Trabajos medical coder en Nashville, TennesseeCrear alertas

Job Description Job Description: The Medical Coder and Accounts Receivable (AR) Specialist is responsible for accurately assigning medical codes to diagnoses, procedures, and services provided by healthcare providers. In addition to coding duties, this role will handle accounts receivable functions, ensuring timely collection of payments from insurance companies and patients. The ideal candidate will possess strong knowledge of medical coding systems and healthcare revenue cycle processes, with a focus on maintaining compliance with regulations and optimizing revenue collection. Daily Tasks: 1. Accurately assign appropriate ICD-10, CPT, and HCPCS codes to patient diagnoses, treatments, and procedures based on physician documentation. • Ensure coding practices adhere to all relevant regulations, payer guidelines, and healthcare industry standards., • Review and interpret clinical documentation to ensure proper coding of complex cases. • Identify and correct coding errors and discrepancies to prevent claims denials and rejections., • Collaborate with healthcare providers to clarify ambiguous or unclear documentation for accurate coding., • Stay up to date with industry changes, including coding updates, billing regulations, and insurance requirements. 1. Accounts Receivable • Monitor the AR process, ensuring timely and accurate billing and follow-up on unpaid claims., • Review and review and resolve denied or rejected claims, working with insurance companies to appeal denials and secure payment., • Post payments to patient accounts, ensuring accuracy and reconciling any discrepancies. • Conduct regular follow-up on outstanding balances, contacting patients and insurance companies as needed to secure payment., • Maintain detailed records of communication with insurance providers and patients for audit and reporting purposes. 1. Requirements • Certification in Medical Coding (AAPC, CPC, CCS, or equivalent) required., • 2+ years of experience in medical coding and/or AR within a healthcare setting. • Knowledge of ICD-10, CPT, and HCPCS coding systems., • Familiarity with healthcare billing processes and insurance claim submission requirements., • Strong understanding of HIPAA and other relevant healthcare compliance regulations., • Proficient in healthcare billing software and electronic medical records (EMR) systems., • Excellent attention to detail and accuracy in coding and financial tasks., • Strong organizational and time management skills, with the ability to prioritize tasks and meet deadlines., • Effective communication skills, both written and verbal, for interacting with healthcare providers, patients, and insurance representatives. Join our team as an Accounts Receivable Specialist where you will play a vital role in ensuring our financial operations run smoothly while contributing to the overall success of our organization. Benefits: • 401(k), • Dental insurance, • Health insurance, • Life insurance, • Paid time off, • Vision insurance Experience: • ICD-10: 1 year (Preferred) Work Location: In person Monday through Friday, 8:00 AM to 4:30 PM

Date Posted: June 18, 2025 The _ seeks a part-time contract SAS Programmer to support the Research and Cost Trends (RCT) department in updating and maintaining the data infrastructure used to prepare the All-Payer Claims Database (APCD), advise on structural changes to case-mix and evaluate existing tools used in analytic file creation. This is an opportunity for a detail-oriented, skilled SAS coder with previous experience working with health insurance enrollment files, medical claims, and pharmacy claims, as well as datasets maintained by the Massachusetts Center for Health Information and Analysis (CHIA). The SAS Programmer will join the Research and Cost Trends (RCT) department and will report directly to the Manager of Research and Cost Trends. Duties of the position may include, but are not limited to: Updating programs to allow for changes in new releases of the All-Payer Claims Database (APCD); Advising and creating best practices to integrate CHIA’s Master Patient Index (MPI) that is updated on a quarterly basis and allows linking across APCD and case-mix; Integrating the 3M Core Grouping Software into the analytic pipeline; Integrating the HHS-HCC risk adjustment model into the analytic pipeline; Validating HPC’s methods for processing MassHealth ACO/MCO/FFS claims; Helping integrate MassHealth MCO processing into commercial processing such that both sets of claims can be processed simultaneously; Identify and eliminate outdated SAS code in programs to help reduce confusion for future processors; Advising HPC on processing Medicare Advantage claims and make changes to existing programs as needed to allow for Medicare Advantage analytic file creation; and Providing ongoing on-demand support for technical issues The HPC operates a hybrid work schedule, with