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Billing Coding Rn Jobs in Alabama (NOW HIRING)

TotalMed RN

Travel Nurse RN - Med Surg

Montgomery, AL · On-site

Trach care, chest tubes, PEG tubes, wound care, drains, foleys, behavioral issues, codes, IV starts ... Team Nursing 1:8 (1 RN: 1 LPN: 8 patients); 1:6 Skills Required: Trach, wound care, wound vacs, IV ...

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Billing Coding Rn information

What is a Billing Coding RN?

A Billing Coding RN is a registered nurse who specializes in the medical billing and coding process within healthcare settings. They combine their clinical knowledge with expertise in coding systems like ICD-10 and CPT to ensure that medical procedures and diagnoses are accurately documented for insurance claims and reimbursement. This role helps healthcare organizations maintain compliance with regulations and maximize revenue by reducing coding errors. Billing Coding RNs often work closely with healthcare providers, billing departments, and insurance companies to resolve discrepancies and support audit processes.

How does a Billing Coding RN collaborate with clinical and administrative teams to ensure accurate medical billing?

A Billing Coding RN works closely with both clinical staff and administrative teams to review medical records, clarify documentation, and ensure that all procedures and diagnoses are accurately coded for billing. This collaboration often involves regular meetings with providers to address coding discrepancies and educating staff on proper documentation practices. By serving as a bridge between clinical care and billing operations, the Billing Coding RN helps minimize claim denials and supports compliance with healthcare regulations. This role often requires strong communication skills and a thorough understanding of clinical workflows.

What are the key skills and qualifications needed to thrive as a Billing Coding RN, and why are they important?

To thrive as a Billing Coding RN, you need a solid nursing background (RN licensure) combined with expertise in medical coding, billing procedures, and healthcare regulations. Proficiency with coding systems like ICD-10, CPT, and billing software such as Epic or Cerner, as well as certifications like CCS or CPC, are commonly required. Strong attention to detail, analytical thinking, and effective communication help ensure accuracy and compliance. These skills are crucial for minimizing billing errors, maximizing reimbursement, and supporting regulatory compliance in healthcare organizations.

What is the difference between Billing Coding Rn vs Medical Coder?

AspectBilling Coding RnMedical Coder
CredentialsRN license, coding certifications (e.g., CPC, CCS)Certification in coding (e.g., CPC, CCS)
Work EnvironmentHospitals, clinics, healthcare facilitiesInsurance companies, healthcare providers, coding firms
Job FocusBilling, coding, and documentation review for reimbursementMedical record review, code assignment, compliance

The main difference is that Billing Coding Rns combine nursing knowledge with billing and coding tasks, often working directly in healthcare settings. Medical Coders focus solely on reviewing medical records and assigning codes for billing purposes, typically working in office environments. Both roles require coding certifications, but Billing Coding Rns also need nursing credentials, making their scope broader in clinical and administrative tasks.

Are registered nurse coders in demand?

Registered nurse coders, often called nurse coders or clinical documentation specialists, are in high demand due to the increasing need for accurate medical coding and documentation in healthcare. Their skills in clinical knowledge and coding systems like ICD-10 and CPT are essential for revenue cycle management and compliance, leading to strong job growth prospects.

What cities in Alabama are hiring for Billing Coding Rn jobs?

Cities in Alabama with the most Billing Coding Rn job openings:

Billing Coding Rn jobs near you

Nurse Clinical Coding Analyst - RN, Consultant

Huntsville, AL • On-site

Blue Shield of CA
See more jobs at Blue Shield of CAexternal

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Job description

Your Role

The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Clinical Coding Analyst RN, Consultant will report to the Senior Manager, Facility Compliance Review. In this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Reviews will also be performed for medical necessity and to meet the criteria for the coding billed. You will also be responsible for reviewing outpatient coding for appropriateness of billing related to injection and infusions. This person will review medical records and perform coding analysis on all diagnoses, procedures, DRG/APC and charge codes. Ensure that the billed coding is appropriate based on reimbursement requirements, research, epidemiology, financial and strategic planning and evaluation of quality of care. In this role you will be working in a Lead capacity assisting with reviewing claims, training new hires, facilitating refresher trainings for the team as needed, and being a resource for the team to ask questions. The ideal candidate will have previous leadership experience and hold at least a CPC or CCS certification from AHIMA or AAPC, and higher-level certifications are highly desirable.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

We are a CA based company and training hours for the first few months will be 8am-5pm PST. After that, this person can work 6am-3pm, 7am-4pm or 8am-5pm PST.

Your Knowledge and Experience

  • Associate's degree in nursing is required

  • Current unrestricted California RN License and/or in assigned states. If assigned an additional state, they must obtain the CA RN license (in addition to primary assigned state license) within 90 days of hire

  • 7 years of prior relevant experience required

  • 3 years' inpatient coding experience required

  • One of the following is required: Certified Coding Specialist (CCS), Certified Professional Coder (CPC-CIC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Documentation Integrity Specialist (CCDS) or Certified Documentation Integrity Practitioner (CDIP)

  • Utilization management (UM) experience is required

  • Ability to analyze claim data analytics is required

  • Health plan experience (managed care) preferred

  • Strong attention to detail

  • Arbitration experience preferred

  • Requires independent motivation, solid work ethic, and strong computer navigation skills

  • Familiarity with electronic health record (EHR) systems, Oracle (Cerner) and Emergency Department EM leveling experience preferred

  • Strong attention to detail

Hybrid Virtual Work

This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.

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