How to Become a Medical Biller & Coder in Nashville, TN: Education Requirements & Certification for 2025

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

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Nashville’s role as a healthcare hub makes it an appealing place to enter the medical billing and coding profession. With around 3,500 medical records specialists employed across Tennessee and positive job growth ahead, the field offers a stable path forward.

A medical coder and biller in Nashville, TN typically works behind the scenes in clinics, hospitals, or billing companies, helping process medical information and insurance claims accurately and efficiently.

In the following sections, I’ll explore how to become one of these professionals, along with program costs, eligibility, low-cost options, and everything else you need to get started.

Key Things to Know About Becoming a Medical Biller & Coder in Nashville, TN

• The average salary for medical billers and coders in Nashville is approximately $59,000 annually, slightly higher than the national average due to local healthcare industry size.
• Certification through organizations like AAPC or AHIMA is highly recommended and often preferred by Nashville employers to enhance job prospects and credibility.
• Local technical schools and community colleges in Nashville provide specialized training programs, making it accessible for residents to enter the medical billing and coding field efficiently.

Table of Contents

1. What education is needed to become a medical biller and coder in Nashville, TN?
2. How do I get certified as a medical biller and coder in Nashville, TN?
3. How much do medical billers and coders make in Nashville, TN?
4. What medical billing and coding specialties pay the most in Nashville, TN?
5. Is there a high demand for medical billers and coders in Nashville, TN?
6. How long does it take to become certified in medical billing and coding in Nashville, TN?
7. What career advancement opportunities can propel your success as a medical biller and coder in Nashville, TN?
8. How can a billing and coding career lead to advanced clinical roles in Nashville, TN?
9. What’s the average cost of a medical billing and coding program in Nashville, TN?
10. What does a medical biller and coder in Nashville, TN do on a daily basis?
11. What are the most in-demand tech skills for medical billers and coders in Nashville, TN?
12. Can medical billers and coders work from home in Nashville, TN?
13. Can complementary healthcare certifications expand career opportunities in Nashville, TN?
14. Other Things You Should Know About Becoming a Medical Biller & Coder in Nashville, TN

What education is needed to become a medical biller and coder in Nashville, TN?

Aspiring medical billers and coders in Nashville, TN typically pursue educational pathways ranging from certificate programs to associate degrees, each designed to provide the specialized skills necessary for success in the healthcare industry. The most common entry point is a technical certificate in medical billing and coding. This foundational credential prepares students for immediate employment and may serve as a stepping stone toward more advanced degrees.

Core coursework across these programs generally includes medical terminology, anatomy and physiology, health information management, and mastery of coding systems such as CPT, ICD-10, and HCPCS. Additionally, students learn about medical office management and insurance billing processes, equipping them to accurately code diagnoses, manage claims, and navigate healthcare regulations.

In Nashville, three notable programs stand out for their comprehensive curricula and industry relevance: Nashville State Community College’s Medical Coding Technical Certificate, Tennessee State University’s Continuing Education Medical Billing and Coding Programs, and the University of Tennessee at Chattanooga's online Medical Billing & Coding Training Program. These programs combines classroom instruction with practical, real-world scenarios.

To excel in these programs, students are advised to regularly review coding manuals such as CPT, ICD-10, and HCPCS, engage actively with course materials, and utilize campus resources like tutoring and career services. Joining professional organizations, notably the American Academy of Professional Coders (AAPC), provides valuable networking opportunities and exam preparation support.

Local chapters, such as the Nashville AAPC, along with school career centers, offer additional guidance for certification exams like the Certified Professional Coder (CPC), which significantly enhance employability. Access to these resources, combined with rigorous study and practical experience, positions students to meet the growing demand for medical billing and coding professionals in Nashville’s expanding healthcare sector.

How do I get certified as a medical biller and coder in Nashville, TN?

Becoming a certified medical biller and coder in Nashville, TN requires a clear sequence of steps designed to ensure proficiency in healthcare administration. The initial requirement is obtaining a high school diploma or GED, which serves as the foundational educational credential. In fact, according to the Tennessee Department of Labor and Workforce, 98% of the state's advertised jobs for this profession requires this credential.

