Medical Coding Specialist Capital Rx, Inc.Medical Coding SpecialistCharlotte, NC$70,000–$85,000 / yearBy delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.
Medical Coding Specialist Judi HealthMedical Coding SpecialistCharlotte, North CarolinaBy delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels. This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.
Medical Coding Specialist Capital Rx LLCMedical Coding SpecialistCharlotte, NC$70,000–$85,000 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. This role offers the opportunity to play a key part in ensuring accurate claims processing, supporting client implementations, and helping drive innovation within a growing healthcare technology organization.
Coding Reimbursement Specialist II Alliant Human CapitalCoding Reimbursement Specialist IICharlotte, NCRemoteRemoteFull TimeRevenue Cycle ManagementMid Level Our Client Tryon Medical Partners is hiring a Coding Reimbursement Specialist II Job Summary: The Coding Reimbursement Specialist II performs various duties to accurately interpret and bill physician charges for physician services by entering into the appropriate CPT, ICD-10, and modifiers into the Billing system. Interprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services, according to guidelines established by the AMA.
Medical Billing Specialist (Certified Billing and Coding Specialist) Charlotte Community Health ClinicMedical Billing Specialist (Certified Billing and Coding Specialist)Charlotte, NCCreates and establishes payment methods with patients for delinquent accounts, tracks payments, and follows up with patients when gaps in payment occur. Started in 2000 by a group of committed volunteers, Charlotte Community Health Clinic is a Federally Qualified Health Center (FQHC) that offers high-quality medical, dental, and behavioral health services for children and adults.
Ambulatory Coding Education & Audit Specialist CaroMont HealthAmbulatory Coding Education & Audit SpecialistGastonia, NCRequires at least one of these certifications: RHIA, RHIT, CCS, CCS-P, CCS-H, CPC, or CPMA.Knowledge of coding classification systems, including ICD-10-CM, CPT, EM levelof service, and HCPCS nomenclature, and the rules, guidelines, and coding conventions established by the American Medical Association, the Center for Medicare and Medicaid Services (CMS), and the American Hospital Association as the leading organizations that govern coding rules and reporting. Qualifications: Bachelor degree with 2 years experience related to coding/auditing; Associate degree with 3-4 years experience coding/auditing experience; or high school diploma with 7+ years of coding/auditing experience.
Remote Medical Billing Specialist TRC Talent SolutionsRemote Medical Billing SpecialistCharlotte, NCRemote$18–$22 / hourTemporaryEnsures accurate and complete account follow-up by demonstrating a thorough understanding of carrier-specific reimbursement as applicable to claim processing to include: eligibility discrepancies, UB-04 and/or 1500 claims form review, DRG, per diem, case rate, fee schedule reimbursements, etc. Responsibilities:Performs second-tier account follow-up activities in accordance with organizational, client and regulatory guidelines for outstanding insurance receivables including, but not limited to:Performing account follow-up activities on high-dollar accounts receivable.
Billing Manager Foot and Ankle AssociatesBilling ManagerMooresville, NCFull timeThis individual is responsible for the full revenue cycle - from eligibility and prior authorization through claim submission, denial management, appeals, A/R follow-up, and patient collections - with particular focus on the nuances of podiatry billing. We are seeking an experienced Billing Manager to lead our insurance and billing operations across all locations and ensure the financial health of the practice through accurate, timely revenue cycle management.
Medical Office Insurance Representative Foot and Ankle AssociatesMedical Office Insurance RepresentativeCharlotte, NCFull timeKey Responsibilities:Verify accurate insurance information has been inputted into the practice management system on all patientsReview insurance claims for accuracy and submit to insurance carriers in a timely mannerAppeal claims that are processed incorrectly for resolution in a timely mannerContact insurance companies regarding claims that need to be adjudicated timelyFollow up on unpaid or denied claims and work toward resolutionCommunicate with patients regarding their insurance coverage, co-pays, and billing questionsCollaborate with clinical and administrative staff to ensure smooth patient flow and accurate documentationStay current on insurance policies, coding changes, and regulatory updatesQualifications:High school diploma or equivalent required; associate degree or certification in medical billing/insurance preferredMinimum of 2 years' experience in a medical office insurance or billing roleStrong understanding of medical insurance plans, coding, and billing processes (ICD-10, CPT, HCPCS)Familiarity with electronic medical records (EMR) and billing software (e.g., NextGen, Epic, etc.)Excellent attention to detail, problem-solving skills, and organizational abilitiesStrong interpersonal and communication skillsAbility to work independently and as part of a team in a fast-paced environment This individual is responsible for verifying insurance coverage, obtaining prior authorizations, assisting with claim submissions, contacting insurance companies regarding unpaid claims, filing appeals, A/R follow up, patient collections and serving as a liaison between patients, providers, and insurance companies.
