Medical Coding Specialist Jobs in Texas
Medical Coding Specialist jobs in Texas are among the most active in the country, concentrated in hospital systems, physician group practices, outpatient clinics, and health insurance operations, with openings at every level from entry-level remote coder to senior compliance auditor. Houston, Dallas-Fort Worth, and San Antonio anchor the bulk of hiring, where large systems like HCA Healthcare, Baylor Scott and White Health, and UT Southwestern Medical Center maintain consistent demand. Outpatient coding, risk adjustment, and HCC coding are the most in-demand specialties across the state. Find a role that fits below and apply directly.
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Showing 5 of 10+ Medical Coding Specialist jobs
**Hybrid opportunity after 30-90 day in-person training**
- Reviews medical record documentation to accurately assign diagnosis, procedure, and modifier codes in accordance with ICD-10-CM, CPT, HCPCS, and applicable coding guidelines.
- Validates diagnosis and procedure codes to ensure billing accuracy, regulatory compliance, and adherence to payer requirements; resolves routine discrepancies and escalates complex coding or documentation issues as appropriate.
- Reviews clinical documentation, including operative reports, history and physicals, physician notes, and other medical records, to support accurate code assignment.
- Ensures all billable services and charges are captured and accurately reflected on patient accounts.
- Communicates effectively with providers, clinical staff, and other departments to obtain missing information and resolve coding or billing discrepancies.
- Prepares and submits electronic and paper claims to commercial insurance carriers, governmental payers, and other third-party payers.
- Monitors account status and identifies inconsistencies that may delay claim processing or reimbursement.
- Investigates and resolves claim rejections, denials, and edits in a timely manner with a high degree of accuracy and attention to detail.
- Maintains proficiency in electronic medical records (EMR) and billing systems while ensuring accurate and confidential patient information is maintained.
- Maintains knowledge of current coding regulations, payer requirements, and industry best practices.
- Performs other related tasks as needed.
- Knowledge of workers compensation, insurance verification, patient responsibility and prior authorization process
- Knowledge of interpreting explanation of benefits (EOBs) and coordination of benefits (COB’s) processing
- Thorough knowledge of ICD-10-CM, CPT, HCPCS, modifier use, and applicable coding guidelines.
- Ability to interpret operative reports, physician documentation, and other medical records and translate documented services into accurate codes.
- Knowledge of payer-specific coding requirements, regulatory standards, and medical necessity guidelines.
- Ability to identify documentation deficiencies and communicate with providers and clinical staff to obtain clarification.
- Proficiency in electronic billing systems, EMRs, coding resources, and the CMS-1500 claim form.
- Demonstrates task-oriented and organizational skills.
- Ability to adapt with flexibility.
- Strong attention to detail, being careful about detail and thorough in completing work tasks.
- Ability to work independently by guiding oneself with little or no supervision.
- Ability to communicate professionally with outside parties.
- Knowledge of PC and ability to use Microsoft office suite (PowerPoint, word, excel).
- High School Diploma or GED
- Three (3) years of medical billing and coding experience, including direct experience reviewing clinical documentation and assigning ICD-10-CM, CPT, HCPCS, and modifier codes.
- 3 Medical Plans
- 2 Dental Plans
- 1 Vision Plan
- Employee Assistance Program
- Short and Long-Term Disability Insurance
- Basic and Voluntary Life with AD&D Plan
- 401(k) with a 2-year vesting
- PTO + Holidays
Premier Medical Resources is a healthcare management company headquartered in Northwest Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we strive to combine best practices and industry excellence. Come join our team at Premier Medical Resources where passion and career meet.
Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.
**Hybrid opportunity after 30-90 day in-person training**
- Reviews medical record documentation to accurately assign diagnosis, procedure, and modifier codes in accordance with ICD-10-CM, CPT, HCPCS, and applicable coding guidelines.
- Validates diagnosis and procedure codes to ensure billing accuracy, regulatory compliance, and adherence to payer requirements; resolves routine discrepancies and escalates complex coding or documentation issues as appropriate.
- Reviews clinical documentation, including operative reports, history and physicals, physician notes, and other medical records, to support accurate code assignment.
- Ensures all billable services and charges are captured and accurately reflected on patient accounts.
- Communicates effectively with providers, clinical staff, and other departments to obtain missing information and resolve coding or billing discrepancies.
- Prepares and submits electronic and paper claims to commercial insurance carriers, governmental payers, and other third-party payers.
- Monitors account status and identifies inconsistencies that may delay claim processing or reimbursement.
- Investigates and resolves claim rejections, denials, and edits in a timely manner with a high degree of accuracy and attention to detail.
- Maintains proficiency in electronic medical records (EMR) and billing systems while ensuring accurate and confidential patient information is maintained.
- Maintains knowledge of current coding regulations, payer requirements, and industry best practices.