Prospective candidates must then select an accredited certification program, ideally those recognized by respected organizations such as the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC). Preparation for certification involves dedicated study and practical application. Many programs offer flexible, self-paced online modules, allowing candidates to balance education with personal and professional responsibilities.

To enhance readiness for certification exams, such as the Certified Professional Coder (CPC) and Certified Coding Associate (CCA), students are encouraged to utilize practice exams, form study groups, and access resources provided by local colleges and professional organizations. Notably, unlike many healthcare certifications, clinical hours are generally not required, simplifying the path to qualification.

Popular certifications pursued in Nashville include the CPC, CCA, and Certified Coding Specialist (CCS), each opening doors to specialized roles in various healthcare settings. Local resources such as workforce development programs at Nashville State Community College (NSCC) and the University of Tennessee at Chattanooga (UTC) offer valuable support, including exam vouchers and job placement assistance, making the certification process more accessible.

A medical biller and coder from Nashville shared insights about the certification journey, emphasizing the importance of perseverance and networking. They recounted, “One significant challenge was the intense competition for externships within Nashville’s top hospital systems, which often fill quickly. Attending local AAPC chapter meetings was instrumental in building connections and gaining practical knowledge specific to Tennessee’s regulatory environment. The collaborative study sessions and mock exams provided by my instructors were crucial in building confidence before the CPC exam. This process not only tested my technical skills but also taught me the value of community support in navigating the certification landscape.”

How much do medical billers and coders make in Nashville, TN?

Medical billers and coders in Nashville, TN receive competitive compensation compared to other regions in Tennessee, reflecting their expertise and the local healthcare market demand. According to the U.S. Bureau of Labor Statistics, the average hourly wage for medical records specialists in Nashville is approximately $28.32, which corresponds to an annual salary of about $58,910 when working full-time hours.

In comparison, similar jobs, like health information technologists and medical registrars, earn $37.34 hourly or $77,660 yearly. Meanwhile, statewide, medical records specialists earn around $57,510 to $62,576, and medical registrars earn $67,980.

Salary ranges for medical coders in Nashville vary significantly. Entry-level positions often start between $38,760 and $45,560, reflecting the 10th to 25th percentile wage bracket. With experience, additional certifications and proven accuracy and efficiency, professionals can progress toward the higher end of the pay scale. Top earners in this field can make up to $77,220 annually.

To increase their earning potential, medical billers and coders in Nashville are encouraged to pursue advanced credentials, specialize in high-demand medical fields, or transition into leadership roles such as auditing and compliance. Continuous professional development plays a critical role in salary growth within this sector.

What medical billing and coding specialties pay the most in Nashville, TN?

Nashville’s growing healthcare industry has created strong demand for billing and coding professionals with specialized skills. Certain focus areas tend to offer higher salaries due to their complexity and required expertise. Identifying these high-paying specialties can help you choose a more strategic and rewarding path in the field.

• Inpatient Hospital Coding: This specialty involves assigning codes for treatments and procedures performed during hospital stays. Professionals typically work within large healthcare systems and utilize ICD-10-CM/PCS coding standards. In Nashville, inpatient hospital coders can earn up to $33.41 per hour, with managerial roles reaching $40.20 per hour.
• Outpatient Coding: Outpatient coders handle coding for medical services that do not require overnight hospitalization, including physician office visits and same-day surgeries. Demand is steady due to the high volume of ambulatory care in Nashville’s healthcare sector. Certified outpatient coders in the region earn between $25.47 and $31.54 per hour, with some remote positions offering annual salaries from $70,000 to $85,000.
• Medical Records Coding Compliance: Compliance specialists ensure coding adheres to federal regulations and payer guidelines to minimize audit risks and claim denials. Professionals often serve as consultants or work within hospital compliance departments. Nashville specialists in this field average $33.41 per hour.
• Medical Billing Supervisor/Manager: Supervisors and managers lead billing and coding teams, resolve complex issues, and implement process improvements. Advanced coding knowledge and leadership abilities are essential, alongside experience in revenue cycle management. Medical billing supervisors earn about $31.02 per hour, while managers may receive salaries up to $103,466 annually.
• Remote Medical Coding: Remote coders perform coding tasks from home, supporting hospitals, clinics, or billing companies. This specialty offers flexibility and requires accuracy in claim submission across various healthcare settings. Nashville remote coders report average annual salaries around $57,000, with potential for higher earnings depending on experience.

