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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Description
The Certified Medical Coder or Charge Entry Specialist is responsible for reviewing a patient’s medical records after a visit and translating into codes that insurers use to process claims. This includes confirming treatment with providers and medical staff, identifying missing information and submitting claims to insurers for reimbursement.
- 4-day workweek: Four 10-hour shifts with either Monday or Friday off
- Traditional schedule: Monday–Thursday, 8:00 AM–5:00 PM and Friday, 8:00 AM–12:00 PM
- Early schedule option: 7:00 AM–4:00 PM
Austin, TX 78731
What your day will look like
- Review and analyze medical records to ensure accurate coding and billing guidelines are followed.
- Assign appropriate ICD-10, and other relevant codes to medical procedures based on correct coding edits.
- Review charges submitted with errors for accurate claims submission by correcting errors from Claims Editing software.
- Provide manual charge entry as needed.
- Upload claims to practice management system and/or clearinghouse.
- Maintain confidentiality of patient information and adhere to HIPAA regulations.
- Collaborate with healthcare providers and staff members to ensure accurate documentation and coding guidelines have been met.
- Discuss coding guidelines with providers and provide training as needed.
- Report emerging trends to management which need to be escalated.
- Follow policies and procedures to contribute to the efficiency of the business.
- Cover for and assist with other functions in the department as assigned.
Knowledge & Skills Needed to be Successful
- Strong analytical and problem-solving skills with an attention to detail.
- Excellent mathematical skills, computer skills, and Microsoft applications (including Excel)
- Excellent written, verbal, interpersonal communication skills.
- Drive to take initiative and be a self-starter.
- Ability to prioritize tasks and to delegate when appropriate.
- Excellent time management skills are essential along with the ability to meet deadlines.
- Able to establish and maintain effective working relationships with the insurance carriers, patients, and employees.
- Must possess a high degree of professionalism and be able to work in a high-pressure environment with multiple departments.
- Minimum of 40 words per minute typing speed
Required Education and Experience
- High School Diploma or higher
- Certified Professional Coders License
- Minimum of 1+ year in Medical Billing and Coding (2+ years preferred)
- Knowledge of ICD-10 and HCPCS Codes
- Continual Education of Codes and Payer Guidelines
- High School Diploma or higher
What Benefits do we offer Aspire Employees?
- Medical, Dental and Vision Insurance
- Generous Paid Time Off and Paid Holidays
- 401(k) + Generous Employer Match
- Free Allergy Testing and Discounted Treatments
- Gym Membership Discounts
- Life Insurance
- Employee Reward Program
About Aspire Allergy & Sinus
We recognize that we thrive and achieve advanced patient care because of our ever-growing team. We are better together and there has never been a better time to help make a difference! Aspire currently stretches among numerous clinics throughout Arizona, Colorado, Florida, New Mexico, and Texas, with plans for several more additions. Do not miss out on the lifetime opportunity to help Aspire scale up and reach more patients in more states.
Description
The Certified Medical Coder or Charge Entry Specialist is responsible for reviewing a patient’s medical records after a visit and translating into codes that insurers use to process claims. This includes confirming treatment with providers and medical staff, identifying missing information and submitting claims to insurers for reimbursement.
- 4-day workweek: Four 10-hour shifts with either Monday or Friday off
- Traditional schedule: Monday–Thursday, 8:00 AM–5:00 PM and Friday, 8:00 AM–12:00 PM
- Early schedule option: 7:00 AM–4:00 PM
Austin, TX 78731
What your day will look like
- Review and analyze medical records to ensure accurate coding and billing guidelines are followed.
- Assign appropriate ICD-10, and other relevant codes to medical procedures based on correct coding edits.
- Review charges submitted with errors for accurate claims submission by correcting errors from Claims Editing software.
- Provide manual charge entry as needed.
- Upload claims to practice management system and/or clearinghouse.
- Maintain confidentiality of patient information and adhere to HIPAA regulations.
- Collaborate with healthcare providers and staff members to ensure accurate documentation and coding guidelines have been met.
- Discuss coding guidelines with providers and provide training as needed.
- Report emerging trends to management which need to be escalated.
- Follow policies and procedures to contribute to the efficiency of the business.
- Cover for and assist with other functions in the department as assigned.
Knowledge & Skills Needed to be Successful
- Strong analytical and problem-solving skills with an attention to detail.
- Excellent mathematical skills, computer skills, and Microsoft applications (including Excel)
- Excellent written, verbal, interpersonal communication skills.
- Drive to take initiative and be a self-starter.
- Ability to prioritize tasks and to delegate when appropriate.
- Excellent time management skills are essential along with the ability to meet deadlines.
- Able to establish and maintain effective working relationships with the insurance carriers, patients, and employees.
- Must possess a high degree of professionalism and be able to work in a high-pressure environment with multiple departments.
- Minimum of 40 words per minute typing speed
Required Education and Experience
- High School Diploma or higher
- Certified Professional Coders License
- Minimum of 1+ year in Medical Billing and Coding (2+ years preferred)
- Knowledge of ICD-10 and HCPCS Codes
- Continual Education of Codes and Payer Guidelines
- High School Diploma or higher
What Benefits do we offer Aspire Employees?
- Medical, Dental and Vision Insurance
- Generous Paid Time Off and Paid Holidays
- 401(k) + Generous Employer Match
- Free Allergy Testing and Discounted Treatments
- Gym Membership Discounts
- Life Insurance
- Employee Reward Program
About Aspire Allergy & Sinus
We recognize that we thrive and achieve advanced patient care because of our ever-growing team. We are better together and there has never been a better time to help make a difference! Aspire currently stretches among numerous clinics throughout Arizona, Colorado, Florida, New Mexico, and Texas, with plans for several more additions. Do not miss out on the lifetime opportunity to help Aspire scale up and reach more patients in more states.
See All 20 Medical Coding Specialist Jobs in Texas
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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 Texas Oncology, University Health, and College of Healthcare Professions, based on current listings on Migrate Mate as of October 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, Richardson, and San Antonio 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 22% of medical coding specialist openings tied to Texas are remote or hybrid as of October 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 20 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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