare, UT Southwestern Medical Center, and CHRISTUS Health maintain large revenue cycle teams. The most in-demand specialties are risk adjustment coding, surgical coding, and evaluation and management, driven by Texas's concentration of academic medical centers and multispecialty practices. Find a role that fits below and apply directly.
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- Execute Complex Medical Coding: Abstract critical clinical data from medical records to accurately assign ICD-10-CM/PCS, CPT, and HCPCS codes for proper DRG and APC groupings.
- Optimize Reimbursement & Compliance: Maintain strict compliance with AHIMA Standards of Ethical Coding and evolving federal guidelines to ensure seamless claim processing and document retrieval.
- Drive Quality & Physician Queries: Proactively query healthcare providers to clarify ambiguous documentation, maintaining high industry productivity and quality accuracy standards.
- Lead Audits & Provider Education: Conduct comprehensive chart audits to enforce documentation requirements and deliver targeted coding education to physicians and clinical associates.
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One or more of the following required:
- Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
- Certified Outpatient Coding (COC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date.
- Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date.
- Medical Certified Professional Coder (CPC) credentialed from the Practice Management Institute (PMI) obtained prior to hire date or job transfer date.
- Coder obtained prior to hire date or job transfer date.
- Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
- Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
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High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
- Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.
- 3 years of professional coding in clinic and facility settings
- Surgical coding knowledge
- CPC Certification preferred
Equal employment opportunity employer
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.
Fraud prevention notice
Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
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Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.
See All 25 Medical Coder Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Medical Coder JobsMedical Coder Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Medical Coder Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Technology & Software
- Healthcare & Medical Services
What Texas Employers Look For
The qualifications that appear most often in medical coder jobs across Texas.
- CPC, CCS, or CCA certification from AAPC or AHIMA required or strongly preferred
- Proficiency in ICD-10-CM and CPT coding systems across one or more specialties
- Experience with Epic, Meditech, or another major electronic health record platform
- Knowledge of Medicare and Medicaid billing rules applicable to Texas providers
- Strong understanding of HIPAA compliance and protected health information standards
- Ability to meet production and accuracy benchmarks set by the employer or payer
Medical Coder Jobs in Texas: Frequently Asked Questions
How do you become a medical coder in Texas?
Texas does not issue a state license for medical coders, so entry into the field runs through national certification. Most Texas employers require or prefer the Certified Professional Coder credential from AAPC or the Certified Coding Specialist credential from AHIMA. Candidates typically complete a coding certificate program or an associate degree in health information technology, then pass the relevant exam. Many community colleges across Texas, including those in the Houston and Dallas metro areas, offer accredited programs designed specifically for this path.
How much do medical coders make in Texas?
Medical coders in Texas earn a median of about $48,860 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $34,440 for the lowest 10% to over $78,390 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire medical coders in Texas?
Employers hiring medical coders in Texas right now include Sutherland, Dane Street, and Methodist Health System, based on current listings on Migrate Mate as of August 2026. Texas's concentration of large integrated health systems and academic medical centers means that many of the state's biggest hirers maintain in-house revenue cycle teams rather than outsourcing all coding work.
Which Texas cities have the most medical coder jobs?
Houston, San Antonio, and Harlingen are the Texas cities with the most medical coder openings, driven by the concentration of major health systems, academic medical centers, and large physician group practices in those metros. Houston in particular generates a high share of postings because of its density of hospital networks and specialized care facilities, while Dallas and San Antonio add volume through both regional health systems and revenue cycle management companies headquartered there.
Are there remote medical coder jobs in Texas?
Yes, and more than most fields. Medical coding is desk-based and document-driven, which makes it one of the more remote-compatible roles in healthcare. About 71% of medical coder openings tied to Texas are remote or hybrid as of August 2026, reflecting how fully the industry has shifted to virtual revenue cycle work since the pandemic. Surgical coding and risk adjustment roles tend to have the highest share of fully remote positions among Texas postings.
How can I get hired as a medical coder in Texas with little or no experience?
The most realistic path is to earn an entry-level credential, either the Certified Professional Coder-Apprentice from AAPC or the Certified Coding Associate from AHIMA, which Texas employers recognize as legitimate starting points. Large Texas health systems including HCA Houston Healthcare and CHRISTUS Health periodically post trainee or coding apprentice roles for credentialed candidates without production experience. Candidates who move laterally from medical billing, health information technician, or patient access roles within a Texas facility often find it easier to transition internally into a coding role than to enter from outside the organization.
Where can I find and apply to medical coder jobs in Texas?
You can find and apply to medical coder jobs in Texas on Migrate Mate, which lists current Texas openings across health systems, physician groups, and revenue cycle employers. Find a role that fits and apply directly.
See All 25 Medical Coder Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Medical Coder Jobs