Choosing a high-paying specialty can significantly boost your long-term earning potential as a medical coder and biller in Nashville. By aligning your training and credentials with in-demand focus areas, you can position yourself for greater job stability and career growth.

Is there a high demand for medical billers and coders in Nashville, TN?

The medical coding job market in Nashville TN demonstrates a robust demand for qualified professionals. As of 2024, there were around 1,200 medical records specialists in the Nashville-Davidson-Murfreesboro-Franklin metropolitan areas. Looking ahead to 2032, the state will expect a 22% change for medical records specialists. This presents around 320 annual openings from 2022 to 2032 and reflects the ongoing expansion of healthcare services across Tennessee and the critical need for accurate health data management.

When compared to other metropolitan areas in the Southeast such as Atlanta and Charlotte, Nashville maintains a strong advantage due to its concentration of healthcare organizations. This concentration supports a sustained demand for medical billers and coders and positions the city as a leading hub in the region. The demand for medical billers and coders in Nashville is notably consistent, benefiting from the city's expansive healthcare sector which includes hospital systems and health technology firms.

Most healthcare employers in Nashville require candidates to hold recognized coding certifications such as those from the AAPC or AHIMA. Entry-level positions often expect completion of a technical certificate or associate degree, along with proficiency in medical terminology, anatomy, and coding systems. Candidates may also need to meet minimum grade requirements in relevant coursework. For those researching the pathway to employment, understanding is medical billing and coding in demand is crucial for informed career planning.

This chart reveals how medical records specialists' job outlook compare.

How long does it take to become certified in medical billing and coding in Nashville, TN?

The time required to become certified in medical coding and billing in Nashville, TN generally ranges from five months to one year. The online program at UTC is structured to be completed within 20 weeks. Additionally, Tennessee State University's various continuing education programs on spans six months.

Meanwhile, NSCC's program lasts one year. Alternatively, some aspiring medical coders may complete their certification faster by enrolling in self-paced online programs, such as those offered by the U.S. Career Institute.

Factors influencing the length of study include whether enrollment is full-time or part-time, the mode of instruction (online versus in-person), and success in passing certification exams on the first attempt. Students interested in accelerating their path to certification should consider programs with accelerated formats or credit transfer options.

Moreover, leveraging previous professional or military experience can also reduce training time. To optimize study duration, it is advisable to establish a structured study schedule and utilize all available supplemental resources. Those exploring financial support options may find valuable information on medical billing and coding financial aid.

With Nashville’s variety of educational offerings, motivated individuals can meet the rising medical coding job demand in Nashville TN and improve their employment outlook through timely certification.

What career advancement opportunities can propel your success as a medical biller and coder in Nashville, TN?

Medical billers and coders in Nashville can enhance their career trajectory by investing in continuing education, pursuing advanced certifications, and actively engaging in industry networks. Strategic specialization in areas such as auditing, compliance, or healthcare informatics not only increases expertise but also positions professionals for potential leadership roles. Moreover, broadening your healthcare proficiency—by exploring complementary fields such as learning how to become a pharmacist in Nashville—can create additional opportunities for growth and diversification in a competitive job market.

How can a billing and coding career lead to advanced clinical roles in Nashville, TN?

Leveraging a foundation in medical billing and coding can open avenues toward more advanced clinical positions by enhancing understanding of healthcare operations and regulatory standards. Professionals who strategically pursue continuous education and cross-disciplinary training may transition into roles that involve patient care, diagnostic decision-making, or healthcare management. In Nashville’s competitive healthcare market, developing complementary clinical skills—through targeted programs and mentorship—can facilitate a smooth transition into advanced practice roles, demonstrating a commitment to a broader scope of patient services. For instance, candidates interested in blending administrative proficiency with clinical expertise can learn how to become a nurse practitioner in Nashville.

