UNKNOWN

FEED

Maintain 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.

TOA Middle

Certified Coder - Surgery

Certified Coder

FULL_TIME

Tennessee Orthopaedic Alliance

Currently working in medical coding, clinical documentation improvement, or a closely related documentation role. For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome.

HOUR

Mercor

Clinical Documentation Expert - AI Trainer

Manatal

Position Overview: The Physician Assistant (PA) provides direct client care, including assessing, diagnosing, planning, and prescribing pharmacologic and non-pharmacologic treatment of health problems, health promotion and preventive care within this specialized area of practice under the supervision of a licensed physician. COLLABORATIVE TEAM: Join forces with a diverse clinical team comprised of licensed therapists, psychiatrists, psychiatric NPs/PAs, psychologists, TMS specialists and support staff to provide comprehensive care.

YEAR

Family Care Center

Physician Assistant

Jobvite Talemetry Organic Easy Apply

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). 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).

Houston Methodist Hospital

Senior Outpatient Coder

The VP, Revenue Recovery is responsible for providing leadership and supervision to the Revenue Recovery products under the Denials umbrella, including Diagnosis-Related Group (DRG & DRGV), and Medical Necessity Denials and Emergency (ED) Downgrades, for the purpose of obtaining quantifiable results and setting priorities for direct reports. By cutting through complexity, we help hospitals thrive, resulting in recognition as Black Book’s #1 Specialty RCM provider for complex claims and revenue integrity in 2024 and 2025, a multi-year Top Workplaces honoree, and a SOC 2 Type II and HITRUST e1-certified platform.

EnableComp

Vice President, Revenue Recovery (REMOTE)

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Houston 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.

Inpatient Coder

5+ years of experience in risk adjustment coding , HCC coding , or Medicare Advantage coding operations, with at least 2 years in a leadership role. Lead risk adjustment and HCC coding operations across Medicare Advantage , Medicaid , and ACA risk adjustment programs.

Risk Adjustment Expert - AI Trainer

OTHER

Complies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).

TriWest Healthcare Alliance

Program Integrity Investigator

equestftpin

Reviews coding logs daily, updates and completes assigned items, abstracts medical records for missing documentation and queries, emails the facility HIM Director daily regarding uncoded accounts, logs information on daily coding logs, and follows up each day until coding can be completed. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points,an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

University Health Services Inc

CODER (CERT)

This role serves as a subject matter expert for provider Peer Review/PPE processes, including Clinical Privileging, Focused Professional Practice Evaluation (FPPE) for New Privileges, Ongoing Professional Practice Evaluation (OPPE), Focused Professional Practice Evaluation (FPPE) for Cause, and Case Review workflows. This position works collaboratively with healthcare leaders, physicians, medical staff offices, quality departments, technical/EHR resources, medical coding professionals, implementation teams, and product stakeholders to drive successful adoption and continuous improvement initiatives.

HealthStream, Inc.

Sr. Consultant

Maintain a current working knowledge of all related regulatory and compliance requirements (including HIPAA and coding guidelines) and ensures staff adherence through training, process updates, and policy alignment. Develops a high-performing team through effective leadership, coaching, and accountability to build a high-performing, scalable organizational structure.

EnableComp LLC

Vice President, Revenue Integrity - DRG & DRGV (REMOTE)

This role owns the health, stability, and compliance posture of a suite of clinical and regulatory R&D platforms - including Axway Secure Transport (ST), eClinical Elluminate, Eclipse (medical coding), and EAST - across the full engagement lifecycle: implementation, configuration, validation, and steady-state managed services. The team operates at the intersection of IT infrastructure, clinical operations, and quality/regulatory compliance, partnering closely with global business and technology stakeholders to support end-to-end clinical trial data lifecycles from data capture and coding through statistical analysis and submission-ready outputs.

Deloitte Touche Tohmatsu Ltd

Clinical Data AMS Sr. Consultant

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM intelligent automation platform to improve financial sustainability for hospitals, health systems, and ambulatory surgery centers (ASCs) nationwide. Powered by proprietary algorithms, iterative intelligence from 10M+ processed claims, and expert human-in-the-loop integration, EnableComp provides solutions across the revenue lifecycle for Veterans Administration, Workers' Compensation, Motor Vehicle Accidents, and Out-of-State Medicaid claims as well as denials for all payer classes.

Resolution Analyst, Denials

EnableComp provides Specialty Revenue Cycle Management solutions for healthcare organizations, leveraging over 24 years of industry-leading expertise and its unified E360 RCM Position Summary The Resolution Analyst acts as the liaison between key client contacts and our denials and underpayment appeal process to the appropriate payer. Research, request, and acquire all pertinent medical records and supporting documentation to create and submit complex underpayment appeals to the appropriate payer, ensuring accurate and timely claim reimbursement.

Our shared vision is to enhance the quality of healthcare by empowering the people who deliver care - a commitment we have upheld for over 30 years through providing innovative solutions and driving constant growth. Our resource centers provide an inspiring workspace to collaborate and recharge as well as company-sponsored onsite social events for development, connection, and celebration.

Medical Coding Specialist Jobs in Nashville, TN

Certified Coder - Surgery TOA Middle

Certified Coder TOA Middle

Certified Coder - Surgery Tennessee Orthopaedic Alliance

Certified Coder Tennessee Orthopaedic Alliance

Clinical Documentation Expert - AI Trainer Mercor

Physician Assistant Family Care Center

Senior Outpatient Coder Houston Methodist Hospital

Vice President, Revenue Recovery (REMOTE) EnableComp

Inpatient Coder Houston Methodist Hospital

Risk Adjustment Expert - AI Trainer Mercor

Program Integrity Investigator TriWest Healthcare Alliance

CODER (CERT) University Health Services Inc

Sr. Consultant HealthStream, Inc.

Vice President, Revenue Integrity - DRG & DRGV (REMOTE) EnableComp LLC

Vice President, Revenue Integrity - DRG & DRGV (REMOTE) EnableComp

Clinical Data AMS Sr. Consultant Deloitte Touche Tohmatsu Ltd

Resolution Analyst, Denials EnableComp LLC

Resolution Analyst, Denials EnableComp

Sr. Developer HealthStream, Inc.

Clinical Data AMS Sr. Consultant Deloitte

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