27 medical coding specialist jobs found in Nashville, TN

A leading healthcare provider in Nashville is seeking a detail-oriented professional to manage insurance verification and billing processes. The ideal candidate should have 3-5 years of experience in a related field and hold a high school diploma, with an associate's degree and CPC certification preferred. Responsibilities include verifying insurance benefits, performing data entry, and responding to patient inquiries. The organization offers a comprehensive benefits package supporting employee health and well-being. #J-18808-Ljbffr

OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision. Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve. Job Description: The Medical Billing Specialist is responsible for all aspects of charge capture including accurate entry of charges, timely charge posting and charge audits. The individual will need to have expertise in medical coding and insurance billing as...

Inpatient Coder Do you have the career opportunities as an Inpatient Coder you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nation's leading provider of healthcare services, HCA Healthcare. Our teams are a committed, caring group of colleagues. Do you want to work as an Inpatient Coder where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! Job Summary and Qualifications As a work from home Inpatient Coding Specialist, you will review and evaluate hospital inpatient medical record documentation to assign, sequence, edit, and/or validate the appropriate ICD-10 -CM and ICD-10- PCS codes. You will perform coding and/or code/DRG validation across multiple entities. What you will do in this role: Assigns, sequences, validates, and/or edits codes/DRGs and...

Coding Account Resolution Specialist-Inpatient Do you want to join an organization that invests in you as a Coding Account Resolution Specialist-Inpatient? 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 work from home position! Some flexibility in the schedule! 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 that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and...

Essential Duties and Responsibilities: - Abstract and code clinical data. - Audit medical records to ensure compliance with the organization's coding procedures and standards. - Accurately enter coded data in a system and validate data entered. - Research correct coding practices, clearly document and share findings with others. - Review denials and recommend billing corrections. - Train staff members on the coding process. Minimum Requirements - High School diploma or equivalent with 0 - 2 years of experience. - Additional clinical licensure may be required based on project. - Must be a Certified Medical Coder, Certified Professional Coder, or a Certified Coding Specialist. - Knowledge of Medical Billing and Coding Systems such as CPT and HCPCS is essential. - Ability to work a schedule between the hours of 8:00am - 5:00pm EST Monday - Friday required. Additional Skills and Experience: - Familiarity with retrospective payment reimbursement highly preferred....

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Join Datavant and be a part of our mission to transform healthcare through our innovative data collaboration platform. We provide essential solutions to a wide range of organizations within the healthcare ecosystem, including providers, health plans, researchers, and life sciences companies. Our team's dedication to enhancing data connectivity is paving the way for improved health outcomes. As an Inpatient Auditor Specialist, you will have a vital role in supporting our consulting and educational efforts related to coding quality, compliance assessments, and coding workflow operations. Your insights will exceed customer expectations while addressing and resolving their challenges. This is a fully remote position with a flexible schedule, allowing you to shape the future of healthcare from the comfort of your workspace! Key Responsibilities: Conduct comprehensive inpatient facility coding audits according to the specified scope of work, onboarding, focused reviews, service...

Medical Coder - Aleca Home Health As our company expands, we are actively seeking seasoned Medical Coders. If you’re prepared to elevate your career and reap the rewards of an unparalleled compensation package, we invite you to join us on our journey of growth at Aleca Home Health! Why Choose Aleca Home Health Comprehensive Benefits: Access to comprehensive benefit coverage plans to ensure your health and well-being are prioritized. Generous PTO: Enjoy ample paid time off to recharge and pursue personal endeavors, fostering a healthy work‑life balance. Tuition Reimbursement: Invest in your professional development with our tuition reimbursement program, empowering you to advance your skills and knowledge. IT Equipment: Equip yourself with the necessary tools for success with state‑of‑the‑art IT equipment provided by Aleca Home Health. Collaborative, Supportive Team: Join a team of passionate professionals dedicated to our core values, including prioritizing people, delivering...

*100% remote but MUST live in one of these states: TX, OK, AL, MO, GA, FL, AR, KS, SD, IL, KY, LA, TN, ME* *Work Environment - **Fully Remote 8-5 (flexible start time 7, 8,9) CST* *Job Summary* We are seeking a skilled Surgery Coding Specialist with proven experience across multiple surgical specialties. This role is responsible for directly coding surgical procedures using PMD and Auto Note, ensuring accurate, complete, and compliant documentation. The ideal candidate is confident in surgical coding, detail-oriented, and capable of covering general surgery, breast, head and neck, and GI procedures. *Key Responsibilities* * Code surgical procedures directly from operative reports and clinical documentation * Utilize PMD to support coding workflows and documentation review * Pull up Auto Notes and accurately complete all required coding fields * Assign correct CPT, ICD-10, and modifiers in accordance with coding guidelines * Ensure accuracy for billing, reporting, and...

