67 cpc certified professional coder jobs found in Nashville, TN

Certified Coding Analyst 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 Coding Analyst will perform medical claim reviews for waste and error to ensure compliance with coding practices through a comprehensive record review for medical and institutional providers. The Analyst must have the ability to determine correct coding and appropriate documentation during the review of medical records. The Analyst must also ensure state; federal and company requirements are met. Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent...

Washington D.C. Vienna, VA Tampa, FL Seattle, WA Phoenix, AZ Oakland, CA Nashville, TN Miami, FL Irvine, CA Houston, TX Fairfield, CT Denver, CO Dallas, TX Charlottesville, VA Orlando, FL Boston, MA Baltimore, MD USA Hamilton Full time R104665 Ankura is a team of excellence founded on innovation and growth. Practice Overview: Ankura’s Health Care team is a recognized leader in health care and life sciences disputes, compliance, and investigations. The team combines clinical, technical, operational, financial, economic, and analytic expertise to help clients and counsel resolve complex matters involving payers, providers, pharmacies, and law firms. Role Overview: The Senior Managing Director will be an executive-level, self-sustaining rainmaker who originates, sells, leads, and testifies in complex healthcare commercial disputes. The role requires a credible marketplace presence with health plans, law firms, and healthcare-focused...

Who We Are At 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. Our Legacy 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 Values 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. Your Career With Us Join us and build a meaningful career where you’re...

Houston Methodist seeks an Inpatient Coder responsible for assigning accurate ICD-10-CM/PCS codes for inpatient encounters based on documentation in the electronic medical record, while complying with regulatory guidelines. The role requires an Associate degree or higher from a CAHIIM accredited program, with a minimum of one year inpatient coding experience and professional certifications such as RHIT, RHIA, or CCS. #J-18808-Ljbffr

At Houston Methodist, the Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to outpatient, emergency room, therapy, and/or clinic encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s degree or higher in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant outpatient coding experience or completion of the Houston Methodist Coding Apprentice Program LICENSES AND CERTIFICATIONS Required Must have one of the following:•RHIT - Certified Health Information Technician (AHIMA)•RHIA - Registered Health Information Administrator (AHIMA)•CCS - Certified Coding Specialist (AHIMA)•CCA...

OneOncology is seeking a Medical Coding Specialist to perform daily charge reviews across visits, diagnoses, radiation oncology, or surgeries. The role supports input of charges into EMR or practice management systems and audits physician and clinical staff documentation for CPT, ICD-10, HCPCS, and modifiers. The ideal candidate holds a CPC or CCS-P certification with 4+ years of coding experience, including chart auditing. #J-18808-Ljbffr

Medical Coder/Accounts Receivable Specialist/Billing Job Description Job Description: The Medical Coder and Accounts Receivable (AR) Specialist is responsible for accurately assigning medical codes to diagnoses, procedures, and services provided by healthcare providers. In addition to coding duties, this role will handle accounts receivable functions, ensuring timely collection of payments from insurance companies and patients. The ideal candidate will possess strong knowledge of medical coding systems and healthcare revenue cycle processes, with a focus on maintaining compliance with regulations and optimizing revenue collection. Daily Tasks: 1. Accurately assign appropriate ICD-10, CPT, and HCPCS codes to patient diagnoses, treatments, and procedures based on physician documentation. Ensure coding practices adhere to all relevant regulations, payer guidelines, and healthcare industry standards. Review and interpret clinical documentation to ensure proper coding of complex...

Surgery Partners, Inc. seeks a Billing and Coding Supervisor to oversee medical office billing procedures and ensure accurate claims processing. The role requires knowledge of Physician E&M billing, CPT/HCPCS, ICD-9 coding, and familiarity with Medicare/Medicaid guidelines. The ideal candidate has at least two years of experience in medical billing and a billing certification is preferred. This on-site position offers comprehensive benefits and opportunities for professional development. #J-18808-Ljbffr

Medical Billing Specialist/Coder, Business Office, Downtown NashvilleMidtown Plaza (PLZ) - Nashville, TN 37203OverviewPosition Type Full Time Job Shift Day Category FinanceDescriptionSUMMARY: 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 followedUtilizes CPT, ICD-10CM, and HCPCS coding and modifier usage during daily reviewsUtilizes various coding and billing references to resolve complex billing scenariosEnsures progress notes are coded accurately and to the highest level of specificityMaintains strong knowledge of payer billing guidelines and policiesResearches front-end claim rejections and works cooperatively with appropriate staff to resolve discrepanciesTimely alert any...