What’s the average cost of a medical billing and coding program in Nashville, TN?

The medical billing and coding program cost in Nashville TN varies widely. Factors influencing the average tuition for medical coding schools in Nashville include whether the program is online or in-person, the total hours of instruction, and if certification exam fees and materials are bundled. Some programs require additional payments for certification or professional memberships, potentially increasing overall costs.

For example, a one-year technical certificate at NSCC costs approximately $5,343, covering tuition and fees for the full program. This option is suitable for students seeking a comprehensive credential that may also transfer toward advanced healthcare management degrees.

In contrast, at UTC, the program is priced at $3,245, which includes exam fees, one free exam retake, and a one-year AAPC membership. This all-inclusive pricing is helpful for students who want to avoid unexpected expenses while preparing for certification.

Meanwhile, certification programs at Tennessee State University range from $2,695 to $2,995 with exam vouchers included, while those without vouchers cost approximately $1,000 less, offering more flexibility based on individual needs and budgets.

Students should consider these variables alongside financial aid eligibility, as non-credit programs may not qualify for federal assistance. Overall, investing between $1,800 and $5,500 is typical for becoming a certified medical biller and coder in Nashville. For a deeper understanding of earning potential, prospective students can explore what is medical coding salary to align educational investment with career outcomes.

This chart displays the medical records specialists' average annual pay.

What does a medical biller and coder in Nashville, TN do on a daily basis?

Medical billers and coders in Nashville, TN, have a critical role in managing the medical billing and coding workflow in Nashville. Their daily responsibilities include several detailed tasks that ensure the financial and administrative efficiency of healthcare providers.

• Reviewing and Interpreting Patient Records: Medical coders carefully analyze clinical documentation to assign accurate diagnostic and procedural codes. This ensures compliance with regulations and forms the basis for precise billing.
• Assigning Medical Codes: Using standardized coding systems like ICD-10, CPT, and HCPCS, coders translate patient diagnoses and treatments into universal codes necessary for insurance claims and medical records.
• Preparing and Submitting Insurance Claims: Billers generate claims based on coded data and submit them to insurance companies, following payer-specific guidelines to reduce claim denials and speed reimbursement.
• Following Up on Claims and Resolving Denials: Medical billers monitor claim statuses, respond to insurer inquiries, and handle denials by providing additional documentation or corrections to complete payment cycles.
• Conducting Billing and Coding Audits: Regular internal audits help maintain accuracy and compliance with changing coding standards, identifying errors and areas for improvement.

In addition to these, the Tennessee Department of Labor and Workforce Development lists customer service as a recurring skill among applicants on its website. This is relevant because medical coders and billers often interact with various people to clarify billing information or resolve discrepancies. Strong communication and service-oriented skills can help professionals navigate these conversations more effectively and maintain positive working relationships.

Overall, the role of medical billers and coders is indispensable in healthcare settings, as they ensure accurate reimbursement and regulatory adherence. Their work minimizes errors in claims and accelerates payment cycles, contributing valuable data for healthcare analytics.

While they manage coding accuracy and claims processing, they do not diagnose or treat patients. Their duties are limited to administrative and coding functions. Understanding the daily responsibilities of a medical biller and coder in Nashville TN highlights their impact on both patient care and the financial health of medical facilities.

For those considering certification and training, understanding the cost of medical billing and coding certification is essential to enter this expanding profession with a strong foundation.

What are the most in-demand tech skills for medical billers and coders in Nashville, TN?

Nashville’s healthcare industry is rapidly expanding. This growth underscores the city’s role as a regional healthcare hub, where professionals must adapt to significant technological trends shaping the field. For those pursuing certification, understanding the most in-demand skills, including medical billing software skills in Nashville TN, is crucial.

