44 benefit coder jobs found

Required Skills & Experience Certified coder (CPC, CCS, CRC, CCA, or equivalent certification) Strong ICD-10-CM coding experience and medical record review background Knowledge of Risk Adjustment and HCC coding methodologies Experience reviewing physician documentation and assigning accurate diagnosis codes Strong understanding of medical terminology, anatomy, physiology, and disease processes Ability to interpret complex clinical documentation with high accuracy and productivity Familiarity with CMS guidelines and Medicare Advantage requirements Nice to Have Skills & Experience Medicare Advantage Risk Adjustment experience Experience working with CMS-HCC models CRC (Certified Risk Adjustment Coder) certification Experience with EMRs and coding software platforms Background in a health plan, physician practice, hospital, or revenue cycle environment Audit and quality assurance experience Job Description Insight Global is seeking Medical Coders specializing in Risk...

Overview Coder Analyst Specialist Full Time, Day Shift Covenant Medical Group Overview: Covenant Medical Groupis the employed and managed medical practice organization of Covenant Health, providing comprehensive care across East Tennessee. With more than 300 physicians and advanced practice providers in 20 communities, our team deliversexpertiseacross a broad spectrum of specialtiesfrom primary careand walk-in clinics topreventive medicineandadvanced surgical andsubspecialty services.We are committed to offering coordinated, patient-centered care that spans the continuum of health needs, ensuring access to exceptional providers close to home. Position Summary: Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding initiatives. Abstracts and enters data from the medical...

Coder Analyst Specialist Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group Overview: Covenant Medical Group is the employed and managed medical practice organization of Covenant Health, providing comprehensive care across East Tennessee. With more than 300 physicians and advanced practice providers in 20 communities, our team delivers expertise across a broad spectrum of specialties from primary care and walk-in clinics to preventive medicine and advanced surgical and subspecialty services. We are committed to offering coordinated, patient-centered care that spans the continuum of health needs, ensuring access to exceptional providers close to home. Position Summary: Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding initiatives. Abstracts and...

Job Description Job Description Certified Medical Biller and Coder Position Summary Xpedited Care is seeking an experienced Certified Medical Biller and Coder responsible for accurate medical coding, claim submission, payment posting, denial management, accounts receivable follow-up, and overall revenue cycle support. The Certified Medical Biller and Coder must ensure that services are coded and billed accurately based on provider documentation, payer requirements, and applicable coding guidelines. This position requires strong attention to detail, knowledge of urgent care and primary care billing, and the ability to identify and resolve claim issues before they negatively affect reimbursement. Essential Duties and Responsibilities Medical Coding and Charge Review Review provider documentation for completeness and coding accuracy before claim submission. Assign and validate appropriate ICD-10-CM, CPT, and HCPCS Level II codes. Review E/M services and determine...

***Work at Home*** Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee. TOA concentrates on the diagnosis and treatment of disorders and injuries of the musculoskeletal system which allow our patients to live their best life. Ninety plus years later we are advancing the practice of orthopaedic surgery throughout the state. There are a number of reasons why TOA is an employer of choice; here are a few of them: Stability - TOA has been in Middle Tennessee since 1926 and has expanded to over 20+ locations across the state! Impact - TOA's team members use our careers — whether in our clinics or our business office to make a positive difference in the community by building relationships and helping patients live their best life. Work Environment - The TOA team focuses on fostering an excellent working environment; one of positivity, collaboration, job satisfaction, and engagement. Total Rewards - TOA offers a comprehensive suite...

Outpatient Coding AuditorCGI is one of the largest global IT and business consulting services firms, helping clients achieve meaningful outcomes through technology, expertise, and innovation. With a global presence and a collaborative, ownership-driven culture, CGI empowers its professionals to deliver impactful solutions that make a difference for clients and the communities they serve.CGI is seeking an experienced Outpatient Coding Auditor to join our Healthcare Compliance Audit Team. In this role, you will leverage your outpatient coding, clinical documentation, and reimbursement expertise to conduct comprehensive medical record audits and identify potential improper payments, including overpayments and underpayments. You will review claims across outpatient hospitals, ambulatory surgical centers, physician practices, and other healthcare settings, delivering accurate, well-supported, and thoroughly documented audit findings.This is a fully remote position open to candidates...

Become a part of our caring community Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Outpatient Behavioral Health Coding disputes and is part of the PPI Coding Disputes Team with Humana. The Outpatient Behavioral Health Coding Auditor on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient Behavioral Health coding disputes and expertise in CPT/HCPCS...

