24 cpc certified professional coder jobs found in Nashville, TN

Coder II Position Specialty scope for this coder II position includes but is not limited to: Upper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair Elbows: Cubital tunnel release, Bursectomy, Arthroplasty Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy Pelvis: Fracture repairs Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy Tibia/Fibula:...

Certified Professional Coder (Cpc) At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. 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...

Hcc 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. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system,...

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...

Job Description About the Role: We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. Requirements and Qualifications: A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. In-depth understanding of supporting evidence requirements for accurate coding. Practical experience using grouper software for MS-DRG and APR-DRG assignment. Strong communication skills to interact...

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 candidate...

Join to apply for the Profee Coder Surgical Urology role at Banner Health. Estimated Pay Range: $23.16 - $34.74 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Job Information Department: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing, and fulfillment of our team members. We are looking for a motivated, experienced Profee Coder with at least 1 year of Urology coding experience to join our talented team. Preferred experience in Surgical Urology and Gynecology Oncology and coding, knowledge and experience with academic coding/guidelines. Ideal Candidate Minimum 1 year recent experience in E/M Urology coding (clearly reflected in your attached resume); Surgical Urology experience preferred; Must be currently certified through...

Inpatient Medical DRG Coder Hospital (Remote) A DRG coder is a medical coding professional who specializes in assigning Diagnosis-Related Group (DRG) codes for inpatient hospital stays. DRG (Diagnosis-Related Group): It's a classification system used primarily for inpatient hospital billing. It groups patients with similar clinical conditions and resource usage into categories. Hospitals are reimbursed based on these DRG codes rather than individual services. Responsibilities Review clinical documentation to assign accurate ICD-10-CM and ICD-10-PCS codes. Communicate with physicians to clarify diagnoses and procedures through the query process. Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines. Maintain a minimum accuracy rate of 98% while meeting internal productivity standards. Achieve productivity expectations: Inpatient 1624 encounters per day or 23 encounters per hour. Complete reports and perform...

Scheduled Hours 40 Position Summary Performs advanced coding and appeal activities; investigates payer issues; responsible for timely filing of appeals to insurance companies; handles charge corrections. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Performs...

Coding Specialist III Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). JOB SUMMARY: The Coding Specialist III will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the needs of hospital data retrieval for billing and reimbursement. Coding Specialist III validate MSDRG and/or APC calculations in order to accurately capture the diagnoses/procedures documented in the clinical record. Coding Specialist III performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and...

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...

Outpatient Coder Opportunity Do you want to join an organization that invests in you as an Outpatient Coder? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. This position is a fully work from home position. Schedule: Monday-Friday Flexible Hours. This position requires Facility Based Outpatient Coding. Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: comprehensive medical coverage, additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans, auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing, 401(k) Plan with...

LOP Specialty Certified Coder Job Category: Billing, Coding-Collection Requisition Number: LOPSP034014 Full-Time Remote Nashville, TN 37027, USA Job Details Description Job Title: LOP Specialty/ Certified Coder - (Hybrid Role) This is a hybrid position based at our corporate office in Brentwood, TN, with on-site work required Monday through Wednesday. General Summary Of Duties: Reviews medical records, codes patient charges, and processes in a timely manner, and assists various facility staff and physicians. Must be an effective communicator who can express himself/herself on a daily basis in a professional manner both verbally and in writing, as well as a proactive professional who can identify collection trends and solve them in a timely manner. Supervision Received: Billing & Coding Supervisor Education/Experience: 1. Certified Professional Coding Certificate. 2. Associate's degree preferred or 5 years medical coding experience. 3. Must have functional knowledge...

Medical Coding Coordinator Become a part of our caring community and help us put health first. Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you come in, the Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures,...

Coder Vi Specialist - Hospital Inpatient The Coder VI Specialist - Hospital Inpatient analyzes the ICD 10 codes, suggested by computer assisted coding software, to ensure they align with official coding guidelines and the electronic medical record documentation. In collaboration with the Clinical Documentation Specialist, analyzes the circumstances of the visit to determine the most accurate diagnosis related group (DRG). This position also abstracts key data elements necessary for billing and data analysis. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. What You Can Expect Accurately review and code patient records in the following clinical areas: hospital acute inpatient services. Meet defined coding accuracy and production...

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

Appeals Coordinator Duties 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...

Profee Coder Opportunity 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. Submit your application for the opportunity below: Parallon is looking for a Profee Coder with a specialization in Cardiology. Fully work from home position! Parallon offers a total rewards package that supports the health, life, career, and retirement of our colleagues. The available plans and programs include comprehensive medical coverage, additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans, auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance, and more. Free counseling services and resources for emotional,...

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...

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...

Medical Biller Position We are seeking a skilled and detail-oriented Medical Biller to join our team. In this role, you will be responsible for managing the billing process, ensuring accurate claim submissions, and following up on payments and reimbursements. This remote position is ideal for candidates with experience in medical billing and coding who want to work in a flexible, virtual environment. Key Responsibilities Prepare, review, and submit accurate medical claims to insurance companies or government programs. Verify patient insurance coverage and eligibility for services. Process claims for reimbursement and ensure timely follow-up on denied or unpaid claims. Post payments, adjustments, and reconcile billing statements. Communicate with insurance companies to resolve claim discrepancies, rejections, or denials. Assist patients with billing inquiries and resolve payment issues. Ensure compliance with healthcare regulations and billing standards (e.g., HIPAA,...