34 primary coder jobs found

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...

Insight Global is seeking a versatile Multi-Specialty ProFee Coder to support Primary Care, Orthopedics, Neurology, Emergency Department, and Urology practices in a fully remote capacity. The ideal candidate has strong charge entry experience, CPT/HCPCS/ICD-10-CM expertise, and an active AAPC or AHIMA certification. They will independently manage a diverse coding workload while maintaining accuracy, compliance, and productivity in a remote environment, leveraging encoder software, EHRs, and #J-18808-Ljbffr

Coder Analyst Specialist Full Time, 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 enters data from the medical...

Primary City/State: Phoenix, Arizona Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care. We are looking for a motivated, experienced Physician Coder with ideally 6 months-1 year Coding experience to join our talented team. Requires Certified Professional Coder (CPC) in active status (this position requires more than an apprentice CPC-A) with recent and consistent coding work history. This person will cover our Radiology group within banner and will be coding CT, Ultrasounds, All Modalities. We will accept CPC-A only if candidate has a minimum of 6 months experience coding radiology. Our leaders and coders...

Tennessee Orthopaedic Alliance seeks a Certified Coder to support primary health care delivery and patient care management by ensuring charges align with documentation and coding policies. Responsibilities include abstracting records, coding diagnoses and procedures, and using the practice management system. CPC or CCS-P certification and 1+ year experience required; strong medical terminology knowledge is essential. #J-18808-Ljbffr

***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...

City/State Norfolk, VA Work Shift Multiple shifts available Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote! Status Full-time, permanent position (40 hours) Work hours 8am to 5pm EST, M-F Location This position is remote for candidates that live in the following states: VA, NC, AL, DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NV, NH, ND, OH, OK, PA, SC, SD, TN, TX, UT, WA, WV, WI, WY! With travel to Virginia Beach 1x a year. Job Responsibilities Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products. Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits. Contribute to the review of reimbursement systems relating to health insurance...

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...

CONTRACTOR Remote (US Only) Remote Active Medical Coder micro1 is engaging Medical Coders to apply outpatient coding expertise to help train next-generation AI systems. Experts will annotate and review outpatient medical records, assign ICD-10-CM and CPT/HCPCS codes, apply outpatient E&M leveling and coding conventions, and provide expert feedback on coding guidelines and edge cases. No prior AI experience is required. Salary USD20 - USD32 / hour Department AI Research & Evaluation Experience Hands-on outpatient medical coding experience with comprehensive knowledge of ICD-10-CM, CPT, HCPCS, outpatient E&M leveling, and outpatient coding guidelines. Responsibilities Annotate and review outpatient medical records from physician offices, clinics, ambulatory surgery centers, and hospital outpatient encounters. Accurately assign ICD-10-CM and CPT/HCPCS codes based on clinical documentation. Apply Evaluation & Management leveling to outpatient visits using official...

Multi-Specialty ProFee CoderRequired Skills & Experience: 3+ years of Professional Fee (ProFee) coding experience within a physician practice, hospital, or healthcare system. Minimum 3 to 5 years of recent coding experience (within the last 5 years) across multiple specialties, including: Primary Care, Orthopedics, Neurology, Emergency Department (ED), Urology. Hands-on experience with Charge Entry processes and revenue cycle workflows. Experience coding and charging for: Drug Administration services, Therapeutic Injections, Infusion Services, Hydration Services. Active coding certification through AAPC or AHIMA required. Active RHIT, RHIA, CPC, COC, CCS-P, CCS, CEDC, or equivalent credential required. Strong knowledge of CPT, HCPCS Level II, and ICD-10-CM coding guidelines. Experience reviewing physician documentation to ensure accurate code assignment and reimbursement. Working knowledge of Evaluation & Management (E/M) coding guidelines across multiple specialties....

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies. Accurate...

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies. Accurate...

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...

Physician Coder III, RemoteErlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, MI, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WYJob Summary: The Physician Coder III is responsible for coding of physician and/or mid-level provider professional services. Recognizes and completes a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follows set procedures to achieve goals. Displays professional office skills and ability to navigate a practice management system. Functions as liaison between management, the physician practices and employees working within physician practices. Coder will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Specialties could include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Ortho, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, or ED. Facility Chart types could include OT, PT, Urgent Care, ED,...

***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...

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...

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...

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 class...

This position requires normal business hours Monday-Friday. This is a remote position with occasional on-site meetings. Candidate must be able to maintain HIPAA privacy requirements when working from home. Candidate must be located in the Knoxville, TN region. University Health Networ k is seeking a full-time Certified Medical Coder to join our team. This role involves performing detailed clinical documentation and risk adjustment reviews and accurately coding HCC diagnoses using ICD-10-CM guidelines. CPT and E/M experience is not required for this role. Essential Duties and Responsibilities (this list does not include all duties assigned) Performs coding services while meeting daily production and quality goals Conduct thorough reviews of clinical documentation to ensure accuracy and compliance with coding standards. Assign appropriate ICD-10-CM, CPT, HCPCS, and modifiers for professional services. Collaborate with healthcare providers to clarify diagnoses and procedures to...

Overview Medical Biller, CMG Business Office Full Time, 80 Hours Per Pay Period , Day Shift Remote: Southeast U.S. (Eligible states: TN, KY, NC, GA, AL, VA, MS, AR, MO) 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...

A healthcare provider in Knoxville is seeking a full-time Certified Medical Coder. The position requires thorough clinical documentation reviews and accurate coding of HCC diagnoses using ICD-10-CM guidelines. Candidates must have current CPC or RHIT certification, be team players with strong communication skills, and maintain HIPAA privacy. This remote role involves occasional onsite meetings, making it crucial for candidates to reside in the Knoxville area. #J-18808-Ljbffr

Outpatient CoderThe Outpatient Coder is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for outpatient services, including emergency department visits, outpatient surgeries, observation stays, interventional radiology, wound care, and ancillary procedures. This role ensures compliance with coding guidelines, regulatory requirements, and corporate billing policies, while contributing to accurate reimbursement and data integrity. The Outpatient Coder reviews medical records and applies appropriate codes within hospital coding systems.Essential FunctionsReviews and assigns appropriate ICD-10-CM, CPT, and HCPCS codes for outpatient records, ensuring compliance with coding and billing regulations.Codes a variety of outpatient encounters, including Cardiology: Cath, Stent/Angioplasty, IVUS, Pacemaker, Leadless Placement, AICD Placement, Vascular Surgery: Thrombectomy, Embolization, Angioplasty, Revascularization, A/V Fistula creation Interventional RAD/Spinal...

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 standards,...

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...