employees splitting their time between the downtown Boston office and remote work. Desired Qualifications: Advanced Degree in Computer Science, Information Systems Management, or related field; At least 5 years of experience with SAS programming, data infrastructure maintenance, and analytic file creation; Previous experience working with claims data such as Center for Health Information Analysis All-Payer Claims Database preferred; Excellent oral, written, and interpersonal skills and the ability to work in groups; The ability to balance multiple and competing priorities in a fast-paced work environment; A commitment to fostering an inclusive workplace that promotes collaboration amongst diverse viewpoints, facilitates cooperation and teamwork, and supports constructive resolution of conflicts; A strong interest in public service and desire to advance a more transparent, accountable, and equitable health care system for all Massachusetts residents. Candidates must be eligible to work in the United States. Compensation and Benefits Compensation Range $140-$155 per hour worked, up to 20 hours of work a week. An initial maximum contract obligation of 120 hours. Compensation is commensurate with experience. The HPC may adjust title, responsibilities, and compensation depending on the experience and expertise of the individual selected. This is a contract position for up to one year of work. This position is not eligible for benefits other than limited sick leave. Our Commitment: The HPC is committed to a policy of non-discrimination and equal employment opportunity. We recognize that diversity in the workplace is a source of strength, vital to its ability to effectively advance its mission. The HPC is committed to: Actively promoting diversity in our workforce, including greater racial and ethnic diversity, at all levels of the organization; Fostering a work environment in which all employees are inspired to do their best, strengthened by their different perspectives, backgrounds, and experiences; Ensuring that no employee’s growth, achievement, or advancement is hindered because of race, ethnicity, sex, sexual orientation, religion, age, genetic information, gender identity, pregnancy, veteran status, or disability; Holding ourselves to a high standard of inclusion and opportunity that will serve as a model for other public and private employers throughout the Commonwealth; Promoting our core values of equal opportunity, equal justice, and inclusion in HPC actions and initiatives.

About SpotOn We’re not just building restaurant tech, we’re giving independent restaurants the tools to compete and win. From our award-winning point-of-sale to AI-powered profit tools, everything we do helps operators boost profit, work smarter, and keep their best people. And every solution is backed by real humans who actually give a sh*t about helping restaurants succeed. Named the #1 Restaurant POS by G2 (Fall 2025), based on ratings from real users Rated the top-rated point-of-sale (POS) for restaurants, bars, retail, and small businesses by Capterra users Awarded Great Places to Work and Built In’s Best Workplaces for multiple years running We move fast, care hard, and fight for independent restaurant operators to do what they love, and love doing it. If you’re looking to make an impact with heart and hustle, SpotOn is the place for you. The Accelerate team is a new 5-person engineering team with a singular mission: prove that AI-native engineering practices can fundamentally change how a fintech engineering org builds software - then make that the new standard. The team has direct VP sponsorship, mission & charter, and three defined projects with hard deadlines. We're hiring a Staff/Principal IC who has already demonstrated AI-assisted engineering at scale. This is not an "AI-curious" role. You write code with AI every day. You've built agents that do real work. You have strong, experience-backed opinions on which models to use for what, where agents fail, and how to build guardrails that actually hold. You've seen what works in production and you're impatient to do it at scale. You will be the most technically senior AI practitioner on this team - the person everyone looks to for "how do we actually build this." You don't manage the team. You drive the architecture, build the hardest parts, and set the technical standard. This isn't a "set up some CI/CD and plug in Copilot" role. You are the person who architects the systems that change how SpotOn engineers build software. You will: Be the AI engineering technical authority. You set the technical standard for how AI is used in code generation, review, testing, and task automation. You don't just implement tools - you design the systems, workflows, and guardrails that make AI-assisted development safe, measurable, and scalable in a PCI-regulated payments environment. The team lead sets priorities; you set the technical direction. Drive the