Medical Billing and Coding Remote Jobs in Tennessee (US)

Full Time Remote Mid LevelTeam 51-200H1B No Sponsor

View details: Medical Coding Specialist – Orthopedic Surgery, Office Coder

• Review provider documentation from office visits, surgeries, imaging interpretations, injections, and other orthopedic services. • Assign appropriate ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes according to official coding guidelines and payer rules. • Verify coding accuracy and completeness to support correct claim submission and reduce denials. • Query providers when documentation is incomplete, unclear, or inconsistent with coding guidelines. • Keep current with orthopedic coding updates, payer policy changes, and compliance regulations. • Collaborate with the billing team to resolve claim rejections, denials, and coding-related issues. • Maintain confidentiality of patient information in compliance with HIPAA regulations. • Participate in coding audits and provide feedback to improve documentation and coding accuracy. • Assist in educating providers and staff on documentation improvement related to orthopedic coding.

United States

Medical Coding Specialist

Innovaccer

Two years in a row: Innovaccer Awarded Best in KLAS Data & Analytics Platforms Category.

Full Time Remote SeniorTeam 1,001-5,000Since 2014H1B Sponsor

View details: Medical Coding Specialist

• The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. • This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. • The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. • This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment. • Averages 10 front-end holds per hour • Maintains a minimum of 90% coding accuracy. • Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment. • Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses. • Ensures all diagnosis codes meet local and national medical necessity guidelines. • Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services. • Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality. • Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices. • Independently reviews and resolves all assigned front-end claim holds. • Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead. • Escalates identified client trends to the assigned Coding Team Lead. • Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification. • Maintains and completes all CEU requirements. • Performs other duties or tasks as assigned.

United States

Medical Coding Specialist – I

Innovaccer

Two years in a row: Innovaccer Awarded Best in KLAS Data & Analytics Platforms Category.

Full Time Remote SeniorTeam 1,001-5,000Since 2014H1B Sponsor

View details: Medical Coding Specialist – I

• The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. • This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. • The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. • This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment. • Averages 10 front-end holds per hour. • Maintains a minimum of 90% coding accuracy. • Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment. • Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses. • Ensures all diagnosis codes meet local and national medical necessity guidelines. • Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services. • Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality. • Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices. • Independently reviews and resolves all assigned front-end claim holds. • Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead. • Escalates identified client trends to the assigned Coding Team Lead. • Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification. • Maintains and completes all CEU requirements. • Performs other duties or tasks as assigned.

United States

$24 - $28 / hour

Medical Coding Specialist

Innovaccer Analytics

Innovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes. The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure—extending the human touch in healthcare. For more information, visit www.innovaccer.com.

Full Time Remote Mid Level

Role Description The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment. A Day in the Life - Averages 10 front-end holds per hour - Maintains a minimum of 90% coding accuracy - Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment - Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses - Ensures all diagnosis codes meet local and national medical necessity guidelines - Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services - Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality - Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices - Independently reviews and resolves all assigned front-end claim holds - Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead - Escalates identified client trends to the assigned Coding Team Lead - Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification - Maintains and completes all CEU requirements - Performs other duties or tasks as assigned Qualifications - Must hold a current AAPC or AHIMA Certification for a minimum of 3 years - Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines - Familiarity with proper English grammar, usage, and professional documentation standards - Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues - Ability to read, interpret, and apply policies, procedures, laws, and regulations - Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures - Demonstrated ability to exercise independent judgment in coding and claim resolution - Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff - Strong commitment to maintaining confidentiality and safeguarding protected health information - Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements - Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams) - Minimum of 3+ years of professional coding experience Benefits - Generous Paid Time Off: Recharge and relax with 20 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performance - Best-in-Class Parental Leave: Spend quality time with your growing family. We offer one of the industry’s most generous parental leave policies to support you during life’s most important moments - Recognition & Rewards: We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won’t go unnoticed - Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insurance Company Description Innovaccer activates the flow of healthcare data, empowering providers, payers, and government organizations to deliver intelligent and connected experiences that advance health outcomes. The Healthcare Intelligence Cloud equips every stakeholder in the patient journey to turn fragmented data into proactive, coordinated actions that elevate the quality of care and drive operational performance. Leading healthcare organizations like CommonSpirit Health, Atlantic Health, and Banner Health trust Innovaccer to integrate a system of intelligence into their existing infrastructure—extending the human touch in healthcare. For more information, visit www.innovaccer.com.