• Electronic Health Records (EHR) Systems Proficiency: Navigating and managing data within EHR platforms is fundamental, as these systems are central to clinical documentation in hospitals and clinics.
• Medical Coding Software: Familiarity with coding software supporting ICD-10, 3M Encoder, CPT, and HCPCS codes ensures accurate code assignment and efficient claim submission.
• Data Security and HIPAA Compliance: Knowledge of protocols for protecting patient information and adhering to privacy regulations is critical, particularly with increased remote access.
• Revenue Cycle Management Tools: Skills in billing lifecycle management software help reduce denials and improve collections by streamlining patient registration to claim follow-up.
• Analytical and Reporting Tools: Ability to utilize platforms that monitor productivity, audit documentation, and generate compliance reports supports continuous improvement efforts.
• Telehealth and Remote Collaboration Platforms: Competency in virtual communication and remote workflow software is increasingly important as telehealth services expand.

For those interested in further understanding the profession, exploring is medical billing and coding worth it offers valuable insights into career prospects, compensation trends, other benefits, and potential challenges. Acquiring these skills in electronic health records training Nashville TN is a strategic step toward career advancement in this evolving field.

Can medical billers and coders work from home in Nashville, TN?

Medical billers and coders in Nashville, TN are increasingly able to work from home, reflecting a broader national trend within the healthcare industry. As of 2025, numerous job opportunities in the Nashville area explicitly offer remote or hybrid work arrangements.

Employers, ranging from large healthcare organizations to tech-driven medical services firms, demonstrate a growing openness to these flexible setups. This shift is largely fueled by the digitization of medical records and billing systems, enabling professionals to efficiently perform their duties without being physically present in an office environment.

Successful remote work in this field requires specific equipment and tools. Medical billers and coders should have a reliable computer with high-speed internet access to handle large volumes of data securely and swiftly. Access to electronic health record (EHR) and billing software, often through secure, encrypted connections, is also essential.

Additionally, dual monitors are commonly preferred to facilitate the review of multiple documents simultaneously. A quality headset is also important for virtual meetings with healthcare providers, patients, or insurance representatives. Furthermore, cybersecurity measures and encrypted communication tools are critical to protect sensitive patient information and comply with regulatory standards.

To excel in a remote working environment, medical billers and coders should also establish a dedicated, distraction-free workspace that supports concentration and efficiency. Maintaining a structured daily schedule and actively tracking productivity metrics, such as accuracy and case volume, is vital to meeting employer expectations.

Lastly, staying informed about industry regulations and software updates ensures ongoing compliance and technical proficiency. More importantly, proactive communication with supervisors and team members helps maintain alignment and fosters collaboration despite physical distance.

Can complementary healthcare certifications expand career opportunities in Nashville, TN?

Medical billing and coding professionals can strengthen their career trajectory by incorporating complementary healthcare certifications. Diversifying skill sets with focused credentials not only reinforces technical proficiency but also broadens industry insight, allowing professionals to integrate into interdisciplinary teams effectively. For example, expanding expertise through alternative certifications can offer new perspectives on patient services and regulatory processes, thereby differentiating candidates in a competitive job market. Exploring credentials such as Nashville mental health counselor certification may open pathways for enhanced collaboration with clinical and administrative sectors while fostering a deeper understanding of holistic healthcare delivery.

What do medical billers and coders in Nashville, TN have to say about their careers?

• "Completing my medical billing and coding program at University of Tennessee at Chattanooga was a game-changer for me. The curriculum was thorough and tailored to the healthcare industry's demands here in Nashville, which made finding a job afterward much smoother. I love how this career allows me to support local clinics and hospitals, directly impacting patient care through accurate billing. Nashville’s vibrant healthcare community offers so many networking opportunities that have helped me grow professionally and personally." - Faye
• "Studying medical billing and coding at Nashville State Community College pushed me to a new level of personal growth. The rigorous classes combined with Nashville’s diverse medical landscape challenged me to adapt and learn continuously. I feel proud knowing my work ensures healthcare providers get reimbursed properly, which ultimately benefits the community’s wellbeing. Nashville’s unique mix of urban innovation and southern hospitality makes this career especially rewarding." - Jaden
• "My experience at Tennessee State University opened doors I never expected in medical billing and coding. The program’s focus on real-world skills prepared me well for Nashville’s fast-paced healthcare environment. I appreciate the potential for career advancement here, with many healthcare facilities investing in technology and staff development. Working in this role allows me to combine my passion for healthcare with my love of numbers, and the city’s growing healthcare sector means there are always new challenges to tackle." - Iris

Other Things You Should Know About Becoming a Medical Biller & Coder in Nashville, TN

What is the quickest way to become a medical coder in Nashville, TN?

