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Certified Coding Associate - American Health Information Management Association (AHIMA), Certified Coding Specialist - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physician - American Health Information Management Association (AHIMA), Certified Outpatient Coder - American Academy of Professional Coders, Certified Professional Coder - Outpatient - American Academy of Professional Coders, Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) Work Experience: Demonstrate advanced knowledge and expertise in professional and outpatient facility coding practices; provide guidance and support to coding staff on complex coding scenarios and regulatory requirements; stay updated on changes in coding regulations and guidelines to maintain subject matter expertise.

Vanderbilt University Medical Center

Senior Coding Specialist (Emergency Medicine PB & HB exp) - REMOTE

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Periodically works with their Manager to review individual work accomplishments, discuss work problems/barriers, discuss progress in mastering tasks and work processes, and discusses individual training needs and career progression. The Coding Account Resolution Specialist-III (CARS-III) works inpatient coding related alerts/edits, predominately post initial/final coding.

At its founding in 1968, Nashville-based HCA was one of the nation's first hospital companies. Today, we are the nation's leading provider of healthcare services, a company comprised of locally managed facilities that includes about 165 hospitals and 115 freestanding surgery centers in 20 states and England and employing approximately 204,000 people. Approximately four to five percent of all inpatient care delivered in the country today is provided by HCA facilities. Richard M. Bracken serves as Chairman of HCA and R. Milton Johnson is the company's President and Chief Executive Officer. HCA is committed to the care and improvement of human life and strives to deliver high quality, cost effective healthcare in the communities we serve. Building on the foundation provided by our Mission & Values, HCA puts patients first and works to constantly improve the care we give them by implementing measures that support our caregivers, help ensure patient safety and provide the highest possible quality. Investing in our communities is important to us. HCA typically invests about $1.5 billion annually to keep our facilities modern and up-to-date technologically and to expand and add services where needed. Focusing primarily on communities where the company is a leading healthcare provider, HCA selectively adds new facilities in order to better serve our communities. And because two HCA founders were physicians, we value highly the strong relationships we've created with local physicians. We endeavor to provide them with a wide array of services and modern facilities in order to help them deliver the best possible care.

HCA Healthcare

Inpatient Coding Resolution Specialist

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However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with CGI's legal duty to furnish information. In this role, you will leverage your outpatient coding, clinical documentation, and reimbursement expertise to conduct comprehensive medical record audits and identify potential improper payments, including overpayments and underpayments.

CGI Inc

Outpatient Coding Auditor

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Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits. We are seeking a talented individual for a Senior Coding Auditor, Itemized Bill Reviewer who is responsible for performing itemized bill review, chart review, and coding validation to ensure that billed services were ordered, allowable, and accurately documented in the patient record.

YEAR

Gainwell Technologies LLC

Senior Coding Auditor, Itemized Bill Reviewer- Remote

FULL_TIME

Other job duties include: improving health record documentation and coding accuracy, developing and updating all departmental policies and procedures relative to coding, performing quality reviews of coding/abstracting, and focusing on problem solving issues related to denials. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical staff education efforts, serves as the user advocate between Health Information Management (HIM), Clinical Effectiveness, and Registration.

Covenant Health

CODING SPEC-CLINIC

[AW]-iCims

Coding Specialist

UHN Auditor provides superior customer experience by educating internally and externally of errors and opportunities for improvement discovered during routine auditing. Performs routine internal audits for the UHN Coding team utilizing the UHN Audit tool to assign accuracy rates.

University Physicians Association Inc

Coding Auditor - University Health Network

Identifies and evaluates company risk areas and provides coding auditing procedures related to documentation and reimbursement to include: documenting client processes and procedures; assessing risks and adequacy of related manual and automated internal controls; developing criteria; reviewing and analyzing findings. Communicates or assists in communicating the results of coding audits and consulting projects via written reports and oral presentations to coding management, audit committee, coding/CDI and or physician office staff as appropriate.

