46 jobs found in Brentwood, TN

Job Description Job Description PYA is seeking a Professional Coding Auditor/Consultant to join its high-performing and privately-owned firm with a dynamic culture and a strong national reputation. This individual will support PYA’s Revenue Integrity team in a professional coding auditor role . RESPONSIBILITIES: Responsible for the accurate review of PYA clients’professional fee coding per industry coding audit standards, support of the management team with project management tasks, support of the verbal and written reporting to the client, and conducting provider coding and documentation education ( generally, conducted remotely ). Coding auditing of complex services rendered by physician and non-physician practitioners using current coding guidelines, with attention to Medicare, medical necessity, and NCD/LCD requirements. Professional coding auditing expertise in multiple specialties is required, including...

Ovation Healthcare Facility Inpatient Coder Welcome to Ovation Healthcare! At Ovation Healthcare, we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We're looking for talented, motivated...

Ovation Healthcare At Ovation Healthcare, we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We're looking for talented, motivated professionals with a desire to help independent hospitals...

Job Title and Company Cardiology Profee Coder at HCA Healthcare About the Company HCA Healthcare is recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute and is dedicated to delivering respectful, compassionate care. Parallon, a full‑service revenue cycle management partner of HCA Healthcare, provides services such as scheduling, registration, insurance verification, billing, and revenue integrity to over 1,000 hospitals and 3,000 physician practices. Job Summary As a Profee Coder, you will review and code clinical notes and operative reports for a minimum of one specialty, provide documentation advice to physicians and coders, work with the denials team to resolve coding‑related denials, and promote high‑quality coding practices across the organization. Responsibilities Review and code clinical notes and operative reports for assigned specialty/specialties. Coordinate and reconcile multiple schedules to ensure complete charge capture. Enter...

A large healthcare organization in Brentwood, TN seeks an Entry-Level Profee Coder to review and code clinical notes and operative reports. The role involves ensuring coding compliance and resolving medical billing denials. Candidates should possess a high school diploma or GED, two years of coding experience is preferred. Certification through AHIMA or AAPC is required. The position offers full-time employment with a comprehensive benefits package, including telemedicine services and a 401(k) plan. #J-18808-Ljbffr

Job Description Job Description We are seeking a skilled Medical Coding Specialist to manage the initial submission of insurance claims and self-pay posting in line with established procedures. The ideal candidate will also address coding-related denials and handle the resubmission of corrected claims. Responsibilities encompass a broad range of coding tasks, including CPT, ICD-10, and HCPC coding, electronic claims submission, and providing coding feedback to practice staff, physicians, and management. This position is fully remote. Key Responsibilities: Accurately code CPT, ICD-10, modifiers, and HCPC codes from physician/clinic documentation for both professional and facility billing. Work with A/R and Billing teams to resolve coding-related denials and rejections. Address and resolve denied claims promptly, following coding guidelines and policies. Provide feedback and updates to the Coding Manager on billing/coding, charge entry, and denial trends. Complete...

Medical Coding Specialist - OBGYN/Fertility Join to apply for the Medical Coding Specialist - OBGYN/Fertility role at Aspire Fertility Austin . We are seeking a skilled Medical Coding Specialist to manage the initial submission of insurance claims and self‑pay posting in line with established procedures. The ideal candidate will also address coding‑related denials and handle the resubmission of corrected claims. Responsibilities encompass a broad range of coding tasks, including CPT, ICD‑10, and HCPC coding, electronic claims submission, and providing coding feedback to practice staff, physicians, and management. This position is fully remote. Key Responsibilities Accurately code CPT, ICD‑10, modifiers, and HCPC codes from physician/clinic documentation for both professional and facility billing. Work with A/R and Billing teams to resolve coding‑related denials and rejections. Address and resolve denied claims promptly, following coding guidelines and policies. Provide...

A leading fertility organization is seeking a skilled Medical Coding Specialist to manage insurance claims and coding tasks. The role involves accurately coding CPT, ICD-10, and HCPC codes, addressing coding-related denials, and collaborating with the billing team. Candidates should have at least a High School diploma, preferred certification, and relevant experience in medical billing. Enjoy comprehensive health coverage and generous PTO benefits in a fully remote work environment. #J-18808-Ljbffr

A healthcare organization in Franklin, TN is looking for a claims auditor. The role involves conducting audits for Medicare and Medicaid plans, ensuring compliance and delivering quality customer service. Candidates should have at least two years of experience in claims processing and strong knowledge of CMS requirements. Benefits include affordable health insurance, generous paid time off, and a supportive team environment. This is a hybrid role requiring some on-site work. #J-18808-Ljbffr

A healthcare organization is seeking a skilled Medical Coding Specialist to manage insurance claims related to OBGYN and fertility services. This remote role requires strong coding skills in CPT and ICD-10, as well as experience in resolving coding-related denials. The candidate should have a high school diploma and ideally possess CPC certification. With comprehensive benefits including health coverage, paid time off, and family building support, this position offers great opportunities for professional growth. #J-18808-Ljbffr

Medical Coding Specialist - OBGYN/Fertility Job Category : Revenue Cycle Requisition Number : MEDIC004717 Apply now Posted : December 1, 2025 Full-Time Remote Locations Showing 1 location Inception Fertility - Franklin | 104A 5000 Meridian Blvd, Ste 250 Franklin, TN 37067, USA Description We are seeking a skilled Medical Coding Specialist to manage the initial submission of insurance claims and self‑pay posting in line with established procedures. The ideal candidate will also address coding‑related denials and handle the resubmission of corrected claims. Responsibilities encompass a broad range of coding tasks, including CPT, ICD‑10, and HCPCS coding, electronic claims submission, and providing coding feedback to practice staff, physicians, and management. This position is fully remote. Key Responsibilities: Accurately code CPT, ICD‑10, modifiers, and HCPCS codes from physician/clinic documentation for both professional and facility billing. Work with A/R and...

