32 coder professional jobs found in Nashville

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program LICENSES AND CERTIFICATIONS Required Must have one of the following: • RHIT - Certified Health Information Technician (AHIMA) • RHIA - Registered Health Information Administrator (AHIMA) • CCS - Certified Coding Specialist (AHIMA)...

Fully Remote Lake Park Building Full time R180631 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Vanderbilt University Medical Center in Nashville seeks a skilled Medical Coder to review and code diagnoses and procedures from the electronic medical record. You will assign principal and secondary ICD-10-CM codes and ICD-10-PCS procedures, ensuring accuracy per AHIMA standards and regulatory guidelines. You will draft physician queries to clarify documentation for optimal coding and quality reporting. The role emphasizes handling mortality and high-dollar complex discharges, evaluating #J-18808-Ljbffr

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Job Summary And Qualifications The candidate must have Home Health Coding experience. As a Home Health Coder II, you will be responsible for reviewing and coding for home health and hospice utilizing clinical notes (i.e., H&P, recent Discharge summary progress notes, F2F notes, etc.). You will document recommendations for coding and OASIS edits. You will work with team lead and/or denials team to resolve coding related issues. You will serve as a key promoter of the Home Health and Hospice & Family Care and is responsible for setting the tone of Parallon coding as a service organization, continuously seeking to understand, meet and exceed customer expectations and needs. What you will do in this...

## Compliance AuditorApplylocations: MHC Nashville, TNtime type: Full timeposted on: Posted Todayjob requisition id: JR102201Ranked one of Tennessee’s top places to work, MHC is a rare and special place where outstanding company culture is intentional. Where clients and associates are treated the same, as equals.Mental Health Cooperative, Inc. (MHC) was formed in 1993 to serve individuals with severe and persistent mental illness. Since then, we have expanded our services to children and adolescents with severe emotional disorders across Middle and East Tennessee.Our sole purpose is to support and treat those challenged with serious mental illness and poverty. Although based out of Nashville, we serve several communities across middle and East Tennessee with satellite offices in Antioch, Gallatin, Dickson, Columbia, Cleveland, Murfreesboro, Clarksville, Cookeville, Chattanooga, and Memphis.If you are interested in joining a team that is caring, collaborative, innovative...

Coder Wfh Do you have the career opportunities as a Coder WFH you want with your current employer? Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Job Summary and Qualifications The Coder WFH with Physician Services reviews and codes designated office/hospital notes for one or multiple practices and resolves complex coding scenarios. The Coder WFH provides feedback and documentation advice to the physician non physician practitioner, and practice management and works with AR to resolve coding related denials. ***While this role is Work from Home, candidates must be in the Kansas or Missouri area to round with the practice and meet as needed.*** Duties Include But Not Limited To: Receives and reviews charge documents from the clinic and/or hospital. Ensures charge information provided is correct and...

HCA Healthcare, through Parallon, seeks a Home Health Coder II to review and code clinical notes for home health and hospice. You will document coding recommendations, resolve denials with the A/R team, and contribute to ensuring accurate OASIS submissions in CMS workflows. The role requires coding certification and at least two years of professional fee coding experience, with preference for Home Health/Hospice specialty coding and knowledge of medical terminology. #J-18808-Ljbffr

Surgery Partners, Inc. seeks a Billing and Coding Supervisor to oversee medical office billing procedures and ensure accurate claims processing. The role requires knowledge of Physician E&M billing, CPT/HCPCS, ICD-9 coding, and familiarity with Medicare/Medicaid guidelines. The ideal candidate has at least two years of experience in medical billing and a billing certification is preferred. This on-site position offers comprehensive benefits and opportunities for professional development. #J-18808-Ljbffr

Vanderbilt Health in Nashville, Tennessee, seeks a qualified Medical Coder to assign diagnoses and procedures from encounters using designated coding classification, ensuring accuracy and regulatory compliance. You will support on-going staff training, address documentation gaps, and act as a coding SME within a large health system, with opportunities for professional growth and a comprehensive benefits package. #J-18808-Ljbffr

A prominent health system in Nashville is seeking a qualified individual for an inpatient coding position. The ideal candidate must have an Associate’s degree or similar, at least one year of coding experience, and relevant certifications like RHIT, RHIA, or CCS. The role demands proficiency in coding knowledge, effective communication, and maintaining quality standards in coding and productivity. Join a leading healthcare provider dedicated to high-quality patient care. #J-18808-Ljbffr

SUPERVISION RECEIVED: Billing and Coding Supervisor EDUCATION/EXPERIENCE High school diploma. Minimum of two years of experience with medical office billing procedures. Billing Certification preferred. KNOWLEDGE Knowledge and understanding of Physician E&M billing and coding required. Certified Coder preferred. Knowledge of clinic policies and procedures. Knowledge of 3rd party payers, Medicare, Medicaid Billing/Collections, HCPC, CPT, and ICD-9 coding. Knowledge of computer systems, programs, data entry, and spreadsheet applications. Knowledge of medical terminology and analyzing information. Knowledge of collection practices. Knowledge of governmental, legal, and regulatory provisions related to collection activity. ESSENTIAL FUNCTIONS Resolves disputed claims by gathering, verifying, providing additional information, and following-up on claims. Resolves discrepancies by examining and evaluating data and selecting corrective steps. Maintains work operations...