CODING OFF AUDITOR-EDU

CERTIFICATION/LICENSE: Must hold one of the following AHIMA (American Health Information Management Association) or AAPC (American Academy of Professional Coders) Certifications: Certified Coding Specialist (CCS) Certified Coding Specialist - Physician (CCS-P) RHIT (Registered Health Information Technician) RHIA (Registered Health Information Administrator) Certified Professional Coder (CPC) Certified Outpatient Coder (COC) Certified Documentation Expert Outpatient (CDEO) Certified Professional Medical Auditor (CPMA) Benefits HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. SUPERVISOR: Director, Coding Operations Education and Quality and Manager, Coding Quality Review DUTIES INCLUDE BUT NOT LIMITED TO: Participate in the development of strategic coding and HIM communication and education plans which outline the targeted audience, training needs and methods, implementation, and evaluation for.

HCA Healthcare Inc

Coding Operations Education Consultant WFH

This person serves as a key promoter of Coding Operations and is responsible for setting the tone of Coding Operations as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. Communication - communicates clearly and concisely, verbally and in writing, including utilizing proper punctuation and correct spelling; able to communicate with staff, executives and stakeholders.

Coding Operations Education Manager WFH

This role serves as a key partner between Coding Operations, Revenue Cycle, Client Services, Technology, Implementation, and operational leadership teams to ensure seamless coding transitions, operational readiness, compliance, and long-term success. This leader will be responsible for guiding coding integration activities, supporting operational transformation, identifying process improvement opportunities, and ensuring coding best practices are consistently implemented across client engagements.

Ensemble Health Partners

Director, Client Coding Integration

The role uses SQL, analytical and reporting tools, healthcare data, and business knowledge to analyze and validate data, research complex issues, develop reporting and analytics solutions, support regulatory and industry submissions, and translate operational requirements into actionable insights. Clear written and verbal communication and collaboration skills, including the ability to explain financial, healthcare, and technical topics to technical and nontechnical audiences and work effectively with end users, business stakeholders, technical teams, leaders, and external partners.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Healthcare Price & Transparency Analyst (Associate | Analyst | Senior)

Job Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators (inpatient only) on inpatient or outpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Detailed responsibilities: Reviews inpatient or outpatient medical records to assign and sequence all appropriate diagnosis and procedures codes utilizing encoder software and following by proficiently translating diagnostic statements, procedure descriptions, physician orders, and other pertinent documentation.

Erlanger Health

Outpatient Hospital Reimbursement & Coding Specialist Iii, Remote

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None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to an Associate’s degree. Covenant Health is the region’s top-performing healthcare network with 10 hospitals , outpatient and specialty services , and Covenant Medical Group , our area’s fastest-growing physician practice division.

CODER ANALYST

Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to “Always Do The Right Thing!”, and to collectively do our part to heal the world, one patient at a time.

Wellpath

Compliance Analyst

Position Overview: Responsible for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the clinical departments and coding staff and root cause correction to support accurate charging and coding in compliance with policies. Demonstrated ability to utilize official coding/billing resources including CPT/HCPCS references, OPPS Manual, NCCI Manual, NUBC Manual, etc. to determine applicable charges/codes as documented in the health record.

HOUR

Sutter Health has a long history in California. Some of our facilities have been providing care in the communities we serve for more than 100 years. Today, we’re proud to partner with more than 12,000 doctors to care for more than 3 million people.
We’re inspired by our Northern California community and work tirelessly to deliver top-rated, affordable healthcare. Doctors, hospitals, care teams and employees in the Sutter Health network are always looking for new, meaningful ways to care for you and your loved ones. We believe that every moment matters when it comes to helping you live a longer, healthier and happier life.
Our not-for-profit network delivers top-rated, personalized care in more than 100 Northern California communities. Recently ranked among the Top 15 Health Systems in the nation by Truven Health Analytics™, our team of more than 50,000 doctors, employees and volunteers partner to spread innovation, improve access to healthcare services and put our patients’ needs first—all to achieve the highest levels of quality, access and affordability.