Environmental Services Evs Supervisor The Environmental Services EVS Supervisor is responsible for developing and implementing facility solutions. This role will lead the operations of facility accounts by ensuring areas of responsibility meet objectives and client expectations. Model key leadership behaviors and ensure the highest levels of safety, quality and service excellence for employees, clients and consumers. Reward and recognize employees. Identify and engage top talent and develop team members to their fullest potential within the organization. Plan and lead team management meetings. Ensure safety and sanitation standards in all operations. Establish and maintain effective client and customer rapport for a mutually beneficial business relationship. Identify client needs and communicate operational progress. Deliver and model WEST as the foundation for delivering excellent customer service. Assists with planning and information as the standard selling model (STAR) is...

Baylor Scott & White Health Job Posting 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. 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: Eligibility on day 1 for all benefits Dollar-for-dollar 401(k) match, up to 5% Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more Immediate...

Allegheny Health Network Job Posting General Overview: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD 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 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 guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work (5%) Performs other duties as...

Join Our Caring Community Become a part of our caring community and help us put health first. The Senior Provider Reimbursement Professional - Certified Medical Coder performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insurance. The Senior Provider Reimbursement Professional works assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Role Overview Identifies reimbursement policy and process recommendations (primarily with respect to proposed new code edits and the specifics of existing code edits that are reviewed), ensuring compliance with government regulations, contractual considerations, and relevant business decisions. Analyzes provider reimbursement patterns and trends. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding...

Health Information Coding Specialist Health Information Coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. Job Duties: Reviews the content of the medical record for hospital and professional inpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient severity and...

Senior Provider Reimbursement Professional - Certified Medical Coder Become a part of our caring community and help us put health first. The Senior Provider Reimbursement Professional - Certified Medical Coder performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insurance. The Senior Provider Reimbursement Professional works assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Role Overview: Identifies reimbursement policy and process recommendations (primarily with respect to proposed new code edits and the specifics of existing code edits that are reviewed), ensuring compliance with government regulations, contractual considerations, and relevant business decisions. Analyzes provider reimbursement patterns and trends. Begins to influence department's strategy. Makes decisions on...

Senior Medical Coder The Senior Medical Coder plays a critical role in supporting clinical trials by ensuring the accurate, consistent, and timely coding of medical terms using standardized dictionaries (e.g., MedDRA, WHO Drug). This individual brings advanced knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as a subject matter expert and collaborates cross-functionally with clinical operations, data management, safety/pharmacovigilance, biostatistics, and medical writing teams to maintain high-quality data that meet global regulatory standards. Medical Coding Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries. Review and validate coding performed by other coders to ensure consistency and accuracy. Identify ambiguous or unclear terms and query clinical sites or data management for...

Inpatient Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

Inpatient Medical Coding Auditor As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams. In this role, you will: Review ICD-10 inpatient patient records for accuracy and compliance Review physician documentation to verify diagnosis and procedures Communicate with physicians to obtain or clarify diagnosis and/or procedures via the query process Assign accurate ICD-10-CM and ICD-10-PCS codes utilizing an electronic encoder application, 3M, in accordance with practice policy and regulatory guidelines Complete reports as requested Provide ICD-10-CM and ICD-10-PCS education and mentoring to Companys clients in coding, billing and compliance Perform Peer Reviews of Company Health Information Management coding auditors and coders Assure that services provided to Clients of Company are current and up-to-date with industry...

Join to apply for the Coding Auditor Sr role at Elevance Health JR171732 Coding Auditor Sr CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through homecare and community-based services. The CareBridge Coding Auditor Sr is responsible for auditing coders that diagnosis data collected from physician and hospital medical records to ensure proper ICD-9 coding and compliance with risk adjustment requirements. Location: Virtual. This role enables associates to work virtually full-time, with the exception of required in‑person training sessions (when indicated), providing maximum flexibility and autonomy. This approach promotes productivity, supports work‑life integration, and ensures essential face‑to‑face onboarding and skill development. Candidates not within a reasonable...

Coding Auditor Sr Anticipated End Date: 2025-12-12 Job Description JR171732 Coding Auditor Sr. CareBridge Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based settings to maximize their health, independence, and quality of life through homecare and community-based services. The CareBridge Coding Auditor Sr is responsible for auditing coders that diagnosis data collected from physician and hospital medical records to ensure proper ICD-10 coding and compliance with risk adjustment requirements. Location Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions (when indicated), providing maximum flexibility and autonomy. Hours 8:00 a.m. - 5:00 p.m., Monday - Friday How you will make an impact Audits coders that diagnosis data retrieved from physician and hospital medical records and/or data...

A healthcare technology company is seeking a Clinical Educator RN to train Registered Nurses on medical devices used for vascular access and blood collection. This role requires an RN degree and 3-5 years of vascular access experience. Candidates will provide education and support to nurses, assess training needs, and travel regionally and nationally. Compensation ranges from $40 to $42 per hour. No benefits are included, and visa sponsorship is not available. #J-18808-Ljbffr

A leading health data exchange company is seeking experienced outpatient coders to join their remote team. The ideal candidate will possess AHIMA or AAPC coding credentials and have at least 2 years of coding experience. Responsibilities include reviewing medical records for accurate coding and maintaining coding accuracy. The role offers flexibility and uses advanced coding systems like Cerner PowerChart and 3M360. Competitive hourly pay ranging from $20 to $35 will be offered, dependent on qualifications. #J-18808-Ljbffr