Department 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status Full time Benefits Eligible Yes Hours Per Week 40 Schedule Details/Additional Information Will support Schedule Full-time, Monday-Friday 40hrs with a standard schedule of Monday through Friday, 8 hours per day, totaling 40 hours each week. A mix of inpatient community and academic coding. Includes service lines such as cardiology, neurology, and oncology. Certification required Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Remote opportunity Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY Pay Range $33.05 - $49.60 Major...

Our Mission : Quality, compassionate care for all.Our Vision : Reimagine health care through connection, service and innovation.Our Core Values : Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence. Join Our Professional Coding Team! Logan Health, a growing health system located in Northwest Montana, is looking for an experienced Certified Professional Coder to be part of their team! Location: Remote (see approved states list) Schedule: Day Shift - 8 Hours | Full Time - 40 Hours Pay details: Pay for this position ranges from $26.25per hour to $35.50 per hour depending on prior related work experience. Who you are Our ideal candidate will have at least one year of professional coding work experience, and you must hold a nationally recognized coding certificate. What you'll be doing This position accurately assigns appropriate ICD-10-CM and CPT-4 codes to outpatient records. It involves abstracting essential data elements for tracking, reporting, and...

***Work at Home*** Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee. TOA concentrates on the diagnosis and treatment of disorders and injuries of the musculoskeletal system which allow our patients to live their best life. Ninety plus years later we are advancing the practice of orthopaedic surgery throughout the state. There are a number of reasons why TOA is an employer of choice; here are a few of them: Stability - TOA has been in Middle Tennessee since 1926 and has expanded to over 20+ locations across the state! Impact - TOA's team members use our careers — whether in our clinics or our business office to make a positive difference in the community by building relationships and helping patients live their best life. Work Environment - The TOA team focuses on fostering an excellent working environment; one of positivity, collaboration, job satisfaction, and engagement. Total Rewards - TOA offers a comprehensive suite...

National Staffing Solutions is hiring a Professional Healthcare Coder (CPC) at National Staffing Solutions for an on-site position in Murfreesboro, Tennessee. This position is 100% ON-SITE Job Details Position: Certified Professional Coder (CPC) Specialty Department: ENT (Ear, Nose, and Throat) and Gastroenterology Location: Murfreesboro, TN (On-site) Schedule: Full-time, Monday–Friday, standard 8-hour day shift Pay Rate: $21.33 to $27.00 per hour (based on experience) Employment Type: Full-time Permanent Position Key Responsibilities Assign accurate ICD-10 and CPT codes based on provider and physician documentation. Ensure medical record documentation and billed charges meet compliance guidelines. Work accounts receivable (A/R) queues to resolve billing errors and claim denials. Provide coding feedback and training to physicians and clinical staff. Benefits Offered Medical, dental, and vision insurance...

Surgery Partners is committed to complying with all applicable provisions of the Americans with Disabilities Act, as amended (“ADA”), and applicable state and local laws. It is the Company’s policy not to discriminate against any qualifiedpeople or applicant with regard to any terms or conditions of employment on the basis of such individual’s disability. Consistent with this policy of non-discrimination, the Company will provide reasonable accommodations to an individual with a disability, as defined in the ADA or applicable law, who has made the Company aware of his/her disability, unless doing so would cause an undue hardship to the Company. If you are an applicant and need a reasonable accommodation when applying for job opportunities within the Company or request a reasonable accommodation to utilize the Company’s online employment application, please contact talentacquisition@surgerypartners.com JOB SUMMARY The Coder reviews medical records, codes patient charges, and...

Tennessee Orthopaedic Alliance Job OpportunityWork at HomeTennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee. TOA concentrates on the diagnosis and treatment of disorders and injuries of the musculoskeletal system which allow our patients to live their best life. Ninety plus years later we are advancing the practice of orthopaedic surgery throughout the state.There are a number of reasons why TOA is an employer of choice; here are a few of them:Stability - TOA has been in Middle Tennessee since 1926 and has expanded to over 20+ locations across the state!Impact - TOA's team members use our careers — whether in our clinics or our business office to make a positive difference in the community by building relationships and helping patients live their best life.Work Environment - The TOA team focuses on fostering an excellent working environment; one of positivity, collaboration, job satisfaction, and engagement.Total Rewards - TOA offers a...

