157 professional coder jobs found

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. Position Summary The Certified Professional Coder (CPC) will perform medical claim reviews 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. Activities include: Conduct a...

Certified Professional Coder (CPC)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.Position SummaryThe Certified Professional Coder (CPC) will perform medical claim reviews 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.Activities...

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,...

Coding Analyst, Centralized Coding Outpatient Full Time, 80 Hours Per Pay Period, Day Shift Covenant 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...

Job Posting Job Summary Codes diagnoses and procedures of patient records. Abstracts information for reimbursement, research, and to generate statistical data. Perform daily feedback and education to providers, staff, and patients of BMG. Job Responsibilities Codes diagnoses and procedures of records. Abstracts information by reviewing records for reimbursement, statistical purposes for the daily operations, medical staff, and regulatory agencies. Serves as a resource to physicians, physician office staff, clinical documentation specialists, case managers, etc Completes all requirements for assigned goals. Minimum Required Education Skill in communicating clearly and effectively using standard English in written, oral, and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties. Associates Degree Preferred Preferred/Desired Education Associates Degree Preferred/Desired...

Overview Job Summary Codes diagnoses and procedures of inpatient records and abstracts information at defined facilities for reimbursement, research, and to generate statistical data. Performs other duties as assigned. Job Responsibilities Codes diagnoses and procedures of records pertaining to inpatient records. Abstracts information by reviewing records for reimbursement, statistical purposes for the daily operations, medical staff, and regulatory agencies. Serves as a resource to physicians, physician office staff, clinical documentation specialists, case managers, etc. Completes assigned goals. Minimum Required Experience Skill and proficiency in coding inpatient records utilizing ICD10 CM with one year experience in an acute care facility or RHIT/RHIA/CCS certification through AHIMA. Minimum Required Education Skill in communicating clearly and effectively using standard English in written, oral and verbal format to achieve high productivity and efficiency. Skill...

Job PostingJob SummaryCodes diagnoses and procedures of inpatient records and abstracts information at defined facilities for reimbursement, research, and to generate statistical data. Performs other duties as assigned.Job Responsibilities• Codes diagnoses and procedures of records pertaining to inpatient records.• Abstracts information by reviewing records for reimbursement, statistical purposes for the daily operations, medical staff, and regulatory agencies.• Serves as a resource to physicians, physician office staff, clinical documentation specialists, case managers, etc.• Completes assigned goals.Minimum Required ExperienceSkill and proficiency in coding inpatient records utilizing ICD10 CM with one year experience in an acute care facility or RHIT/RHIA/CCS certification through AHIMA.Minimum Required EducationSkill in communicating clearly and effectively using standard English in written, oral and verbal format to achieve high productivity and efficiency. Skill to write...

Baptist Memorial Health Care Corporation in Memphis is seeking a skilled Health Information Coder to code diagnoses and procedures for inpatient records and to abstract data for reimbursement, research, and regulatory reporting. You will support physicians and clinical staff, ensuring accurate documentation and timely completion of coding goals. ICD-10-CM proficiency in acute care and relevant credentials are preferred. #J-18808-Ljbffr

Tennessee Orthopaedic Alliance is seeking a Certified Coder to support the diagnosis and documentation across its orthopaedic practices. You will review patient records, assign correct CPT-4 and ICD-10 codes, and ensure documentation aligns with coding policies. The role emphasizes accuracy, compliance, and collaborative work with medical staff. Applicants should reside in Middle TN, Knoxville, or Columbia area and hold CPC or CCS-P certification with strong knowledge of medical terminology and #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...

Tennessee Orthopaedic Alliance, the largest orthopaedic surgery group in Tennessee, seeks a Certified Coder to support accurate coding for professional services and surgical procedures. You will review records, ensure proper diagnoses and CPT/HCPCS codes, and educate providers on audit results. Applicants must have 1 year of surgical coding experience and CPC or CCS-P certification, with strong medical terminology knowledge. #J-18808-Ljbffr

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...

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 observation stays, outpatient surgeries, interventional radiology, cardiac catheterization, emergency department visits, wound care, and ancillary services.Applies correct coding guidelines and payer-specific policies,...

