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 49+ Medical Coding Specialist jobs
INTRODUCTION
Exciting Opportunity For Medical Coding Specialist at University Health in San Antonio!
Are you ready to make an impact in healthcare and be part of a nationally recognized, top-tier health system? University Health in San Antonio, Texas, is seeking a dynamic Coding Specialist to join our outstanding team. This position offers an exciting chance to work at one of the most innovative and award-winning hospitals in the region.
Why University Health?
- Top 10% in the Nation for clinical excellence, recognized by U.S. News & World Report.
- Magnet® Recognized Hospital – the highest national honor for nursing excellence.
- A Leader in Patient Care – providing exceptional healthcare to our community with compassionate service.
- Top-Tier Benefits – comprehensive health plans, generous paid time off, tuition reimbursement, and more!
- Cutting-Edge Technology – work with the Epic EHR system and collaborate with experts across clinical, IT, and financial departments.
- A Culture of Collaboration – join a team committed to high-quality service and patient care.
ROLE AND RESPONSIBILITIES
As a Coding Specialist, you'll be the crucial link between clinical, financial, and IT teams. Your expertise will help maintain the highest standards for charge capture across all clinical services, ensuring accurate and timely charge entry. You’ll provide invaluable support to various clinical departments, leading training, identifying issues, and delivering actionable solutions.
Key Responsibilities:
- Medical Coding:
-
Code inpatient, outpatient surgery, and observation visits accurately using ICD-9-CM and CPT coding systems.
-
Training:
-
Assist in training new coding technicians, providing guidance and support where needed.
-
Compliance & Quality Assurance:
-
Ensure coding meets regulatory requirements and health system standards.
-
Guest Relations:
- Promote and adhere to the Health System's guest relations policy, maintaining professionalism and respect in all interactions.
BASIC QUALIFICATIONS
Educational Requirements:
- High school diploma or equivalent required.
- Formalized education and training through an accredited coding program is mandatory.
Experience Requirements:
- Minimum of three years of inpatient coding experience required.
Certifications:
- Must possess one of the following certifications:
- Registered Health Information Technician (RHIT)
- Registered Health Information Administrator (RHIA)
- Certified Coding Specialist (CCS)
Technical Skills:
- Proficient in Microsoft Office products.
- Knowledge of 3M Encoding and Grouping software.
- Understanding of regulatory requirements related to coding.
WHY JOIN US?
At University Health, you’ll be part of an organization that is dedicated to excellence, innovation, and collaboration. We believe in empowering our employees to succeed and grow—whether that’s advancing your career or enhancing your professional skills. Working at University Health means making a real difference in the lives of our patients and community.
Ready to take the next step in your career? Apply today and become part of the University Health family, where exceptional care and a supportive team environment are at the heart of everything we do!
University Health – Excellence in Patient Care, Excellence in Your Career.
INTRODUCTION
Exciting Opportunity For Medical Coding Specialist at University Health in San Antonio!
Are you ready to make an impact in healthcare and be part of a nationally recognized, top-tier health system? University Health in San Antonio, Texas, is seeking a dynamic Coding Specialist to join our outstanding team. This position offers an exciting chance to work at one of the most innovative and award-winning hospitals in the region.
Why University Health?
- Top 10% in the Nation for clinical excellence, recognized by U.S. News & World Report.
- Magnet® Recognized Hospital – the highest national honor for nursing excellence.
- A Leader in Patient Care – providing exceptional healthcare to our community with compassionate service.
- Top-Tier Benefits – comprehensive health plans, generous paid time off, tuition reimbursement, and more!
- Cutting-Edge Technology – work with the Epic EHR system and collaborate with experts across clinical, IT, and financial departments.
- A Culture of Collaboration – join a team committed to high-quality service and patient care.
ROLE AND RESPONSIBILITIES
As a Coding Specialist, you'll be the crucial link between clinical, financial, and IT teams. Your expertise will help maintain the highest standards for charge capture across all clinical services, ensuring accurate and timely charge entry. You’ll provide invaluable support to various clinical departments, leading training, identifying issues, and delivering actionable solutions.
Key Responsibilities:
- Medical Coding:
-
Code inpatient, outpatient surgery, and observation visits accurately using ICD-9-CM and CPT coding systems.
-
Training:
-
Assist in training new coding technicians, providing guidance and support where needed.
-
Compliance & Quality Assurance:
-
Ensure coding meets regulatory requirements and health system standards.
-
Guest Relations:
- Promote and adhere to the Health System's guest relations policy, maintaining professionalism and respect in all interactions.
BASIC QUALIFICATIONS
Educational Requirements:
- High school diploma or equivalent required.
- Formalized education and training through an accredited coding program is mandatory.
Experience Requirements:
- Minimum of three years of inpatient coding experience required.
Certifications:
- Must possess one of the following certifications:
- Registered Health Information Technician (RHIT)
- Registered Health Information Administrator (RHIA)
- Certified Coding Specialist (CCS)
Technical Skills:
- Proficient in Microsoft Office products.
- Knowledge of 3M Encoding and Grouping software.
- Understanding of regulatory requirements related to coding.
WHY JOIN US?
At University Health, you’ll be part of an organization that is dedicated to excellence, innovation, and collaboration. We believe in empowering our employees to succeed and grow—whether that’s advancing your career or enhancing your professional skills. Working at University Health means making a real difference in the lives of our patients and community.
Ready to take the next step in your career? Apply today and become part of the University Health family, where exceptional care and a supportive team environment are at the heart of everything we do!
University Health – Excellence in Patient Care, Excellence in Your Career.
See All 49 Medical Coding Specialist Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
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
- CHRISTUS Health8
- Driscoll Children's Hospital5
- Houston Methodist5
- University Health4
- University of Texas Medical Branch4
Top Industries Hiring
- Healthcare & Medical Services33
- Education7
- Insurance3
- Biotechnology & Pharmaceuticals2
- Consulting & Professional Services2
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 CHRISTUS Health, Driscoll Children's Hospital, and Houston Methodist, based on current listings on Migrate Mate as of June 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, Dallas, 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 20% of medical coding specialist openings tied to Texas are remote or hybrid as of June 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 49 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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