20 tasks, each one witnessed by the sources that watched the job — and behind every one, a prompt you can use tonight.
You usually work at a computer reading patient charts, lab results, and discharge summaries to assign correct clinical codes (ICD, CPT). Much of the day is in an electronic health record like Epic, MEDITECH, or eClinicalWorks entering and checking codes and patient data.
You also post medical insurance billings, release information per regulations, and answer coding questions from billers or clinicians. Expect blocks of focused coding work, short meetings with supervisors, and time updating or filing records in SharePoint, Excel, or Access.
Start with Epic or eClinicalWorks, since many hospitals and clinics use them for notes and orders; learn how to find visit notes, discharge summaries, and billing tabs. MEDITECH is common in community hospitals.
Also be comfortable with Microsoft Excel for simple reports, Outlook for communication, and SharePoint for shared files. Knowing how to open and export patient lists from Access can help in larger record projects.
According to the U.S. Bureau of Labor Statistics (BLS, 2025), there were 194,720 employed medical coders. The median pay is $51,140 per year, the lowest tenth is $37,000, and the top tenth is $81,150.
Pay varies by location, employer, specialty, and experience. Hospital coders often earn more than small clinics; remote work and certification (CPC, CCS) can push pay toward the higher ranges.
Take an entry-level medical coding course that covers ICD-10 and CPT codes and reimbursement basics. Look for programs that include practice with an EHR (Epic or eClinicalWorks) or exercises that mimic them.
Get a basic understanding of anatomy and common procedures. After training, aim for a certification (AAPC's CPC or AHIMA's CCS) and get hands-on practice entering codes and compiling patient files. Employers value tested skills and EHR familiarity.
A medical coder assigns clinical codes (ICD, CPT) from patient notes and ensures coding accuracy for billing and statistics. Coders use EHRs (Epic, MEDITECH) and classification systems to classify medical information.
A medical records clerk compiles and maintains patient files, releases information under regulations, and manages physical or electronic records. A biller posts insurance billings and follows up on payments. Some roles overlap in small offices, but coding focuses on clinical classification.
AI can help suggest codes or summarize notes, but you must verify every code yourself. The employer's policies and HIPAA rules require that patient data stay secure; never upload identifiable records to unauthorized cloud tools. Use approved features within Epic, eClinicalWorks, or an employer-approved AI module.
Follow your department policies, log actions in the EHR, and ensure any AI recommendations are documented and checked. When in doubt, discuss with your supervisor or privacy officer before using new tools.
Accuracy in assigning codes and attention to detail when you review records for accuracy are essential — coding mistakes affect billing and compliance. Learn to find key documentation quickly in Epic, MEDITECH, or eClinicalWorks and practice matching procedures to CPT/ICD codes.
Communication matters: you’ll need to explain coding issues to clinicians and train or supervise staff occasionally. Basic Excel and report skills, plus understanding how to post medical insurance billings, make you more useful and promotable.