Sutter Health

Charge Audit Analyst

Required Skills/Abilities: Proactive initiative in exploring and discovering opportunities to improve company performance through data analysisEstablish trusting, professional relationships with colleaguesEffective organization skills with the ability to work in a very fast-paced, team-oriented environmentFinancial and business acumen, problem-solving, and analytical skills with keen attention to detail and accuracyKnowledge of healthcare/medical economics data such as hospital/physician /ASC claims, utilization data, and healthcare industry coding systems ICD-10, CPT/HCPCS, Revenue Codes, MS/APR-DRGs and APCsExcellent communication skills across verbal, written, and presentation applications (Microsoft Word, PowerPoint, Excel, etc). Minimum Qualifications: Bachelor's degree in STEM (i.e., Applied Math, Statistics, Actuarial Science, Economics, or a related field required)1-2 years of prior experience as an analyst with a health plan, ACO, RBE, or consulting firm focused on healthcare analytics, decision support, or medical economicsProficiency in MS Excel, including formulas, PivotTables, PowerBI, graphing and other reporting and presentation featuresExperience in data mining, working with healthcare claims and enrollment data in large repositories and/or relational databases with SQL experience strongly preferred.

ArchWell Health

Medical Economics - Analyst, Medical Economics

Knowledge of healthcare/medical economics data such as hospital/physician /ASC claims, utilization data, and healthcare industry coding systems ICD-10, CPT/HCPCS, Revenue Codes, MS/APR-DRGs and APCs. Perform qualitative analysis to identify cost drivers (utilization and/or rate) to identify and solve business problems and continuously improve data-driven strategies and processes to improve financial results.

ArchWell Health LLC

Coordinates updates (activate, inactivate, modification) with Ancillary Departments as necessary Performs assigned charge reviews (governmental, corporate, insurance defense, patient requested, collections, denials, focused review, SPAEs, cosmetics, etc.) by researching documentation, analyzing information, entering all corrections as needed and communicating error trends to provide process improvement opportunities. Job Summary and Qualifications The Billing Integrity Analyst Register Nurse (RN) is responsible for determining the appropriateness of patient charges, and Charge Description Master (CDM) assigned HCPCS/CPTs, by reviewing the medical record, facility protocol, and other applicable documentation.

Billing Integrity Analyst-Registered Nurse

Risk Adjustment Data AnalystPosition SummaryThe Risk Adjustment Data Analyst supports end‑to‑end risk adjustment and revenue cycle operations by analyzing HCC submissions by ArchWell Health and any rejections at Clearninghouse/payer/CMS level, managing chart‑retrieval and review workflows, and ensuring accurate ingestion of care‑gap and clinical documentation data for various sources. Detail‑oriented with strong data validation skillsAbility to manage multiple workstreams and deadlinesStrong cross‑functional collaborationComfort working in fast‑paced, evolving operational environmentsCommitment to accuracy, compliance, and documentation integrity.

Coding Analyst Jobs in Tennessee

Senior Coding Specialist (Emergency Medicine PB & HB exp) - REMOTE Vanderbilt University Medical Center

Inpatient Coding Resolution Specialist HCA Healthcare

Outpatient Coding Auditor CGI Inc

Senior Coding Auditor, Itemized Bill Reviewer- Remote Gainwell Technologies LLC

CODING SPEC-CLINIC Covenant Health

Coding Specialist Covenant Health

Coding Auditor - University Health Network University Physicians Association Inc

CODING OFF AUDITOR-EDU Covenant Health

Coding Operations Education Consultant WFH HCA Healthcare Inc

Coding Operations Education Manager WFH HCA Healthcare

Director, Client Coding Integration Ensemble Health Partners

Healthcare Price & Transparency Analyst (Associate | Analyst | Senior) Blue Cross and Blue Shield Association

Outpatient Hospital Reimbursement & Coding Specialist Iii, Remote Erlanger Health

CODER ANALYST Covenant Health

Compliance Analyst Wellpath

Charge Audit Analyst Sutter Health

Medical Economics - Analyst, Medical Economics ArchWell Health

Medical Economics - Analyst, Medical Economics ArchWell Health LLC

Billing Integrity Analyst-Registered Nurse HCA Healthcare Inc

Data Analyst, Risk Adjustment ArchWell Health

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