Top 58 Cpc Jobs in Tn

Certified Professional Coder, Special Investigations Unit (Aetna SIU)
CVS Health —Tennessee
- $43,888 - $93,574 a year
- Full-time
- Remote
- Microsoft Excel
- Research
- Mid-level
- Health insurance
- Dental insurance
CODER (CERT)
Behavioral Health Shared Services Group —Brentwood, TN
- Full-time
- Remote
- High school diploma or GED
- 1 year
- Senior level
- Health insurance
- Dental insurance
5d
Certified Coder - Surgery
Tennessee Orthopaedic Alliance —Brentwood, TN
- Remote
- Anatomy knowledge
- Mid-level
- 1 year
- Profit sharing
- Health insurance
Risk Adjustment Medical Record Coder-4
BlueCross BlueShield of Tennessee —Chattanooga, TN
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
1d
Physician Billing Coder I, Hybrid
Erlanger Health System —Chattanooga, TN
- Full-time
- Addiction Medicine
- Medical office experience
- Urgent Care
Physician Coder III, Remote
Erlanger Health System —Chattanooga, TN
- Full-time
- Remote
- Anatomy knowledge
- Surgery
- Addiction Medicine
Medical Coder 1
Baptist Memorial Health Care —Memphis, TN
- English
- Mid-level
- 1 year
14d
Medical Coder 3
Baptist Memorial Health Care —Memphis, TN
- Surgery
- English
- Research
Regional Revenue Cycle Management Supervisor (Remote)
Blue Cloud Pediatric Surgery Centers —Nashville, TN
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- Dental insurance
- 401(k)
Quick Apply
5d
Business Integrity Analyst Credentialed
Parallon —Brentwood, TN
- Full-time
- Remote
- Mid-level
- 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
Coding Specialist
PathGroup —Nashville, TN
- Mid-level
- High school diploma or GED
- Analysis skills
Quick Apply
14d
Certified Coder/Billing Specialist
WOMENS GROUP OF FRANKLIN PLLC —Franklin, TN
- Email
- Mid-level
- Ob/Gyn
- Medical terminology
- Health insurance
- Dental insurance
Quick Apply
Medical Coding Specialist
Radiation Billing Solutions Inc —Joelton, TN
- Mid-level
- Office
- High school diploma or GED
Quick Apply
Clinical Coding Specialist
Rhea Medical Center —Dayton, TN
- Part-time
- Computer literacy
- HIPAA
- Office
Quick Apply
16h
Accounts Receivable Specialist
Oshi Health —Nashville, TN
- $47,000 - $52,000 a year
- Email
- Remote
- HIPAA
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Clinic Certified Coder
Cookeville Regional Medical Center —Cookeville, TN
- $23.00 - $30.57 an hour
- Full-time
- Hospital
- Mid-level
- High school diploma or GED
Certified Professional Coder
Clear Revenue Solutions —Smyrna, TN
- From $25 an hour
- Full-time
- Hybrid work
- Continuous improvement
- Senior level
- Communication skills
Quick Apply
Medical AR/Billing Specialist
Generations OB/GYN —Knoxville, TN
- Full-time
- Customer service
- Mid-level
- Office
- Health savings account
- Health insurance
Quick Apply
Medical Billing and Coding Manager (min 5 years exp)
Paragon Anesthesia PC —Kingsport, TN
- Full-time
- Background check
- 5 years
- Office
- Health savings account
- Relocation assistance
Quick Apply
7d
Medical Billing & Coding Specialist – Inpatient Physician Coding
RemX Healthcare —Knoxville, TN
- $18.54 an hour
- Full-time
- HIPAA
- Mid-level
- In-person
Quick Apply

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cpc jobs near tn

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

CVS Health -
Tennessee

Apply Now

Job Details

Full-time
$43,888 - $93,574 a year

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Microsoft Excel
Word embeddings
Research
High school diploma or GED
Certified Professional Coder
Productivity software
Clinical documentation standards
Documentation review

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. 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. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends.

Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record documentation.
Provide detailed written summary of medical record review findings.
Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc.
Research and accurately apply state or CMS guidelines related to the audit with minimal support.
Review and discuss cases with Medical Directors to validate decisions.
Assist with investigative research related to coding questions, state and federal policies.
Identify potential billing errors, abuse, and fraud.
Identify opportunities for savings related to potential cases which may warrant a prepayment review.
Maintain appropriate records, files, documentation, etc.
Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Maintains up-to-date coding knowledge, including new changes to coding compliance and reimbursement.

Required Qualifications

AAPC Certified Professional Coder Certification (CPC)
3+ years of experience in medical coding or documentation auditing.
Knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements
Experience with researching coding and policies.
Experience with Microsoft products, specifically Excel and Word

Preferred Qualifications

CPMA
Strong attention to detail and ability to review and interpret data.
Demonstrates strong communication skills.
Prior payor auditing experience
Excellent communication skills
Excellent analytical skills
Two years or more previous experience with Behavioral Health coding/auditing of records

Education

GED or equivalent
AAPC Certified Professional Coder Certification (CPC)

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $93,574.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/22/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

cpc jobs in tn

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

CODER (CERT)

Certified Coder - Surgery

Risk Adjustment Medical Record Coder-4

Physician Billing Coder I, Hybrid

Physician Coder III, Remote

Medical Coder 1

Medical Coder 3

Regional Revenue Cycle Management Supervisor (Remote)

Business Integrity Analyst Credentialed

Coding Specialist

Certified Coder/Billing Specialist

Medical Coding Specialist

Clinical Coding Specialist

Accounts Receivable Specialist

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Certified Professional Coder

Medical AR/Billing Specialist

Medical Billing and Coding Manager (min 5 years exp)

Medical Billing & Coding Specialist – Inpatient Physician Coding

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