71 billing coder jobs found

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...

US Heart and Vascular is seeking a Medical Coder to join Houston Cardiovascular Associates in Houston, TX. The role focuses on reviewing documentation to validate, assign, and sequence CPT/HCPCS, ICD-10CM, and modifiers for professional encounters. The coder handles complex surgical coding in inpatient and outpatient settings, may include E/M encounters and other diagnostic procedures, and contributes to compliant revenue cycle operations. #J-18808-Ljbffr

Benefits 401(k) 401(k) matching Dental insurance Health insurance Paid time off Vision insurance Busy OB/GYN practice seeking an experienced Certified Medical Coder to join our team. The ideal candidate will have strong knowledge of OB/GYN coding, CPT, ICD-10 and insurance guidelines and be able to work efficiently in a fast-paced medical office environment. Responsibilities Accurate coding of OB/GYN office visits, procedures, and surgeries Reviewing provider documentation for currect code assignment Ensuring compliance with coding regulations and payer guidelines Assisting with claim edits and denials related to coding Qualifications Current certification (CPC, CCS, ore equivalent) required OB/GYN coding experience preferred Strong attention to detail and knowledge of medical terminology Ability to work independently and as part of a team Competitive salary based on experience. Excellent benefit and salary package. Wonderful work environment. Interested...

Job Opportunity At Vitruvian HealthAt Vitruvian Health, we serve with compassion. As the leading healthcare system for northwest Georgia and southeast Tennessee, we are committed not only to strengthening the health of our communities, but also to supporting the growth, success, and well-being of every team member.Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With more than 80 access points across the region—including Hamilton Medical Center and Bradley Medical Center—you'll have the opportunity to be part of something bigger: a connected, mission-driven team making a difference every day.Our core values—Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE)—guide every interaction and decision. We believe in empowering our people, celebrating what makes us unique, and delivering care that reflects the heart of our mission.Join us and build a meaningful career where you're valued, inspired,...

Job Opportunity At Tennessee Orthopaedic Alliance 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...

This position is responsible for coding and abstracting of medical records for Professional Services, as well as working with Providers to clarify or improve areas which affect coding. May also complete special projects related to coding, documentation, and chart auditing. High School Diploma required Certified Professional Coder (CPC), Certified Coding Specialist-Physician Based (CCS-P), other acceptable coding certification. Strong knowledge base of CPT, HCPCS, ICD-10, and coding guidelines. Minimum of 2 years of experience in medical billing/coding with experience in appropriate coding and billing practices for Professional Services. Previous coding for multiple specialties preferred. Demonstrates excellent understanding of ICD10-CM, HCPCS, and CPT-4 coding functions, billing requirements and coding compliance. Knowledge of medical terminology, general office procedures, proficient keyboard and computer skills, knowledge of general office equipment and procedures.

OverviewCoding Analyst, Centralized Coding OutpatientFull Time, 80 Hours Per Pay Period, Day ShiftCovenant Health Overview:Covenant Health is the region’s top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area’s largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times. Position Summary: Analyzes the medical records to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT codes. Confirms appropriate DRG assignment. Communicates with physicians for...

Overview Under general supervision, a Certified Professional Coder is responsible for correctly coding professional healthcare claims in order to obtain reimbursement from private insurance companies and government healthcare programs. This is NOT a remote position. Responsibilities May include any and/or all of the following: Accurately enter patient information into LifeLinc's billing software. Verify patient insurance is valid and active. Organize files and collect data to be entered. Analyze and verify data for errors. Report problems with data received or missing data. Follow-up on data that has not been received. Keep sensitive patient and company information confidential. Appropriately compose and type routine correspondence, memos, letters, etc. Performs other duties as assigned. Qualifications EDUCATION and/or EXPERIENCE High school diploma or general education degree (GED) is required Minimum of 1-year related experience,...

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...

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...