- Performs other related tasks as needed.
- Knowledge of workers compensation, insurance verification, patient responsibility and prior authorization process
- Knowledge of interpreting explanation of benefits (EOBs) and coordination of benefits (COB’s) processing
- Thorough knowledge of ICD-10-CM, CPT, HCPCS, modifier use, and applicable coding guidelines.
- Ability to interpret operative reports, physician documentation, and other medical records and translate documented services into accurate codes.
- Knowledge of payer-specific coding requirements, regulatory standards, and medical necessity guidelines.
- Ability to identify documentation deficiencies and communicate with providers and clinical staff to obtain clarification.
- Proficiency in electronic billing systems, EMRs, coding resources, and the CMS-1500 claim form.
- Demonstrates task-oriented and organizational skills.
- Ability to adapt with flexibility.
- Strong attention to detail, being careful about detail and thorough in completing work tasks.
- Ability to work independently by guiding oneself with little or no supervision.
- Ability to communicate professionally with outside parties.
- Knowledge of PC and ability to use Microsoft office suite (PowerPoint, word, excel).
- High School Diploma or GED
- Three (3) years of medical billing and coding experience, including direct experience reviewing clinical documentation and assigning ICD-10-CM, CPT, HCPCS, and modifier codes.
- 3 Medical Plans
- 2 Dental Plans
- 1 Vision Plan
- Employee Assistance Program
- Short and Long-Term Disability Insurance
- Basic and Voluntary Life with AD&D Plan
- 401(k) with a 2-year vesting
- PTO + Holidays
Premier Medical Resources is a healthcare management company headquartered in Northwest Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we strive to combine best practices and industry excellence. Come join our team at Premier Medical Resources where passion and career meet.
Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.
See All 10 Medical Coding Specialist Jobs in Texas
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Find JobsMedical Coding Specialist Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Medical Coding Specialist Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
What Texas Employers Look For
The qualifications that appear most often in medical coding specialist jobs across Texas.
- CPC, CCS, or RHIA credential issued or recognized by AHIMA or AAPC
- Demonstrated proficiency in ICD-10-CM, CPT, and HCPCS Level II coding systems
- Experience with major EHR platforms such as Epic, Cerner, or Meditech
- Knowledge of medical terminology, anatomy, and clinical documentation guidelines
- Familiarity with Medicare, Medicaid, and commercial payer billing requirements
- Strong attention to detail and ability to meet productivity and accuracy benchmarks
Medical Coding Specialist Jobs in Texas: Frequently Asked Questions
How do you become a medical coding specialist in Texas?
Texas does not require a state-issued license to work as a medical coding specialist, but employers consistently expect a nationally recognized credential such as the CPC from AAPC or the CCS from AHIMA. Most paths start with a certificate or associate degree program in health information technology or medical coding offered at Texas community colleges, followed by passing a credentialing exam. Hands-on coding practice and knowledge of ICD-10-CM and CPT coding sets are expected before applying.
How much do medical coding specialists make in Texas?
Medical coding specialists 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 coding specialists in Texas?
Employers hiring medical coding specialists in Texas right now include University Health, College of Healthcare Professions, and Calpion, based on current listings on Migrate Mate as of August 2026. Texas's large integrated health systems and physician management organizations drive steady, year-round demand for both on-site and remote coders across specialties.
Which Texas cities have the most medical coding specialist jobs?
Houston, San Antonio, and Texas have the most medical coding specialist openings in Texas. Houston leads because of its concentration of large hospital systems, medical center campuses, and insurance operations, while Dallas-Fort Worth draws consistent demand from major health system headquarters and physician management groups, and San Antonio's military medical infrastructure and regional health networks add a meaningful share of postings.
Are there remote medical coding specialist jobs in Texas?
Yes, and more than most healthcare roles, because medical coding is primarily desk-based and documentation-driven rather than hands-on or patient-facing. About 60% of medical coding specialist openings tied to Texas are remote or hybrid as of August 2026, reflecting how well-suited the work is to distributed teams. Outpatient coding and risk adjustment roles tend to offer the most remote flexibility.
How can I get hired as a medical coding specialist in Texas with little or no experience?
The most realistic entry path is completing a medical coding certificate program at a Texas community college, such as those offered through Houston Community College or Austin Community College, then sitting for a CPC or CCS exam to gain a credential before applying. Large Texas health systems and physician management organizations commonly post coding trainee or coding auditor assistant roles that accept newly credentialed candidates. Lateral moves from medical billing, health information technician, or clinical documentation roles are also a recognized way in.
Where can I find and apply to medical coding specialist jobs in Texas?
You can find and apply to medical coding specialist jobs in Texas on Migrate Mate, which lists current openings from Texas employers. Search for roles that match your credential level and specialty, then apply directly to the ones that fit.
See All 10 Medical Coding Specialist Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
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