NewDRG Coder, Registered Nurse Pivotal Placement ServicesDRG Coder, Registered NurseBrentwood, TN$90,000–$104,841 / yearHeadquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm specializing in healthcare talent—from frontline staff to executive leadership—in both clinical and non-clinical roles. We are seeking an experienced DRG Coder / Clinical Auditor (RN) to conduct comprehensive DRG quality and validation audits of inpatient medical records.
Coder WFH - Local to Kansas HCA Healthcare IncCoder WFH - Local to KansasNashville, TNEXPERIENCE: One year of coding and/or billing experience in a healthcare environment CERTIFICATION: Must have 1 of the following: (COC) Certified Outpatient Coder, or (CCS) Certified Coding Specialist, or (CPC) Certified Professional Coder, or (RHIA) Registered Health Information Administrator, or (RHIT) Registered Health Information Technician Benefits HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life.
Provider Educator (Foreign Medical Graduate) Herself HealthProvider Educator (Foreign Medical Graduate)Nashville, TNRemoteDevelop and update presentations, quick-reference sheets, case studies, and other educational resources, ensuring content is clinically accurate, current, appropriately sourced, and aligned with applicable guidance. That's why our care model gives patients more time with their care team and focuses on the health issues that matter most to women later in life—from post-menopausal care and bone health to weight management, preventive care, and mental, emotional, and social well-being.
Certified Coder/Billing Specialist WOMENS GROUP OF FRANKLIN PLLCCertified Coder/Billing SpecialistFranklin, TNFull timeInterested Candidates can fax resume to: 615-778-0715 Attn: Office Manager or e-mail resume to scannon@womensgroupfranklin.com. 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.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)TN$43,888–$102,081 / yearThe 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. 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.
Certified Coder - Surgery TOA MiddleCertified Coder - SurgeryBrentwood, TennesseeMaintain a working knowledge, and stay abreast of, CPT-4, ICD-10, HCPCS coding principles, modifier usage, medical terminology, governmental regulations, protocols and third party payer requirements pertaining to billing, coding and documentation. 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.
Certified Coder TOA MiddleCertified CoderBrentwood, TennesseeMaintain a working knowledge, and stay abreast of, CPT-4, ICD-10, HCPCS coding principles, modifier usage, medical terminology, governmental regulations, protocols and third party payer requirements pertaining to billing, coding and documentation. 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.
Inpatient Coder Baptist Healthcare System IncInpatient CoderTennessee, TNThe coder maintains an extensive up to date knowledge of clinical coding and has an extensive knowledge of the documentation requirements and guidelines in accordance with Coding Clinic and AHA Official Coding Guidelines as they pertain to diagnosis and procedural coding. Function in a fully accountable role with respect to ensuring the overall quality of inpatient coding with continuous quality improvement when indicated.
Senior Outpatient Coder 2822-QHC ARM Shared ServicesSenior Outpatient CoderBrentwood, TNPart timeThe position supports Revenue Cycle Operations with special projects, including denial review, appeals, discharge-not-final-billed management, regulatory and payer edit review, and process improvement efforts designed to meet organizational goals while promoting accurate, complete, and compliant coding and billing. May research, review, resolve, and trend coding edits, including NCCI, OCE, MUE, encoder, claim-scrubber, and payer-specific edits; validates that any modifier or code change is supported by the health record and applicable guidance.
Supervisor, Revenue Cycle Clinical Coder Denials | Enterprise Denials | Remote (FL, GA, MO, PA, NC, SC, TN, TX) University of Florida Health Science CenterSupervisor, Revenue Cycle Clinical Coder Denials | Enterprise Denials | Remote (FL, GA, MO, PA, NC, SC, TN, TX)TNRemoteDemonstrated knowledge of hospital billing, reimbursement, denials and appeals, third-party payer contracts, insurance protocols, and revenue cycle workflows. Trains staff on revenue integrity policies, analyzes financial data for strategic insights, and implements improvements to optimize revenue capture.
Senior Outpatient Coder Quorum Health CorpSenior Outpatient CoderBrentwood, TNThe position supports Revenue Cycle Operations with special projects, including denial review, appeals, discharge-not-final-billed management, regulatory and payer edit review, and process improvement efforts designed to meet organizational goals while promoting accurate, complete, and compliant coding and billing. May research, review, resolve, and trend coding edits, including NCCI, OCE, MUE, encoder, claim-scrubber, and payer-specific edits; validates that any modifier or code change is supported by the health record and applicable guidance.