Medical Coder (2097) HCVA - Museo 8th Floor Main - Houston, TX 77004 Overview Position Type Full Time Education Level High School Diploma/GED Category Other Positions Description US Heart and Vascular is in need of a Medical Coder to join our team at Houston Cardiovascular Associates in Houston, TX Position Summary The Professional Fee Medical Coder, Level 3 reviews medical documentation that physicians or other healthcare professionals complete to validate, assign, and sequence CPT/HCPCS, ICD-10CM, and modifiers for clinic and hospital-based professional encounters. The Coder applies coding conventions per official coding and regulatory guidelines, third-party payer policies, and departmental procedures. This role is responsible for complex surgical coding in the inpatient and outpatient settings. May also be assigned E/M encounters, ancillary diagnostic procedures, and other inpatient and outpatient visits. Responsibilities: Reviews encounter in a timely manner and...

Senior Outpatient CoderPosition Details: Full-Time Remote Reports to Coding Operations ManagerYou must reside in one of these states to be eligible for this position:Arkansas California Kentucky Massachusetts Nevada New Mexico Oregon Utah Tennessee Texas WyomingJob Summary:The Senior Coder supports assigned inpatient and/or outpatient coding operations through day-to-day workflow leadership and may provide oversight of coding quality, coding edits, auditing, and staff education.Assigned functions may include inpatient, observation, emergency department, ambulatory surgery, ancillary, clinic, and other hospital-based coding services.The position supports Revenue Cycle Operations with special projects, including denial review, appeals, discharge-not-final-billed management, regulatory and payer edit review, and process improvement efforts designed to meet organizational goals while promoting accurate, complete, and compliant coding and billing.Duties and Responsibilities:Provides...

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

Ranked 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 and energizing this might be a great place for you! Job Title: Compliance Auditor Department: Compliance Reports To: Director of...

***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...

Job Opportunity At Tennessee Orthopaedic AllianceWork 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...

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...

Job TitleDay-to-Day ResponsibilitiesReview and code professional fee encounters using ICD-10-CM, CPT, and HCPCS guidelines.Assign accurate E/M levels, diagnoses, and procedure codes to ensure compliant reimbursement.Abstract key patient and encounter data for billing, regulatory, and reporting purposes.Audit medical records to ensure documentation supports services billed and identify documentation gaps.Communicate with physicians and providers to obtain coding and documentation clarifications.Review and resolve coding-related claim edits, including medical necessity and NCCI/CCI edits.Collaborate with billing and Accounts Receivable teams to resolve coding and reimbursement issues.Maintain quality and productivity standards while meeting a 95% coding accuracy requirement.Work within EMR, hospital information systems, and encoder software in a fully remote environment. Stay current on coding regulations, payer requirements, and continuing education requirements.We are a company...

Job Title 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...

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...

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...

Sweetwater Hospital Association is seeking a Medical Coder to join our healthcare team. The Medical Coder is responsible for accurately reviewing and coding medical records, assigning appropriate diagnosis and procedure codes, and ensuring documentation supports the services provided. The Medical Coder works closely with clinical and administrative staff to maintain accurate, compliant, and timely coding and billing information. Education: High school diploma or equivalent required. Completion of an accredited medical coding program preferred. Current medical coding certification (such as CPC, CCS, or equivalent) preferred. Previous hospital or healthcare coding experience preferred. Knowledge of ICD-10-CM, CPT, and HCPCS coding systems. Strong attention to detail and ability to maintain confidentiality. Knowledge of applicable coding, billing, and regulatory requirements. Benefits: (Benefits vary based on employment status) 401(k) matching Health insurance Vision insurance...

Home Health Coder II 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...

Day-to-Day Responsibilities • Review and code professional fee encounters using ICD-10-CM, CPT, and HCPCS guidelines. • Assign accurate E/M levels, diagnoses, and procedure codes to ensure compliant reimbursement. • Abstract key patient and encounter data for billing, regulatory, and reporting purposes. • Audit medical records to ensure documentation supports services billed and identify documentation gaps. • Communicate with physicians and providers to obtain coding and documentation clarifications. • Review and resolve coding-related claim edits, including medical necessity and NCCI/CCI edits. • Collaborate with billing and Accounts Receivable teams to resolve coding and reimbursement issues. • Maintain quality and productivity standards while meeting a 95% coding accuracy requirement. • Work within EMR, hospital information systems, and encoder software in a fully remote environment. Stay current on coding regulations, payer requirements, and continuing education...