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

Job TitleDuties and Responsibilities:Reviews the documentation in the record to identify all pertinent facts for appealing the claims denied by third-party payers or holds in host systems or billing clearinghouse. Creates appropriate letters to substantiate the validity of claims.Meets with facility liaison to review documentation, resolve coding, and tagging files for follow-up. Investigates and problem-solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with facility liaison or other clinical staff as needed to provide documentation feedback and to develop appeals.Researches payer policies and processes.Reviews clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient's conditions and treatment.Works assigned work queues and tasks and reviews remittance advice for rejections and accuracy of payment amounts as needed....

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...

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...

Professional Fee Coding Specialist Required Skills & Experience• 3+ years of professional fee coding experience. • Active coding certification through AAPC or AHIMA. • Active RHIT, RHIA, CPC, COC, CCS-P, CCS, CEDC, or equivalent coding credential. • Experience coding clinic visits/professional services. • Strong experience with Evaluation & Management (E/M) coding, diagnosis coding, injections, and procedure coding. • Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and coding compliance guidelines. • Experience with Cerner EMR. • Experience working remotely. • Proficiency in Microsoft Outlook, Excel, and Teams. Strong communication, organization, and multitasking skills. Nice to Have Skills & Experience• Emergency Department (ED) coding experience. • Multi-specialty Pro-Fee coding background. • Experience with regulatory reporting and data abstraction. • Prior hospital or health system coding experience. • Experience partnering with AR/billing teams on claim...

Professional Fee Coding Specialist Required Skills & Experience 3+ years of professional fee coding experience. Active coding certification through AAPC or AHIMA. Active RHIT, RHIA, CPC, COC, CCS-P, CCS, CEDC, or equivalent coding credential. Experience coding clinic visits/professional services. Strong experience with Evaluation & Management (E/M) coding, diagnosis coding, injections, and procedure coding. Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and coding compliance guidelines. Experience with Cerner EMR. Experience working remotely. Proficiency in Microsoft Outlook, Excel, and Teams. Strong communication, organization, and multitasking skills. Nice to Have Skills & Experience Emergency Department (ED) coding experience. Multi-specialty Pro-Fee coding background. Experience with regulatory reporting and data abstraction. Prior hospital or health system coding experience. Experience partnering with AR/billing teams on claim resolution....

Health Information Director / Coder Full-Time│InHouse Position Summary Sullivan County Memorial Hospital is seeking a Health Information Director / Coder to oversee Health Information Management operations, physician billing and coding, and HIPAA/privacy compliance. The ideal candidate is detail-oriented, organized, professional, and able to work independently while maintaining strict confidentiality. Essential Job Functions Oversee daily Health Information Management operations and medical record processes. Ensure health information is accurate, complete, secure, confidential, and compliant. Perform and oversee physician and APP billing and coding. Review documentation and assign appropriate ICD-10-CM, CPT, and HCPCS codes. Prepare and submit insurance and patient claims. Resolve billing, coding, and documentation issues. Serve as the hospital’s HIPAA/Privacy Officer and oversee privacy compliance. Maintain HIPAA policies, training, and required documentation. Supervise,...

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 resolve discrepancies Timely...

Coding Analyst, Centralized Coding Inpatient Full Time, 80 Hours Per Pay Period, Day Shift Covenant 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...

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 PostingJob SummaryCodes diagnoses and procedures of patient records and abstracting information for reimbursement, research, and to generate statistical data. Performs other duties as assigned.Job ResponsibilitiesCodes diagnoses and procedures of records.Abstracts information by reviewing records for reimbursement, statistical purposes for the daily operations, medical staff, and regulatory agencies.Serves as a resource to physicians, physician office staff, clinical documentation specialists, case managers, etc.Completes assigned goals.SpecificationsExperienceDescription:Minimum Required: Skill and proficiency in coding inpatient and outpatient (ancillary, emergency department, outpatient surgery, etc.) records utilizing ICD-9-CM and CPT-4 through 3 years' experience in an acute care facility.Preferred/Desired:EducationDescription:Minimum Required: TN - Skill in communicating clearly and effectively using standard English in written, oral and verbal format to achieve high...