Senior Outpatient Coder Quorum Health CorporateSenior Outpatient CoderBrentwood, TennesseeThe position supports Revenue Cycle Operations with special projects, including denial review, appeals, discharge-not-final-billed management, regulatory and payer edit review, and process improvement efforts designed to meet organizational goals while promoting accurate, complete, and compliant coding and billing. May research, review, resolve, and trend coding edits, including NCCI, OCE, MUE, encoder, claim-scrubber, and payer-specific edits; validates that any modifier or code change is supported by the health record and applicable guidance.
Inpatient Coder Houston Methodist HospitalInpatient CoderTNHouston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area.
Outpatient Coder Houston Methodist HospitalOutpatient CoderTNMust have one of the following: • RHIT - Certified Health Information Technician (AHIMA) • RHIA - Registered Health Information Administrator (AHIMA) • CCS - Certified Coding Specialist (AHIMA) • CCA - Certified Coding Associate (AHIMA) • CCS-P - Certified Coding Specialist Physician-Based (AHIMA) • CPC - Certified Professional Coder (AAPC) • CPC-H - Certified Professional Coder - Hospital (AAPC) • CPC-I - Certified Professional Coder Instructor (AAPC) • CPC-A - Certified Professional Coder Associate (AAPC) • CCC - Certified Cardiology Coder (AAPC) • COC - Certified Outpatient Coder (AAPC). Must have one of the following: •RHIT - Certified Health Information Technician (AHIMA) •RHIA - Registered Health Information Administrator (AHIMA) •CCS - Certified Coding Specialist (AHIMA) •CCA - Certified Coding Associate (AHIMA) •CCS-P - Certified Coding Specialist Physician-Based (AHIMA) •CPC - Certified Professional Coder (AAPC) •CPC-H - Certified Professional Coder - Hospital (AAPC) •CPC-I - Certified Professional Coder Instructor (AAPC) •CPC-A - Certified Professional Coder Associate (AAPC) •CCC - Certified Cardiology Coder (AAPC) •COC - Certified Outpatient Coder (AAPC).
Coding and Medical Records Auditor- Remote American Health Companies IncCoding and Medical Records Auditor- RemoteFranklin, TNRemoteAssist with validation audits to evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC) conditions applicable to Medicare Risk Adjustment reimbursement initiatives. Review medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries as needed to verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
Internal And Family Medicine - Certified Coding Specialist - Full Time Murfreesboro Medical ClinicInternal And Family Medicine - Certified Coding Specialist - Full TimeMurfreesboro, TNThis role ensures proper assignment of CPT, ICD-10, and HCPCS codes in compliance with CMS guidelines and supports accurate billing, reimbursement, and regulatory adherence while collaborating with providers and administrative staff. Position SummaryThe Certified Professional Coder (CPC) / Uncertified Coder is responsible for reviewing, researching, and accurately coding office, surgical, and procedural documentation.
Internal and Family Medicine - Certified Coding Specialist - Full Time Murfreesboro Medical Clinic PAInternal and Family Medicine - Certified Coding Specialist - Full TimeMurfreesboro, TNThis role ensures proper assignment of CPT, ICD-10, and HCPCS codes in compliance with CMS guidelines and supports accurate billing, reimbursement, and regulatory adherence while collaborating with providers and administrative staff. The Certified Professional Coder (CPC) / Uncertified Coder is responsible for reviewing, researching, and accurately coding office, surgical, and procedural documentation.
Clinical Coding Appeals Nurse R1 RCM IncClinical Coding Appeals NurseTN$65,000–$116,747.20 / yearWe are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. To thrive in this role, you must have experience identifying different types of hospital documentation including, but not limited to, medical records, UB-04s, EOBs, itemized bills, hospital account notes, appeal letters, and denial/approval letters.
Director, Quality, Clinical Coding and Documentation Herself HealthDirector, Quality, Clinical Coding and DocumentationNashville, TNPrioritize the measures most consequential for women 65+, including Breast Cancer Screening (BCS-E), Colorectal Cancer Screening (COL-E), Osteoporosis Screening in Older Women (OSW), Osteoporosis Management in Women Who Had a Fracture (OMW), Controlling High Blood Pressure (CBP), the diabetes measure set (GSD, EED, KED, SPD-E), Care for Older Adults (COA), Transitions of Care (TRC), and the medication adherence measures (MAC, MAD, MAH). Build and deliver a clinician education curriculum covering documentation specificity, HCC concepts, common capture gaps, and query response — tailored to the conditions most prevalent in women 65+ (osteoporosis and fracture risk, dementia and cognitive decline, heart failure, chronic kidney disease, diabetes with complications, depression, autoimmune conditions, and cancer history versus active treatment status).
Coding Analyst Sr. Elevance Health IncCoding Analyst Sr.Nashville, TNWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.