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Medical Coding Compliance Jobs in Tennessee (NOW HIRING)

OneOncology

Medical Coding Specialist

Nashville, TN · On-site

Performs E&M and CPT coding review and other projects related to physician coding compliance in ... Knowledge of Medical Oncology/Radiation/Surgery coding and leveling highly preferred Essential ...

OneOncology

Medical Coding Specialist

Nashville, TN · On-site

The Medical Coding Specialist, under general supervision, performs daily charge review of visits ... Performs E&M and CPT coding review and other projects related to physician coding compliance in ...

OneOncology

Medical Coding Specialist

Nashville, TN · On-site

Assists in the development of procedure manuals related to coding and billing compliance ... Knowledge of Medical Oncology/Radiation /Surgery coding highly preferred * Must be willing and able ...

OneOncology

Medical Coding Specialist

Nashville, TN · On-site

Assists in the development of procedure manuals related to coding and billing compliance ... Knowledge of Medical Oncology/Radiation /Surgery coding highly preferred * Must be willing and able ...

Humana, Inc.

Medical Coding Educator

Nashville, TN · On-site

$26.25 - $30/hr

As the Medical Coding Educator 2 you will * Arrange educational sessions with assigned providers ... Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance ...

Big South Fork Medical Center, Inc.

Be Seen First

Medical Coder

Oneida, TN · On-site

$16.25 - $21.50/hr

... coding; pursuing and supporting provider and clinical personnel in ensuring all appropriate documentation is compliant and in place to optimally code for services rendered. * Review medical record ...

Covenant Health

CODING SPEC-CLINIC

Knoxville, TN

... medical billing and regulatory requirements. * Increases awareness of compliance as it relates to coding and documentation. * Facilitates and coordinates education of coding staff in the areas of ...

Covenant Health

CODING SPEC-CLINIC

Knoxville, TN

... medical billing and regulatory requirements. * Increases awareness of compliance as it relates to coding and documentation. * Facilitates and coordinates education of coding staff in the areas of ...

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Medical Coding Compliance information

What is medical coding compliance?

Medical coding compliance refers to the process of ensuring that medical coding practices adhere to federal, state, and organizational regulations and guidelines. This involves accurately translating medical diagnoses, procedures, and services into standardized codes for billing and documentation purposes. Compliance helps prevent fraud, reduce billing errors, and ensures that healthcare providers receive appropriate reimbursement while avoiding legal penalties. Professionals in this field stay updated on changing regulations, conduct audits, and provide training to staff to maintain high standards of accuracy and integrity.

What are the key skills and qualifications needed to thrive in medical coding compliance, and why are they important?

To thrive in Medical Coding Compliance, you need a thorough understanding of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and compliance standards, often backed by certifications like CPC, CCS, or CHC. Proficiency with electronic health record (EHR) systems, coding software, and compliance auditing tools is typically required. Attention to detail, analytical thinking, and effective communication are essential soft skills for identifying discrepancies and educating staff. These skills ensure accurate coding, reduce legal risks, and maintain organizational compliance with healthcare regulations.

What are some common challenges faced in a medical coding compliance role, and how can they be addressed?

Medical Coding Compliance professionals often encounter challenges such as staying updated with frequent changes to coding regulations, ensuring consistent adherence to compliance standards across departments, and accurately interpreting complex clinical documentation. To address these, it’s crucial to participate in ongoing education, maintain close communication with healthcare providers, and utilize robust auditing tools. Collaborating with compliance officers and regularly attending training sessions can also help reinforce best practices and minimize errors.

What is the difference between Medical Coding Compliance vs Medical Coding Specialist?

AspectMedical Coding ComplianceMedical Coding Specialist
CertificationsCPMA, CPC, CCSCPC, CCS
Work EnvironmentCompliance departments, healthcare organizationsMedical offices, hospitals, clinics
Primary FocusEnsuring coding accuracy and regulatory adherenceAssigning codes to medical procedures and diagnoses
Employer & Industry UsageHealthcare compliance and auditing firms, hospitalsHealthcare providers, billing companies

Medical Coding Compliance professionals focus on ensuring that coding practices adhere to regulations and standards, often working in compliance or auditing roles. Medical Coding Specialists primarily assign codes to medical records for billing and documentation. While both roles require similar certifications, their responsibilities and work environments differ significantly.

