Coding Specialist The ResourceCoding SpecialistWinston-Salem, NCThe Resource is partnering with a top-tier anesthesia practice in Winston-Salem to identify a motivated Coding Specialist (or certification candidate) ready to launch or grow a career in medical coding and healthcare revenue cycle operations. This is a great opportunity for recent graduates, newly certified professionals, or individuals actively pursuing AAPC or AHIMA certification who are looking to gain hands-on experience in a collaborative, high-performing healthcare environment.
Clinical Content & Editing Reimbursement Manager Elevance Health IncClinical Content & Editing Reimbursement ManagerWinston-Salem, NC$80,940–$140,580 / yearPreferred Skills, Capabilities, & Experiences: 5+ years of claims editing, payment integrity, provider reimbursement, clinical content development, or healthcare payer experience with health plans and/or claims editing software vendors, including expertise in billing, coding, revenue cycle, and claims adjudication preferred. This role partners with cross-functional teams to translate healthcare coding and reimbursement policies into clinical editing content and reimbursement solutions that improve financial performance, reduce administrative expenses, and enhance claims payment integrity across Commercial, Medicare, and Medicaid lines of business.
Value Based Care Representative Bethany MedicalValue Based Care RepresentativeHigh Point, NCFull timeUses VBC reporting on HEDIS/STARS quality, HCC/RAF coding, healthcare service cost and utilization, patient steerage patterns, etc., to design and implement innovative performance improvement strategies for practices and providers. Value-Based Care Representative works with the medical leadership and value-based care team to improve provider performance on QC clinical quality metrics, hierarchical condition category (HCC) coding metrics, utilization and steerage efficiencies, and cost control metrics.
Value Based Care Representative Bethany Medical CenterValue Based Care RepresentativeHigh Point, NCESSENTIAL DUTIES AND RESPONSIBILITIES: Uses VBC reporting on HEDIS/STARS quality, HCC/RAF coding, healthcare service cost and utilization, patient steerage patterns, etc., to design and implement innovative performance improvement strategies for practices and providers. Job Purpose: Value-Based Care Representative works with the medical leadership and value-based care team to improve provider performance on QC clinical quality metrics, hierarchical condition category (HCC) coding metrics, utilization and steerage efficiencies, and cost control metrics.