Medical Billing Specialist destinationone ConsultingMedical Billing SpecialistCharlotte, North Carolinadestinationone Consulting specializes in recruitment across diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, Food and more. Disclaimer: We're proactively building a databank for opportunities in Healthcare, Health Tech, Government, Non-Profits, Legal, and more.
Medical Assistant/Flow Manager -Atrium Health Primary Care Cabarrus Family Medicine FT Advocate Aurora Health IncMedical Assistant/Flow Manager -Atrium Health Primary Care Cabarrus Family Medicine FTLocust, NCHeadquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Charlotte, NCIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
Accounts Receivable Representative (Medical Billing)- Hybrid Schedule OrthoCarolinaAccounts Receivable Representative (Medical Billing)- Hybrid ScheduleCharlotte, NCThe role of Accounts Receivable (AR) Representative with our team, you will be responsible for reviewing aging medical insurance account balances and resolving claim issues with insurance and/or patient. We are currently searching for an Accounts Receivable Representative (Medical Billing) to join our Revenue Cycle team in the OrthoCarolina Business Office in Charlotte.
Lead Consultant, Healthcare Performance Improvement - Coding Compliance FORVIS, LLPLead Consultant, Healthcare Performance Improvement - Coding ComplianceCharlotte, NCForvis Mazars, LLP expressly reserves the right not to consider any unsolicited referrals, resumes or CVs from vendors including and without limitation, search firms, staffing agencies, fee-based referral services, and recruiting agencies. What You Will Do: Advise clients on compliance initiatives related to Evaluation & Management (E/M) services, CPT-4, and ICD-10-CM diagnosis coding across various healthcare settings, including hospitals, health systems, physician practices, RHCs, and FQHCs.
Business Office Manager MedHQBusiness Office ManagerCharlotte, NC$58,000This role ensures accurate and timely revenue cycle performance, strong internal controls, and excellent service to patients, physicians, and payers, working closely with the ASC Administrator to support the center's overall financial health. The Business Office Manager is responsible for the day-to-day management of the surgery center's business office functions, including patient registration, insurance verification, billing, coding oversight, collections, and accounts receivable.
Lead Account Reimbursement Specialist Tryon Medical PartnersLead Account Reimbursement SpecialistCharlotte, NCLead Account Reimbursement Specialist III Job Summary: The Lead Account Reimbursement Specialist III facilitates the revenue cycle process by providing day to day operational support to billing, follow up, and customer staff. Works closely with the Revenue Cycle teams and internal departments to resolve issues with insurance companies regarding incorrect registration information, claims processing, contract reimbursement amounts and coding issues.
Lead Account Reimbursement Specialist Tryon MedicalLead Account Reimbursement SpecialistCharlotte, NCWorks closely with the Revenue Cycle teams and internal departments to resolve issues with insurance companies regarding incorrect registration information, claims processing, contract reimbursement amounts and coding issues. This role will closely monitor and analyze payor denial trends, perform claim corrections, and perform timely claim follow-up by submitting appeals and claim reconsiderations to ensure maximum payor reimbursement.
Revenue Cycle Specialist - Healthcare Provider - Mooresville NC Corporate Support Center Highlights HealthcareRevenue Cycle Specialist - Healthcare Provider - Mooresville NC Corporate Support CenterMooresville, NCThe Authorization / Billing Specialist supports the organization's revenue cycle by securing payer authorizations, verifying insurance coverage, maintaining accurate billing and accounts receivable records, and helping prevent denied or delayed claims. The position serves as a liaison among insurance companies, patients or families, physician offices, and internal teams while monitoring account status, identifying inconsistencies, and maintaining clear documentation in billing and electronic medical record systems.
Director, Payment Integrity Capital Rx, Inc.Director, Payment IntegrityCharlotte, NC$206,400–$258,000 / yearPosition Summary: The Director, Payment Integrity will build and lead Judi Health's payment integrity program from inception, establishing the infrastructure, processes, and team that will ensure claims are paid correctly, compliantly, and efficiently across our commercial plan population. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.
Lead, Medical Network Pricer Capital Rx, Inc.Lead, Medical Network PricerCharlotte, NC$128,000–$160,000 / yearApply Medicare-based pricing, Reference-Based Pricing (RBP), fee schedules, resource-based relative value methodologies, diagnosis-related groups, ambulatory payment classifications, per-diem rates, case rates, percent-of-charge arrangements, stop-loss provisions, and other approved reimbursement approaches. Advanced knowledge of procedure, revenue, diagnosis, and modifier logic; physician fee schedules; resource-based relative value methodologies; diagnosis-related groups; ambulatory payment classifications; per-diem, case-rate, percent-of-charge, and other medical reimbursement arrangements.