The quickest way to become a medical biller and coder in Nashville, TN is by enrolling in an accelerated online certification program. Programs such as those offered by reputable institutions can be completed in as few as 16 to 20 weeks, enabling students to promptly prepare for nationally recognized certification exams.

Completion time varies depending on course intensity, individual availability, and prior experience. Self-paced options offer flexibility but may extend the duration up to five months or more. Successful medical billers and coders working remotely require reliable computer equipment, secure internet access, and specialized billing software. Maintaining strong organizational skills and a distraction-free workspace are essential for productivity and accuracy in this profession.

Which medical coding certification is best in Nashville, TN?

The Certified Professional Coder (CPC) credential from the American Academy of Professional Coders (AAPC) is widely regarded as the premier medical coding certification in Nashville, TN. This certification is highly valued by employers and educational institutions such as Nashville State Community College and the University of Tennessee at Chattanooga, which actively prepare students for the CPC exam.

Nationally recognized, the CPC demonstrates proficiency in coding for physician offices and outpatient clinics, aligning well with Nashville’s expanding healthcare industry. When selecting a certification, consider your career objectives, employer expectations, and whether the program supports further education, such as credit stacking toward healthcare management degrees.

How do I find medical billing and coding job openings specifically in the Nashville, TN area?

Aspiring medical billers and coders in Nashville, TN, can access a strong job market with over 150 openings listed on major platforms such as Indeed, Glassdoor, and ZipRecruiter. Entry-level roles are available at hospitals, clinics, and specialty practices, often requiring certifications or a formal training in medical coding.

Local employers like Williamson Health and Datavant are key players in the healthcare sector. Additionally, professional resources from the AAPC and the Tennessee Department of Labor and Workforce provide targeted listings for residents. Setting up job alerts and regularly monitoring these resources can streamline the job search and improve connection with relevant employers in the Nashville area.

Which major healthcare systems in Nashville, TN employ medical billers and coders?

Nashville, TN hosts prominent healthcare employers such as HCA Healthcare, Vanderbilt University Medical Center, and Ascension Saint Thomas, all actively hiring skilled medical billers and coders. Additionally, national firms provide both on-site and remote coding opportunities in the region.

Employers commonly require a high school diploma or equivalent, with a strong preference for candidates holding certifications such as Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS). Entry-level salaries typically range from $40,000 to $65,000 annually. Prospective coders should complete accredited coding programs, obtain relevant certifications, and acquire practical experience through internships or medical office roles to meet these standards.

References:

• American Academy of Professional Coders. (2025). 2025 Medical Coding and Billing Salary Report. https://www.aapc.com/resources/medical-coding-salary-survey
• O*NET OnLine. (2025, May 20). Medical Records Specialists. Tennessee Employment Trends. Retrieved June 19, 2025, from https://www.onetonline.org/link/localtrends/29-2072.00?st=TN
• Tennessee Department of Labor and Workforce. (2022). Labor Market Information. Retrieved June 19, 2025, from https://jobs4tnwfs.tn.gov/vosnet/default.aspx
• U.S. Bureau of Labor Statistics. (2025, April 18). Medical Records Specialists. Occupational Outlook Handbook. https://www.bls.gov/ooh/healthcare/medical-records-and-health-information-technicians.htm
• U.S. Bureau of Labor Statistics. (2024a). Occupational Employment and Wage Statistics - Nashville, TN, May 2024. Occupational Employment and Wage Statistics Query System. Retrieved June 19, 2025, from https://data.bls.gov/oes/#/area/0034980
• U.S. Bureau of Labor Statistics. (2024b). Occupational Employment and Wage Statistics - Tennessee, May 2024. Occupational Employment and Wage Statistics Query System. Retrieved June 19, 2025, from https://data.bls.gov/oes/#/area/4700000