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 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 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 guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

Medical Coder-Aleca Home Health As our company expands, we are actively seeking seasoned Medical Coders. If you're prepared to elevate your career and reap the rewards of an unparalleled compensation package, we extend a warm invitation for you to join us on our journey of growth here at Aleca Home Health! Why Choose Aleca Home Health? Comprehensive Benefits: Access to comprehensive benefit coverage plans to ensure your health and well-being are prioritized. Generous PTO: Enjoy ample paid time off to recharge and pursue personal endeavors, fostering a healthy work-life balance. Tuition Reimbursement: Invest in your professional development with our tuition reimbursement program, empowering you to advance your skills and knowledge. IT Equipment: Equip yourself with the necessary tools for success with state-of-the-art IT equipment provided by Aleca Home Health. Collaborative, Supportive Team: Join a team of passionate professionals dedicated to our core values, including...

Overview Medical Coder-Aleca Home Health As our company expands, we are actively seeking seasoned Medical Coders. If you're prepared to elevate your career and reap the rewards of an unparalleled compensation package, we extend a warm invitation for you to join us on our journey of growth here at Aleca Home Health! Why Choose Aleca Home Health? Comprehensive Benefits : Access to comprehensive benefit coverage plans to ensure your health and well-being are prioritized. Generous PTO : Enjoy ample paid time off to recharge and pursue personal endeavors, fostering a healthy work-life balance. Tuition Reimbursement : Invest in your professional development with our tuition reimbursement program, empowering you to advance your skills and knowledge. IT Equipment : Equip yourself with the necessary tools for success with state-of-the-art IT equipment provided by Aleca Home Health. Collaborative, Supportive Team : Join a team of passionate professionals dedicated to our core values,...

Come lead with us at Corporate At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation 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 or higher degree 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 Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program Licenses and Certifications – Required Must have one of the following: RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information...

Introduction 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: Coding Account Resolution Specialist-Outpatient Parallon Benefits 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 that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital...

Overview 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. 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) Skills and Abilities Demonstrates the skills and...

4 days ago Be among the first 25 applicants Come lead with us at Corporate 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 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 -...

A healthcare provider specializing in maternal and pediatric care is seeking a Billing Specialist in Nashville, TN. The ideal candidate will verify insurance benefits, conduct data entry for registrations, and handle patient billing inquiries. Preferred qualifications include a high school diploma (associate's degree preferred) and a CPC certification. The position involves a commitment to compliance with government coding guidelines and will provide comprehensive benefits including medical, dental, and 401k plans. #J-18808-Ljbffr

Overview At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. Qualifications Education: Associate’s or higher degree in a Comission on Accreditation for Health Informatics and Information Managment accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree Experience: Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program Licenses and Certifications (Required): RHIT – Certified Health Information Technician (AHIMA) RHIA – Registered Health Information Administrator (AHIMA) CCS – Certified Coding Specialist (AHIMA) CCA — Certified Coding...

Coder II Do you want to join an organization that invests in you as a Coder II? 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. You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Coder II like you to be a part of our team. Job Summary and Qualifications As a 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,...

Introduction Do you want to join an organization that invests in you as a Coder II? 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. Benefits 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 that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free...

The Medical Billing Specialist is responsible for the timely and accurate submission of insurance claims, reviewing and updating denied claims for resubmission and performing reconciliations to ensure timely billing for services provided. The Medical Billing Specialist collaborates with patients, revenue cycle counterparts and work units, clinical staff, and insurance providers to drive the efficiency of the billing process and reduce the amount of denied claims. Essential Responsibilities: Reviews patient demographic and insurance information and confirms patient benefit details related to services provided by the clinic from insurance providers. Obtains necessary medical documentation from clinicians to provide to insurance companies as required for review and prior authorization of treatment. Documents authorization reference numbers in EMR and/or other systems. Updates and maintains EMR and/or other systems based on documentation provided by physician/clinic for...

Overview The Medical Billing Specialist is responsible for the timely and accurate submission of insurance claims, reviewing and updating denied claims for resubmission and performing reconciliations to ensure timely billing for services provided. The Medical Billing Specialist collaborates with patients, revenue cycle counterparts and work units, clinical staff, and insurance providers to drive the efficiency of the billing process and reduce the amount of denied claims. Responsibilities Reviews patient demographic and insurance information and confirms patient benefit details related to services provided by the clinic from insurance providers. Obtains necessary medical documentation from clinicians to provide to insurance companies as required for review and prior authorization of treatment. Documents authorization reference numbers in EMR and/or other systems. Updates and maintains EMR and/or other systems based on documentation provided by physician/clinic for creation of...

Remote Op CoderThe Op Coder works outpatient coding related alerts / edits for Same Day Surgery, Observation, and Wound Care, accounts, predominately post initial / final coding.The CARS-II performs the alert / edit resolution activities in the applicable systems.The alerts / edits shall be worked and corrected according to the established procedures and thresholds, and communicated as appropriate.Position Duties :Compiles daily work list from eRequest, CRT and / or other alert / edit systemsTakes action and resolves alerts / edits for the following patient types following established procedures and thresholds :Same Day Surgery (SDC)Observation (OBV)Wound CareOutpatient Cardiac CathProvides back up / coverage as needed for :Emergency Dept (ED)Recurring (RCR)Clinical (CLI)Provider Office Visit (POV), as applicableEnters detailed notes to update eRequest to provide details if the alert / edit cannot be resolved or must be rerouted to another responsible party for research /...