architecture and implementation of three concurrent projects: Automated PR Review - A risk-tiered AI review pipeline where AI handles first-pass review on every PR, with an escalation framework you design that determines when human review is mandatory (payment logic, PCI-scoped code, compliance paths) versus when AI approval is sufficient. You define the criteria. You tune the thresholds. You prove it works. Android and API Test Automation - A fully automated test harness for our Android-native POS and KDS products: virtual device provisioning, test execution, teardown, AI-assisted failure analysis - replacing multi-day manual QA cycles with sub-30-minute automated runs. AI Agent Swarms - A multi-agent pipeline that takes a PRD and produces a tested, reviewed pull request for tier 1-3 engineering work (nits, bugs, small features). You design the agent orchestration - planner, coder, tester, reviewer - and the blast-radius controls that keep it safe in fintech. Evangelize by shipping, not by presenting. Your most persuasive argument is a working system, not a slide deck. You demo to engineering leads every two weeks with real metrics. You turn skeptics into adopters by showing them their own time savings. Measure everything. You define the metrics framework: developer hours recovered, cycle time compression, quality ratios, cost per deployment. You report to the CTO monthly with quantified value delivered. If something isn't working, the data tells you before anyone else. This is a high bar intentionally. We need someone who has already done this, not someone who wants to learn. Required experience: 5+ years building developer tools, infrastructure, or platform engineering systems - you understand how engineering orgs actually work at scale, not just how AI demos work 2+ years working deeply with LLMs and AI agents in production - not side projects, not hackathons. Production systems handling real code, real reviews, or real task automation. You can speak to failure modes, cost optimization, prompt engineering patterns, and model selection trade-offs from experience. Designed and operated AI-assisted code generation or review systems serving 50+ engineers or 30+ repositories. You know the difference between "cool demo" and "trusted by the team." Built multi-agent or agentic workflows - task decomposition, agent specialization, orchestration, error recovery. You've worked with Claude Code, OpenAI Assistants, LangGraph, CrewAI, AutoGen, or custom agent frameworks at a level where you can articulate why you chose one approach over another. Hands-on with AI coding tools daily - Claude Code, Cursor, GitHub Copilot, Windsurf, Codeium - you don't just use them, you push their limits. You know where they excel and where they hallucinate. You have a personal workflow that makes you measurably faster and you can teach it. Required domain expertise (at least two of three): Fintech / payments / regulated industry - you understand what PCI-DSS, SOX, or HIPAA compliance means for code review and deployment. You know why "just let the AI merge it" isn't an option for payment logic. Mobile / Android testing automation - Espresso, UI Automator, or AI-native tools (Drizz, mabl, testRigor). Experience with emulator farms, device provisioning, and CI-integrated test pipelines. Multi-agent system architecture - you've built systems where multiple AI agents collaborate on decomposed tasks with coordination protocols, fallback strategies, and human-in-the-loop checkpoints. You are not "AI-interested." You are AI-obsessed in the productive sense: You already write 50%+ of your code with AI assistance and you've measured the impact on your own velocity. You have opinions on which models are best for which tasks and you update those opinions monthly as the landscape shifts. You've built things with agents that most engineers think aren't possible yet. You're 6-12 months ahead of the mainstream in your personal practice and you have the shipped systems to prove it. You prototype in hours, not days. You can go from "I have an idea for how to automate X" to a working POC before end of day. You refine ruthlessly after. You context-switch across backend, mobile tooling, and AI/ML systems without losing depth. You don't need to be an Android expert, but you need to be dangerous enough to architect the test harness and evaluate the output. You communicate technical progress in business terms. You know that "we reduced median PR review time by 47%" lands better with a CTO than "we fine-tuned our prompt chain." You build dashboards, not just systems. You're an evangelist, not a gatekeeper. You get energy from showing other engineers how to work with AI. You don't hoard knowledge - you build systems that make the whole org better. You have a healthy skepticism forged by real experience. You've seen AI fail in production. You've dealt with hallucinated code, flaky agent workflows, and false-positive reviews. That