Surgery Partners is seeking a Coder to review medical records, code charges, and process timely documentation across ambulatory surgery centers. The role supports physicians and staff to ensure accurate billing. Candidates should have ICD-10-CM and CPT coding experience, prior ASC/anesthesia coding preferred, and a high school diploma. The company offers comprehensive benefits including insurance, HSA, PTO, 401(k), and a supportive team. #J-18808-Ljbffr

Our Benefits Comprehensive Health Coverage: Medical, dental, and vision plans to keep you and your family healthy. Competitive Pay & Full Benefits: A salary and package designed to reward your expertise and dedication. Paid time off Flexible scheduling Future Security: 401(k) with matching. Job Summary The Inpatient Coder is responsible for accurately assigning ICD-10-CM and ICD-10-PCS codes to inpatient medical records, ensuring compliance with coding guidelines, reimbursement policies, and corporate standards. This role supports Health Information Management (HIM) Central Services and works to review inpatient documentation, apply accurate codes, and collaborate with clinical documentation integrity (CDI) teams to optimize coding accuracy and financial integrity. Essential Functions Performs remote inpatient coding for CHS-supported hospitals, reviewing electronic medical records (EMR) and provider documentation to assign accurate diagnosis and procedure codes....

Medical Biller, CMG Business OfficeThis position participates in various functions including the review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims. This position is responsible for billing and follow-up functions for payors in all financial class categories. Serves as a resource for Medical Biller Is, seeking guidance from Supervisor when necessary. This positions also provides patient customer service and releases billing records to approved entities. This position responsible for the timely and accurate completion of assigned tasks to facilitate proper claim processing.ResponsibilitiesActs a resource for Medical Biller Is with resolving intermediate to complex account and claims issues.Provides guidance to other departmental roles (including Customer Service, Collections, Payment Posting) as it pertains to plan eligibility, claims processing details, and patient balance explanations as needed.Responsible...

Overview Medical Biller, CMG Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health’s employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: This position participates in various functions including the review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims. This position is responsible for billing and follow-up functions for payors in all financial...

Tennessee Orthopaedic Alliance Job Opportunity Work at Home Tennessee Orthopaedic Alliance is the largest orthopaedic surgery group in Tennessee. TOA concentrates on the diagnosis and treatment of disorders and injuries of the musculoskeletal system which allow our patients to live their best life. Ninety plus years later we are advancing the practice of orthopaedic surgery throughout the state. There are a number of reasons why TOA is an employer of choice; here are a few of them: Stability - TOA has been in Middle Tennessee since 1926 and has expanded to over 20+ locations across the state! Impact - TOA's team members use our careers whether in our clinics or our business office to make a positive difference in the community by building relationships and helping patients live their best life. Work Environment - The TOA team focuses on fostering an excellent working environment; one of positivity, collaboration, job satisfaction, and engagement. Total Rewards - TOA offers a...

Schedule: Monday-Friday Day Shift Hours Candidate must have Inpatient Facility Coding and DRG Validation experience Job Summary and Qualifications As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments. What you will do in this role: Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan...

This is a remote based position. Applicants can be located nationwide Outpatient Coding Auditor #2972 United States Remote/Nationwide Position Description About You You are a person who enjoys ensuring coding accuracy and solving documentation and compliance challenges. We need someone who demonstrates skills in organization, prioritization, professionalism, and coaching others. In the role of Outpatient Coding Auditor, you will be responsible for quality reviews and audits and coordinating with department managers to ensure standards are met in accordance with department and organization policies. Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM), Procedural Coding System (PCS), Current Procedural Terminology (CPT-4 and Healthcare Common Procedure Coding System...

Job Summary We are seeking a detail-oriented and knowledgeable Medical Billing and Coding Specialist to join our healthcare team. In this role, you will be responsible for accurately coding medical diagnoses and procedures, ensuring compliance with healthcare regulations, and managing medical billing processes. Your expertise in medical terminology and coding systems will be crucial in maintaining accurate patient records and facilitating timely reimbursements. Duties Review and analyze patient medical records to extract relevant information for coding purposes. Assign appropriate ICD-10 codes for diagnoses and procedures in accordance with established guidelines. Ensure accuracy of medical coding to support billing processes and compliance with regulations. Collaborate with healthcare providers to clarify documentation and resolve discrepancies in medical records. Process medical claims for reimbursement. Maintain up-to-date knowledge of changes in coding...

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 you to...

National Staffing Solutions is seeking a Professional Healthcare Coder (CPC) for an on-site role in Murfreesboro, Tennessee. This full-time position offers a standard 8-hour day shift and requires accurate ICD-10 and CPT coding. You will work with provider documentation, resolve billing issues in A/R queues, and provide coding feedback to clinicians. Benefits include medical, dental, vision, FSA, 401(k), and PTO. #J-18808-Ljbffr

Tennessee Orthopaedic Alliance is seeking a Certified Coder to support primary health care and patient care management through precise coding that aligns with documentation and billing policies. The role requires residing in Middle TN, Columbia, or Knoxville, with at least 1 year of coding experience and CPC/CCS-P certification. TOA emphasizes a stable, supportive work environment with comprehensive benefits. #J-18808-Ljbffr