What does a medical coding compliance specialist do?

A medical coding compliance specialist ensures that healthcare providers accurately code medical procedures and diagnoses according to industry standards and regulations. They review coding practices, monitor for compliance with legal and payer requirements, and implement policies to prevent fraud and errors, often using coding software and staying updated on coding guidelines.

What are popular job titles related to Medical Coding Compliance jobs in Tennessee?

For Medical Coding Compliance jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Medical Coding Compliance jobs in Tennessee look for?

The top searched job categories for Medical Coding Compliance jobs in Tennessee are:

What cities in Tennessee are hiring for Medical Coding Compliance jobs?

Cities in Tennessee with the most Medical Coding Compliance job openings:

Medical Coding Compliance jobs near you
Infographic showing various Medical Coding Compliance job openings in Tennessee as of August 2026, with employment types broken down into 100% Full Time. Highlights an 86% In-person, and 14% Remote job distribution.

Medical Coding Specialist

OneOncology

Nashville, TN • On-site

Full-time

Re-posted 29 days ago

OneOncology rating

7.9

Company rating: 7.9 out of 10

Based on 18 frontline employees who took The Breakroom Quiz

Job description

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision.
Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.
Job Description:
Role Summary:
The Medical Coding Specialist, is under general supervision, performs daily charge review of visits, diagnosis, radiation oncology or surgeries for accurate level and coding. Responsible for input charges into practice management system or EMR. The Medical Coding Specialist may also be assigned to audit physician, nurse practitioner and clinical oncology staff documentation for correct coding of CPT, ICD-10, HCPCs, and modifiers.
Responsibilities:
  • Keep informed regarding current coding regulations, auditing, professional standards and company/department policies and procedures as it applies to the field of oncology, medical coding, and effectively applies this knowledge.
  • Assists with third party payor and other audit requests by compiling, organizing and reviewing chart documentation as needed.
  • Works with other coders in the department to assist with difficult cases.
  • Performs E&M and CPT coding review and other projects related to physician coding compliance in fulfillment of the practice's compliance program.
  • Assists practice leadership to analyze data, identify issues, reach conclusions, and propose strategies for resolution of complex coding issues.
  • Communicate effectively with practice leadership regarding coding and documentation issues by assisting in the preparation of reports and memoranda regarding audit results and coding compliance matters.
  • Demonstrates outstanding work ethics and works cooperatively with all team members and management with a can-do spirit and team attitude.
  • Assist with audit and entry of charges into EMR system and/or Practice Management System
  • Review charges/claims for accurate coding of ICD10, CPT and HCPCS codes.
  • Ability to effectively abstract code surgical procedures and assign appropriate place of service and determine medical decision-making levels for E/M services.
  • Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.

Required or Preferred Qualifications:
  • Must have a CPC, CCS-P, or other professional coding certification
  • Minimum of 4 years coding experience preferred
  • 2 years' experience performing chart audits or assignment of appropriate CPT and ICD10 codes through documentation review, in a physician practice/hospital environment required.
  • Knowledge of Medical Oncology/Radiation/Surgery coding and leveling highly preferred

Essential Competencies:
  • Attendance is an essential job function
  • Knowledge of government, legal and regulatory provisions related to collection activities.
  • Knowledge of government programs, i.e., Medicare and Medicaid.
  • Knowledge of insurance company's policies and procedures.
  • Knowledge of CPT, ICD-9, HCPCS coding.
  • Knowledge of anatomy and medical terminology.
  • Ability to prioritize work and manage time efficiently.
  • Creative thinking skills, hands-on problem-solving skills and ability to analyze and respond to data.
  • Effective communication skills at all levels within organization and excellent customer service skills.
  • Proficiency in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook, payer sites), database and patient scheduling and other medical information systems.
  • Attendance is an essential job function.

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