experience makes your guardrails better, not your enthusiasm less. Building product features for restaurants (that's the rest of the org) Pure ML/AI research without production deployment Maintaining legacy systems or writing JIRA tickets all day People management - you're a pure IC on a small, senior, fast-moving squad. You write more code than anyone on the team. Languages: Kotlin (Android), Go, TypeScript, Python Mobile: Android-native POS applications on dedicated hardware Infrastructure: AWS, GitHub, CI/CD (GitHub Actions) AI Stack: You'll have significant influence on tool selection - bring your opinions Team tooling: Jira, Slack, Figma, standard SpotOn eng stack Why Join Us? At SpotOn, you’ll be part of a team that values diversity, creativity, and a shared mission to help small businesses succeed. Join us to build technology that makes a difference, work with talented peers, and contribute to a culture where your ideas and impact matter. Compensation: Our base pay range is $210,000 -$290,000+ for this role Please note the salary range listed is just one component of a competitive compensation package which includes a company stock plan Offers will be reflective of the candidate’s location and experience. Benefits: At SpotOn, we put people above everything else. We’re known for our innovative software and technology solutions, but we stand out because of the hard-working humans behind the tech. We can’t take care of our clients without taking care of our employees first, and that’s why we invest in you with a competitive benefits package which includes: Medical, Dental and Vision Insurance 401k with company match RSUs Paid vacation, 10 company holidays, sick time, and volunteer time off Employee Resource Groups to build community and inclusion at work Monthly cell phone and internet stipend Tuition reimbursement for up to $2,000 per calendar year to assist with your professional development We will never ask candidates to pay fees, purchase equipment, or share sensitive personal or financial information during the hiring process. All legitimate communication from our recruiting team will come from an official company email address (@). If something seems suspicious, please contact us at . SpotOn is an equal employment opportunity employer. Qualified candidates are considered for employment without regard to race, religion, gender, gender identity, sexual orientation, national origin, age, military or veteran status, disability, or any other characteristic protected by applicable law. Work authorization in the U.S. is required. Visa sponsorship is not available for this role. SpotOn is an E-Verify company.

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. • Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses., • Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements., • Review and verify accuracy of billing data within EHR/EMR systems prior to claim submission., • Utilize EHR/EMR platforms (such as Epic, Meditech, PrognoCis) for documentation, coding, and billing workflows., • Research and resolve billing discrepancies or claim denials., • Prepare and submit insurance appeals, ensuring compliance with payer guidelines., • Communicate with patients regarding billing questions, payment responsibilities, and insurance coverage., • Maintain up-to-date knowledge of medical terminology, payer requirements, and compliance regulations (HIPAA, CMS, etc.)., • Collaborate with clinical staff and providers to ensure accurate coding and documentation within electronic systems., • Track accounts receivable and follow up on outstanding claims to maximize revenue. Requirements Qualifications: • High school diploma or equivalent required; Associate’s degree in Healthcare Administration, Billing & Coding, or related field preferred., • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification strongly preferred., • Minimum of 2 years of experience in medical billing, coding, insurance follow-up, and working within EHR/EMR systems., • Strong knowledge of ICD-10, CPT, and HCPCS coding systems., • Hands-on experience with electronic health record (EHR) and electronic medical record (EMR) systems, including Epic, Meditech, and/or PrognoCis., • Familiarity with medical terminology, payer reimbursement guidelines, and healthcare regulations., • Experience creating cost estimates for medical procedures., • Skilled in preparing and submitting appeals for denied claims., • Proficiency with medical billing software and electronic health record (EHR) systems., • Strong attention to detail, problem-solving, and organizational skills., • Excellent written and verbal communication skills. Preferred Skills: • Experience with Medicare/Medicaid billing and commercial insurance., • Advanced knowledge of EHR/EMR workflows and system navigation., • Ability to work independently and manage multiple tasks in a fast-paced environment., • Customer service experience in a healthcare setting.