Job Description Job Description Certified Medical Coder Location: Houston, TX 77024 Work Arrangement: Hybrid Duration: 13 Weeks Position Overview We are seeking an experienced Certified Medical Coder with strong expertise in outpatient Neurosurgery and Evaluation & Management (E/M) coding. The ideal candidate will have a solid understanding of physician-service coding, ICD-10-CM, CPT-4, and appropriate use of modifiers. Key Responsibilities Perform accurate and timely coding for outpatient Neurosurgery physician services . Code outpatient Evaluation & Management (E/M) services. Apply ICD-10-CM diagnosis codes accurately. Assign appropriate CPT-4 procedure codes. Apply modifiers appropriately based on documentation and coding guidelines. Review clinical documentation to determine appropriate codes and ensure coding accuracy. Ensure compliance with applicable coding guidelines and payer requirements. Work effectively in a hybrid environment...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

The Medical Coder and Accounts Receivable (AR) Specialist is responsible for accurately assigning medical codes to diagnoses, procedures, and services provided by healthcare providers. In addition to coding duties, this role will handle accounts receivable functions, ensuring timely collection of payments from insurance companies and patients. The ideal candidate will possess strong knowledge of medical coding systems and healthcare revenue cycle processes, with a focus on maintaining compliance with regulations and optimizing revenue collection. Daily Tasks: Accurately assign appropriate ICD-10, CPT, and HCPCS codes to patient diagnoses, treatments, and procedures based on physician documentation. Ensure coding practices adhere to all relevant regulations, payer guidelines, and healthcare industry standards. Review and interpret clinical documentation to ensure proper coding of complex cases. Identify and correct coding errors and discrepancies to prevent claims denials and...

Job Details Job Location: Midtown Plaza (PLZ) - Nashville, TN 37203. Position Type: Full Time. Job Shift: Day. Job Category: Finance. Summary The Charge Entry Specialist captures and reviews all billing codes prior to electronic claims filing, for accuracy and adherence to payer specific coding guidelines, for a multi-specialty physician group practice. Essential Duties and Responsibilities Captures and reviews daily charges from the Electronic Health Record’s Charge Passing System to ensure standard coding and billing guidelines are followed correctly. Utilizes CPT, ICD-10CM, and HCPCS coding as well as correct Modifier usage during daily reviews of Primary Care services. Other specialties may be added based on performance level. Communicates effectively and respectfully, both in verbal and written form, with providers or clinical staff to obtain missing or incomplete information. Audits the imported encounters against the daily appointment schedule to ensure all encounters have...

Vanderbilt University Medical Center in Nashville seeks a professional coder to review, accurately assign, and abstract codes for diagnoses and procedures in professional and outpatient settings, independently using designated coding classifications. This role supports ongoing staff training and ensures regulatory compliance, with AHIMA certifications preferred and a minimum of four years of experience in medical coding. The position emphasizes accuracy, quality, and process improvement. #J-18808-Ljbffr

Evolving Solution Services in Nashville, TN is seeking a Medical Coder/Accounts Receivable Specialist to accurately code diagnoses, procedures, and services while managing AR tasks. The role requires CPC/CCS certification, 2+ years of coding/AR experience, and expertise with ICD-10, CPT, HCPCS, HIPAA, and EMR/billing software. In-person schedule is 8:00 AM–4:30 PM. Join a team focused on compliant coding practices and timely revenue collection. #J-18808-Ljbffr

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Coder/Accounts Receivable Specialist Full Time, Nashville, TN, US. 13 days ago. Requisition ID: 1005. Salary Range: $21.00 to $25.00 Hourly. Job Description The Medical Coder and Accounts Receivable (AR) Specialist is responsible for accurately assigning medical codes to diagnoses, procedures, and services provided by healthcare providers. In addition to coding duties, this role will handle accounts receivable functions, ensuring timely collection of payments from insurance companies and patients. The candidate should have strong knowledge of medical coding systems and healthcare revenue cycle processes, with a focus on maintaining compliance with regulations and optimizing revenue collection. Daily Tasks Accurately assign appropriate ICD-10, CPT, and HCPCS codes to patient diagnoses, treatments, and procedures...

Medical Billing Specialist/Coder, Business Office, Downtown Nashville Midtown Plaza (PLZ) - Nashville, TN 37203 Overview Position Type Full Time Job Shift Day Category Finance Description SUMMARY: The Charge Entry Specialist captures and reviews all billing codes prior to electronic claims filing, for accuracy and adherence to payer specific coding guidelines, for a multi-specialty physician group practice. ESSENTIAL DUTIES AND RESPONSIBILITIES: Reviews daily charges from the electronic health record to ensure coding and billing guidelines are followed Utilizes CPT, ICD-10CM, and HCPCS coding and modifier usage during daily reviews Utilizes various coding and billing references to resolve complex billing scenarios Ensures progress notes are coded accurately and to the highest level of specificity Maintains strong knowledge of payer billing guidelines and policies Researches front-end claim rejections and works cooperatively with appropriate staff to...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Nephrology Associates, P.C. in Nashville, TN seeks a Medical Coder and AR Specialist to accurately code diagnoses, procedures, and services while overseeing accounts receivable processes. The ideal candidate will hold a medical coding certification (AAPC CPC/ CCS or equivalent), have 2+ years in medical coding or AR, and be proficient with ICD-10, CPT, HCPCS, HIPAA, and EMR software. Join our team to help ensure compliant coding and timely revenue collection. #J-18808-Ljbffr