View details: Medical Coding Specialist

United States

Medical Coding Specialist - I

Innovaccer Analytics

Full Time Remote Mid Level

Role Description The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment. A Day in the Life - Averages 10 front-end holds per hour - Maintains a minimum of 90% coding accuracy - Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment - Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses - Ensures all diagnosis codes meet local and national medical necessity guidelines - Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services - Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality - Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices - Independently reviews and resolves all assigned front-end claim holds - Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead - Escalates identified client trends to the assigned Coding Team Lead - Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification - Maintains and completes all CEU requirements - Performs other duties or tasks as assigned Pay Range $24-$28/HR. It's a full time non exempt role. Qualifications - Must hold a current AAPC or AHIMA Certification for a minimum of 3 years - Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines - Familiarity with proper English grammar, usage, and professional documentation standards - Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues - Ability to read, interpret, and apply policies, procedures, laws, and regulations - Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures - Demonstrated ability to exercise independent judgment in coding and claim resolution - Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff - Strong commitment to maintaining confidentiality and safeguarding protected health information - Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements - Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams) - Minimum of 3+ years of professional coding experience Benefits - Generous Paid Time Off: Recharge and relax with 20 days of fixed time off per year, in addition to company holidays - Best-in-Class Parental Leave: Spend quality time with your growing family - Recognition & Rewards: Get rewarded with monetary incentives and company-wide recognition for your impact and dedication - Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance

View details: Medical Coding Specialist - I

United States

$24 - $28 / hour

Medical Coder, Specialist

Innovaccer

Two years in a row: Innovaccer Awarded Best in KLAS Data & Analytics Platforms Category.

Full Time Remote SeniorTeam 1,001-5,000Since 2014H1B Sponsor

View details: Medical Coder, Specialist

• The Medical Coder is responsible for independently reviewing, analyzing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. • This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. • The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. • This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment.

United States

Medical Coder Specialist

Innovaccer Analytics

Full Time Remote Mid Level

Role Description The Medical Coder is responsible for independently reviewing, analysing, and resolving all assigned front-end claims to ensure accurate and timely claim submission. This position focuses on identifying and correcting coding-related issues prior to claim transmission, applying established coding guidelines, payer requirements, and organizational policies. The Medical Coder works closely with revenue cycle partners to prevent claim rejections, support clean claim rates, and promote efficient reimbursement processes. This role requires strong attention to detail, foundational coding knowledge, and the ability to work independently in a fast-paced environment. A Day in the Life - Averages 10 front-end holds per hour - Maintains a minimum of 90% coding accuracy. - Assigns ICD-10-CM and CPT codes with appropriate modifiers for services provided in the professional fee environment. - Reviews medical records and all applicable documentation to determine appropriate codes for documented services and diagnoses. - Ensures all diagnosis codes meet local and national medical necessity guidelines. - Utilizes internal coding resources, payer guidelines, and other reference materials to ensure accurate and compliant coding for all assigned services. - Follows all HIPAA regulations and upholds the highest standards of privacy and confidentiality. - Maintains current knowledge of laws, regulations, payer policies, and industry guidance impacting compliant coding practices. - Independently reviews and resolves all assigned front-end claim holds. - Actively participates in department meetings, one-on-one meetings, and mentorship meetings with the assigned Coding Team Lead. - Escalates identified client trends to the assigned Coding Team Lead. - Escalates all coding-related questions to the assigned Coding Team Lead for guidance and clarification. - Maintains and completes all CEU requirements. - Performs other duties or tasks as assigned. Qualifications - Must hold a current AAPC or AHIMA Certification for a minimum of 3 years. - Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines. - Familiarity with proper English grammar, usage, and professional documentation standards. - Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues. - Ability to read, interpret, and apply policies, procedures, laws, and regulations. - Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures. - Demonstrated ability to exercise independent judgment in coding and claim resolution. - Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff. - Strong commitment to maintaining confidentiality and safeguarding protected health information. - Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements. - Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams). - Minimum of 3+ years of professional coding experience. Benefits - Generous Paid Time Off: Recharge and relax with 20 days of fixed time off per year, in addition to company holidays—because we believe work-life balance fuels performance. - Best-in-Class Parental Leave: Spend quality time with your growing family. We offer one of the industry’s most generous parental leave policies to support you during life’s most important moments. - Recognition & Rewards: We celebrate wins—big and small. Get rewarded with monetary incentives and company-wide recognition for your impact and dedication. Your hard work won’t go unnoticed. - Comprehensive Insurance Coverage: Stay covered with medical, dental, and vision insurance, plus 100% company-paid short- and long-term disability and basic life insurance. Optional perks include discounted legal aid and pet insurance.