Join Our Team and Earn a $5,000 Sign-On Bonus! Schedule: Monday-Friday, 40hrs per week. 8am-5pm in your time zone. On occasion, schedule adjustment may be necessary for department meetings to accommodate all time zones. Job Location Type: Remote At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier. The Coding Quality and Education Review Specialist will review accounts for accurate and appropriate coding and/or clinical documentation integrity (CDI) in accordance with the Company's policies and procedures. Participates in the identification of educational areas for the company through the review process. A Coding Quality and Education Review Specialist who excels in this role: • Perform assigned coding quality reviews for all coding professionals (e.g., Lifepoint employed coders and contract coders) in adherence to The American Health Information Management Association (AHIMA) Standards of Ethical Coding, The Association of Clinical Documentation Improvement Specialist (ACDIS) Code of Ethics, Official Coding Guidelines, Lifepoint Health policies and procedures, The International Classification of Disease tenth revision (ICD-10) rules and regulations, and the American Medical Association (AMA) Current Procedural Terminology (CPT) guidelines and rules for reporting., • Identify trends and recommend appropriate education for the coding professionals based on the findings of the coding quality reviews., • Prepare audit summaries for reports for distribution to facility CFOs and compliance., • Monitor assigned coding quality review schedules and progress of reviews; propose modifications as necessary to improve audit effectiveness and efficiency of the schedule., • Serve as a coding resource for coding questions that are assigned., • Uses independent discretion/decision making while effectively working alone., • Attends educational webinars, conference calls, other coding seminars, and participates in all formal and informal coding discussions. Complete all assigned compliance courses within assigned period., • Maintain at least twenty (20) continuing education hours annually and maintain required credentials., • Conforms to AHIMA's Code of Ethics and Standards of Ethical Coding, LifePoint Attendance Policy and ensures patient/employee privacy and dignity by maintaining confidentiality with no infractions., • Other related job tasks or responsibilities as assigned. We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: • Comprehensive Benefits: Multiple levels of medical, dental and vision coverage tailored benefit options for part-time and PRN employees, and more., • Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off., • Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match., • Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs)., • Professional Development: Ongoing learning and career advancement opportunities. What We're Looking For • Education: Healthcare related Associate's degree or any equivalent combination of education, experience, and training that provides the required knowledge, skills, and abilities; Bachelor's degree preferred., • Experience:, • Minimum five years' experience, preferably in coding quality reviews and/or coding audits, with three years' specific experience in Inpatient hospital coding., • Must be familiar with Diagnosis Related Groups (DRGs), Ambulatory Payment Categories (APCs), the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative guidelines, Local and National Coverage Decisions and other medical necessity/compliance guidelines for billing and coding., • Have experience working with CDI team, writing queries, and working with multiple EMR's., • Certifications: Certified Coding Specialist (CCS), Certified Coding Specialist Physician (CCS-P), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), or other comparable nationally recognized acute care coding credential provided through AHIMA or AAPC. EEOC Statement Lifepoint Health an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment. Employment Sponsorship Statement You must be work authorized in the United States without the need for employer sponsorship Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country. We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.

Schedule: Days: Monday-Friday Job Location Type: Remote Your experience matters At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier. How you'll contribute The Revenue Cycle Manager is responsible for supporting Revenue Cycle operations for Medical Group Services by analyzing data and proactively identifying opportunities to support organizational objectives. The Manager will be responsible for assisting in optimizing financial performance, maximizing cash flow, reducing denials, and ensuring compliance with payer and regulatory requirements. A Manager, Physician Services who excels in this role: • Work closely with the Revenue Cycle Leadership to proactively analyze data, identify revenue cycle challenges and optimization opportunities (e.g. holds, denials, payers, practices, providers, enrollments, etc.), • Work closely with the Revenue Cycle Leadership to identify revenue cycle process and workflow issues., • Work closely with Revenue Cycle Leadership and Revenue Cycle Team to monitor Key Performance Indicators (KPIs) to aid in revenue optimization., • Assist in performing Post Go Live reviews under the direction of the Director of Revenue Cycle., • Under the direction of Revenue Cycle Leadership work closely with the Markets to support them with training and implementing processes (travel when necessary)., • Provides support to the Revenue Cycle Team with data requests and system updates., • Performs routine fee schedule adds in Athena and assists with annual fee schedule analysis and updates., • Responsible for new provider and department adds in Athena ensuring revenue cycle setups are correct., • Collaborate with the Revenue Cycle Team, Athena One Clinical Team, and/or Athena Project Managers on large scale projects ensuring accurate setup of revenue cycle functions., • Assist local Medical Group Services' markets in maintaining and implementing revenue cycle policies, procedures, and guidelines., • Regular and reliable attendance., • Perform other duties as assigned. Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: • Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees., • Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off., • Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match., • Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs)., • Professional Development: Ongoing learning and career advancement opportunities. What we're looking for • Education: Bachelor's degree in business, finance, information technology, Health Care Administration or have equivalent work experience., • Experience: Minimum 5 years of relevant revenue cycle and accounts receivable experience. Practice Management experience preferred. 2+ years of Athena experience highly preferred., • Certifications: Certified Professional Biller (CPB) or Certified Professional Coder-Apprentice (CPC-A) preferred. Hourly range: $65,172+ per year. The final agreed upon compensation is based on individual education, qualifications, experience, and work location. EEOC Statement Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment. You must be authorized to work in the United States without employer sponsorship.