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$12

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$26

How much do medical insurance billing and coding jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for medical insurance billing and coding in Tennessee is $19.93, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $20.96 per hour, depending on experience, location, and employer.

What is medical insurance billing and coding?

Medical insurance billing and coding is the process of translating healthcare services, procedures, and diagnoses into standardized codes for billing and insurance purposes. Medical coders review clinical documentation and assign appropriate codes, while billers use these codes to submit claims to insurance companies for reimbursement. This role is essential to ensure healthcare providers are properly compensated and that patient records are accurate. Professionals in this field must have a strong understanding of medical terminology, coding systems like ICD-10 and CPT, and healthcare regulations.

What are the key skills and qualifications needed to thrive as a medical insurance billing and coding specialist?

To thrive as a Medical Insurance Billing and Coding Specialist, you need a solid understanding of medical terminology, coding systems (like ICD-10, CPT, and HCPCS), and healthcare reimbursement processes, often supported by a certification such as CPC or CCA. Familiarity with electronic health records (EHR) systems, medical billing software, and insurance claim platforms is essential. Attention to detail, analytical thinking, and strong organizational and communication skills help you excel in this role. These competencies ensure accurate claims processing, minimize errors, and support timely reimbursements critical to healthcare operations.

What are some common challenges faced in a medical insurance billing and coding position, and how can they be overcome?

Professionals in Medical Insurance Billing and Coding often encounter challenges such as staying updated with frequently changing coding standards (like ICD-10 and CPT), handling claim denials, and ensuring accurate data entry. To overcome these challenges, it's important to participate in ongoing education, utilize up-to-date coding resources, and maintain strong communication with healthcare providers and insurance companies. Building attention to detail and organizational skills also helps minimize errors and improve claim acceptance rates.

What is the difference between Medical Insurance Billing And Coding vs Medical Office Administrative Assistant?

AspectMedical Insurance Billing And CodingMedical Office Administrative Assistant
CredentialsCertification in billing and coding (e.g., CPC, CCS)Administrative or office management training
Work EnvironmentHealthcare settings, hospitals, clinicsMedical offices, clinics, healthcare facilities
Job FocusProcessing insurance claims, coding diagnoses and proceduresScheduling, patient communication, administrative tasks
Industry UsageHigh overlap in healthcare billing departmentsCommon in front-office healthcare roles

While both roles are essential in healthcare settings, Medical Insurance Billing And Coding specialists focus on insurance claims and coding, whereas Medical Office Administrative Assistants handle broader administrative tasks. Understanding these differences helps job seekers identify the right career path in healthcare administration.

Is a career in medical insurance billing and coding worth it?

A career in medical insurance billing and coding offers stable employment opportunities, with demand driven by healthcare industry growth. It typically requires certification, attention to detail, and proficiency with coding systems like ICD-10 and CPT, making it a viable option for those interested in healthcare administration. The role often provides regular hours and the potential for remote work.

Is it hard to get a job as a medical insurance billing and coding specialist?

Medical insurance billing and coding specialists typically need certification and familiarity with coding systems like ICD-10 and CPT. Job availability depends on industry demand, experience, and certification, but entry-level positions are often accessible with proper training and education.

What cities in Tennessee are hiring for Medical Insurance Billing And Coding jobs?

Cities in Tennessee with the most Medical Insurance Billing And Coding job openings:

Medical Insurance Billing And Coding jobs near you
Infographic showing various Medical Insurance Billing And Coding job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 12% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $41,452 per year, or $19.9 per hour.

Medical Billing & Coding Specialist

OneOncology

Nashville, TN • On-site

$18 - $23.25/hr

Full-time

This job post has expired today. Applications are no longer accepted.

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 and Billing Specialist is responsible for writing and maintaining coding and billing rules in the practice management system. The position is also responsible for reviewing and importing daily charges in Radiology Authorization Specialist and daily claim filing. Excellent verbal and written communication skills required. The coding and billing works under the direct supervision of their respective team manager.
Responsibilities:
  • Review and verify patient insurance coverage and eligibility for proton therapy treatments.
  • Verify all applicable charges for proton therapy, radiation therapy, and radiology services are entered timely and accurately into the practice management system for reimbursement.
  • Generate and submit accurate and timely claims for proton therapy, radiation therapy, and radiology services to insurance payers.
  • Monitor and track claims through the billing process to ensure timely payment and identification of payer roadblocks.
  • Assist with investigation and resolution of any claim rejections, denials, or appeals related to proton therapy treatments.
  • Review and interpret insurance policies and regulations related to proton therapy treatments to ensure compliance with billing requirements.
  • Work collaboratively with the proton therapy center's medical and pre-authorization teams to ensure accurate and complete billing for proton therapy and radiation therapy treatments
  • Maintain accurate and up-to-date records of billing activities in patient files and computer systems
  • Ability to review and interpret radiation oncology medical records for accuracy as it relates to coding and billing. Educate clinical team on appropriate documentation requirements.
  • Assist team members with responses to patient and insurance company inquiries about billing for proton therapy treatments in a timely and professional manner
  • Stay current with industry trends, changes to insurance policies, and other developments that may impact the billing process for proton therapy and radiation therapy treatments.
  • Review and verify patient insurance coverage and eligibility for proton therapy treatments as needed.
  • Reviews charges in "Approve Failed" status daily for accuracy and corrective action.
  • Contacts the appropriate department to follow up on pending issues for insurance and referrals.
  • Works Research ACE tasks in Unity daily.
  • Reviews charges on "Hold" status daily for accuracy and corrective action.
  • Creates new Ace rules/edits as needed to reduce claim denials and/or manual review.
  • Maintains Ace rules to ensure data is current.
  • Runs Ace edits daily and files paper and electronic claims to the appropriate payors.
  • Keeps informed regarding current coding regulations, auditing, professional standards and company/department policies and procedures as it applies to the field of medical oncology and effectively applies this knowledge.
  • Communicates effectively with practice leadership regarding coding issues to help ensure coding compliance and minimize denials.
  • Demonstrates outstanding work ethic and works cooperatively with all team members and management.
  • Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer.

Required Qualifications:
EDUCATION & EXPERIENCE:
  • Bachelors degree preferred
  • Minimum two years' experience in charge entry/billing required.
  • 1+ year(s) of Prior Authorization experience.
  • Extensive knowledge of CPT, HCPCS, and ICD-9 coding in addition to insurance billing guidelines required.
  • Proficiency in Microsoft EXCEL spreadsheets and strong computer background.
  • Medical insurance background required.
  • Expertise in insurance policies and regulations related to medical billing, including Medicare and Medicaid

Essential Competencies:
  • Attendance is an essential job function.
  • Ability to work effectively with all levels of management and other colleagues
  • Ability to demonstrate initiative and mature judgment.
  • Ability to demonstrate high degree of professionalism and adaptability.
  • Ability to demonstrate proficiency in the use of end-user computer applications (MS work, Excel, Outlook), database and patient scheduling and other medical information systems.
  • Ability to demonstrate strong customer service delivery skills.
  • Ability to utilize websites, portal and electronic options when available to increase efficiency
  • Ability to follow oral and written instructions.
  • Ability to recognize and solve problems using creative thinking skills, hands on problem solving skills and the ability to analyze and respond to data.
  • Skilled at effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations.
  • Skilled at Multi-tasking, organizational skills and superb attention to detail.
  • Working knowledge of Hospice and other payer requirements.
  • Knowledge of clinic office procedures, medical practice and medical terminology.

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