Vitruvian Health seeks an experienced Remote Medical Coding Associate to review records, assign and verify CPT/ICD10 codes, and ensure compliance with regulations. The role requires attention to detail, independence, and collaboration with physicians and healthcare staff to support accurate billing and privacy protections. The position emphasizes handling coding edits, denials, and ongoing education for providers, while safeguarding PHI and adhering to HIPAA policies. #J-18808-Ljbffr

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 operations...

Fully Remote Lake Park Building Full time R182990 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...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program LICENSES AND CERTIFICATIONS Required Must have one of the following: • RHIT - Certified Health Information Technician (AHIMA) • RHIA - Registered Health Information Administrator (AHIMA) • CCS - Certified Coding Specialist (AHIMA)...

Houston Methodist is seeking an Inpatient Coder to accurately assign ICD-10-CM/PCS codes for inpatient encounters based on documentation in the electronic medical record, ensuring compliance with coding guidelines. The role is non-exempt and requires RHIT/RHIA/CCS certification with at least one year of inpatient coding experience or completion of the Houston Methodist Coding Apprentice/Transition Program. Proficiency in DRG/APC systems and EPIC/EHR is preferred. #J-18808-Ljbffr

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 Coding Analyst will perform medical claim reviews for waste and error to ensure compliance with coding practices through a comprehensive record review for medical and institutional providers. The Analyst must have the ability to determine correct coding and appropriate documentation during the review of medical records. The Analyst must also ensure state; federal and company requirements are met. Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record...

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...

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...

Job description Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties: Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to...

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...

Outpatient CoderRequired Skills & Experience - 3+ years of outpatient coding experience.Ancillary coding knowledge.Ability to maintain productivity while maintaining accuracy.Active AHIMA/AAPC CredentialsAbility to impart knowledge of procedures and techniques.Thorough working knowledge of ICD-10-CM and CPT coding systems, and federal/state regulations regarding reimbursement.Thorough working knowledge of the hospital information system, electronic medical record systems, and encoder.Working knowledge of standards for chart completion.Ability to meet and maintain a 95% quality accuracy rate and productivity standards.Job DescriptionWe are seeking an Outpatient Coder. This role, under general direction, is responsible for coding and abstracting of diagnoses from medical records for optimal and timely reimbursement and quality reporting. Duties and Responsibilities:Assigns ICD-10-CM codes for medical record accounts, including but not limited to diagnoses.Abstracts key data...

Ovation Healthcare, headquartered in Brentwood, TN, seeks a Pro-Fee Coder for 100% remote work. You will code and abstract diagnoses and procedures, ensuring compliant billing and timely reimbursement across diverse hospital-based services. Required are 3+ years of coding experience and credentials such as RHIT/RHIA or CPC/CCS. Proficiency with EMR systems, encoder software, and Microsoft Office is expected to maintain high accuracy and productivity. #J-18808-Ljbffr

Insight Global seeks an experienced Professional Fee Coder to code hospital-based professional services in a fully remote setup. You will apply ICD-10-CM, CPT, and HCPCS guidelines, assign E/M levels, and ensure accurate documentation to support reimbursements. Ideal candidates have 3+ years of Pro-Fee coding, active AAPC/AHIMA credentials, and Cerner EMR experience. Strong communication and multitasking abilities are essential for success in a remote, multi-department environment. #J-18808-Ljbffr

Same Day Surgery CoderWe are seeking a same day surgery coder with at least three years of experience. The SDS coder is responsible for reviewing medical records for outpatient, or same day, surgical procedures, and assigning appropriate diagnostic and procedural codes (CPT and ICD-10) to ensure accurate billing and reimbursement.Key responsibilities:Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding.Submit necessary provider queries to resolve documentation discrepancies.Perform quality assessment of records, including verification of medical record documentation.Review appropriate charges and make changes or recommendations based on the documentation.Responsible for researching errors or missing documentation from medical records to provide accurate coding processes.Abstracts and assigns the appropriate ICD-10-CM and CPT codes for all diagnoses and procedures performed in the outpatient and surgical settings as...