View details: Medical Coder Specialist

United States

Risk Adjustment Coding Specialist II

Astrana Health, Inc.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

View details: Risk Adjustment Coding Specialist II

Full Time Remote Mid LevelTeam 1,001-5,000

Role Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our IPAs across the nation. In this role, you will support risk adjustment efforts by: - Conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. - Translating findings into actionable insights and delivering education to providers and practice leaders. - Tracking and reporting on key performance metrics—such as HCC recapture rates, AWVs, and other KPIs. Additionally, you will: - Review provider documentation of diagnostic data from medical records to verify compliance with Medicare Advantage, ACO, and Commercial risk adjustment documentation requirements. - Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to HCC. - Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation. - Interact with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation. - Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing. - Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes. - Provide recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives. - Train, mentor, and support new employees during the orientation process. - Provide peer-to-peer guidance through informal discussion and overread assignments. - Assist or lead projects and/or handle a higher work volume than Risk Adjustment Coding Specialist I. - Perform other duties as assigned. Qualifications - Must be open to traveling to provider sites within Connecticut and possibly surrounding areas. - Reliable transportation and valid Driver’s License required. - Certified Professional Coder (CPC) certification from AAPC. - Certified Risk Adjustment Coder (CRC) certification from AAPC. - 3-5+ years of experience in risk adjustment coding and billing experience. - PC skills and experience using Microsoft applications such as Word, Excel, and Outlook. - Excellent presentation, verbal and written communication skills, and ability to collaborate. - Ability to educate and train provider office staff members. - Proficiency with healthcare coding software and Electronic Health Records (EHR) systems. - Strong knowledge with PowerPoint, preparing presentations, and public speaking. - Strong experience with Excel - reports, pivot tables, VLOOKUP, etc. Requirements - Strong billing knowledge and/or Certified Professional Biller (CPB) through AAPC highly preferred. - Knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage. - Experience with multiple EMR/EHR systems. - Experience with Monday.com and PowerBI. - Ability to work independently and collaborate in a team setting. - Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting. Benefits - The national target pay range for this role is $70,000 - $85,000 per year. - Actual compensation will be determined based on geographic location, experience, and other job-related factors. - This role will be fully remote and likely work in CST hours, with some work across time zones as necessary. - This is a full-time position, M-F 8:30 AM - 5:00 PM. Company Description Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.

United States

$70K - $85K / year

Professional Coding Summer Intern

Yale New Haven Health

YNHHS Requisition ID: 173819

View details: Professional Coding Summer Intern

Internship Remote Entry LevelTeam 10,001

Role Description Coding Intern is a temporary level coding position aimed at introducing individuals to the coding experience. Incumbents are expected to learn coding rules, guidelines, classification systems, and other relevant skills required to successfully code medical records. Responsibilities include learning and coding simple cases under direct supervision. Responsibilities - Growth and Development: Coding Interns are expected to progress through learning different types of Coding within the first three months. It is expected the Intern will be able to understand coding rules, guidelines, and classification systems. Navigate the medical record and understand the different types of documentation needed for the service lines. - Coding Expectations: Coders are expected to understand coding functions within departmental guidelines. Departmental guidelines include productivity expectations, goals, accurate use of coding statuses, work queues, hard stops, and communication and relationship building with partner departments. - Coding Quality: Coders are expected to understand a minimum quality score of 95% in all aspects of their coding including diagnosis codes, PCS, CPT, modifiers, etc. - Shadow Experience: Coding Interns will shadow other revenue cycle departments relevant to coding e.g., CDI (IP OP), Billing, Denials, Professional Coding. Coding Interns are expected to understand the roles of these areas and how they contribute to overall revenue cycle operations. - Presentation: Coding Interns will create and present a PowerPoint presentation highlighting their internship experience. Qualifications - EDUCATION: High School Diploma required. Recent graduate or currently enrolled in a Medical Coding Program strongly preferred. - EXPERIENCE: No coding experience required. Past experience in healthcare related fields preferred. Clinical experience is helpful but not required. - SPECIAL SKILLS: - Knowledge of medical terminology, anatomy and physiology, and disease process acquired in educational program requirements. - Good oral and written communication skills. - Ability to exercise good judgment, independent logic, light typing, and excellent computer data entry skills. - Computer system experience helpful. YNHHS Requisition ID 181501

United States

HIM Cert Coder IP - CFH

Carle Health

Redefining healthcare around you.

Full Time Remote Mid LevelTeam 10,001+Since 1946H1B Sponsor

View details: HIM Cert Coder IP - CFH

Role Description The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. - Responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. - Responsible for understanding and applying coding knowledge to resolve billing edits related to coding. - Uses Carle electronic medical record systems to review clinical encounters. Qualifications - Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) - Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) - Certified Inpatient Coder (CIC) - American Academy of Professional Coders (AAPC) - Certified Coding Specialist - Physician-Based (CCS-P) - American Health Information Management Association (AHIMA) - Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) - Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) Requirements - Knowledge of ICD-10-CM, CPT, and HCPC coding rules and guidelines for code application. - Ability to work with others collaboratively and communicate efficiently, both orally and in writing. - Knowledge of medical science, anatomy and physiology required. - Ability to perform computer data entry. - Experience with encoders or other coding software packages preferred. Responsibilities - Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system. - Provides interdepartmental coding assistance, as needed, to determine accurate coding assignment. - Develops methodology to provide a coding process that is compliant with regulatory agencies. - Facilitates optimization of revenue while maintaining compliance standards for the organization. - Serves as an expert resource regarding CPT, HCPCS, ICD-10-CM, and all other necessary coding systems. - Serves as liaison for coding and billing staff to ensure accurate charge capture. - Reports any documentation and coding improvement needs based upon review findings. - Responsible for maintaining coding certification, knowledge, and skills to successfully perform job duties. - Performs provider and peer coding audits as requested. - Assists with monitoring of internal controls for coding and billing. - Facilitates external audit activities and reporting of such activities to the appropriate administrative personnel. Benefits - The compensation range for this position is $23.58 per hour - $39.38 per hour. - Actual compensation offered will depend on various factors including experience, qualifications, location, training, licenses, shifts worked, and compensation model. - Carle Health offers a comprehensive benefits package for team members and providers.

United States

$24 - $39 / hour