Coding Reimbursement Specialist II Tryon Medical PartnersCoding Reimbursement Specialist IICharlotte, NCRemoteInterprets 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. 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.
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.
NewEntry-Level Medical Billing & Coding Assistant Revel HealthcareEntry-Level Medical Billing & Coding AssistantCharlotte, North CarolinaYou will help ensure medical services are documented accurately, claims are prepared correctly, and billing records are maintained in accordance with privacy and HIPAA requirements. This person should enjoy administrative work, be comfortable learning new systems, communicate clearly with patients and staff, and take privacy and confidentiality seriously.
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.
Clinician Coding Liaison - Surgery Atrium HealthClinician Coding Liaison - SurgeryNCRemote$35.50–$53.25 / hourLicensure, Registration, and/or Certification Required: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC). Additionally, the liaison works closely with Clinician Coding Liaison team members, Production Coding, and Coding Support teams to improve coding accuracy, documentation specificity, and overall billing practices while monitoring payer-specific rules and coverage trends.
NewClinician Coding Liaison - New Clinician Onboarding Specialist Atrium HealthClinician Coding Liaison - New Clinician Onboarding SpecialistNCRemote$35.50–$53.25 / hourAdditionally, the liaison works closely with Clinician Coding Liaison team members, Production Coding, and Coding Support teams to improve coding accuracy, documentation specificity, and overall billing practices while monitoring payer-specific rules and coverage trends. Headquartered 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.
Compliance and Coding Auditor CaroMont HealthCompliance and Coding AuditorGastonia, NCQualifications: Bachelor or Associates Degree in Health Information Management or related healthcare field or 5-10 years experience as an auditor/coder within a health care organization. Serves as a subject matter expert on interpretation and application of documentation and coding rules and regulations, and conduct enterprise risk assessments of potential and detected compliance deficiencies.
NewClinician Coding Liaison - New Clinician Onboarding Specialist Advocate Aurora Health IncClinician Coding Liaison - New Clinician Onboarding SpecialistCharlotte, NCRemote$35.50–$53.25 / hourProviding 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. Headquartered 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.
Clinician Coding Liaison - ENT / Audiology Atrium HealthClinician Coding Liaison - ENT / AudiologyNCRemote$35.50–$53.25 / hourAdditionally, the liaison works closely with Clinician Coding Liaison team members, Production Coding, and Coding Support teams to improve coding accuracy, documentation specificity, and overall billing practices while monitoring payer-specific rules and coverage trends. Headquartered 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.
NewClinician Coding Liaison - Vascular Atrium HealthClinician Coding Liaison - VascularNCRemote$35.50–$53.25 / hourAdditionally, the liaison works closely with Clinician Coding Liaison team members, Production Coding, and Coding Support teams to improve coding accuracy, documentation specificity, and overall billing practices while monitoring payer-specific rules and coverage trends. Headquartered 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.
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.
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.
Professional Coding Lead-Oncology Atrium HealthProfessional Coding Lead-OncologyNCRemote$30.70–$46.05 / hourOur Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: • Compensation • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training • Premium pay such as shift, on call, and more based on a teammates job • Incentive pay for select positions • Opportunity for annual increases based on performance • Benefits and more • Paid Time Off programs • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability • Flexible Spending Accounts for eligible health care and dependent care expenses • Family benefits such as adoption assistance and paid parental leave • Defined contribution retirement plans with employer match and other financial wellness programs • Educational Assistance Program. Licensure, Registration, and/or Certification Required: Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA) Education Required: Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist (or equivalent experience) Experience Required: Typically requires 7 years of experience in professional coding that includes experiences in revenue cycle processes and health information workflows or related health care leadership experience.
NewClinician Coding Liaison - Primary Care Advocate Health and Hospitals CorporationClinician Coding Liaison - Primary CareCharlotte, North CarolinaRemoteProviding 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. Headquartered 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.
Clinician Coding Liaison - Primary Care Atrium HealthClinician Coding Liaison - Primary CareCharlotte, NCRemote$35.50–$53.25 / hourAdditionally, the liaison works closely with Clinician Coding Liaison team members, Production Coding, and Coding Support teams to improve coding accuracy, documentation specificity, and overall billing practices while monitoring payer-specific rules and coverage trends. 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.
Clinician Coding Liaison - Primary Care Advocate Aurora Health IncClinician Coding Liaison - Primary CareCharlotte, NCRemoteCoding Specialist (CCS) certification, or Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Coding Specialist (CCS) certification, or Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or. 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 Application Analyst Sr- Epic Professional Coding Advocate Aurora Health IncEpic Application Analyst Sr- Epic Professional CodingCharlotte, NCRemote$46.55–$69.85 / hourAdvocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammates job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program. Designs and develops technical and/or non-technical solutions to moderate to complex business needs and changes by gathering, compiling and reviewing information and data, examining and evaluating existing systems and procedures, identifying alternate courses of action, developing tools and/or improvements using existing software packages and coordinating the development and implementation of new functionality and new applications with user and Information Technology staff.
Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLPManaged Services - Revenue Cycle Coding - Senior ManagerNC$124,000–$280,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
Epic Application Analyst Sr- Epic Professional Coding Advocate Health and Hospitals CorporationEpic Application Analyst Sr- Epic Professional CodingCharlotte, North CarolinaRemoteDesigns and develops technical and/or non-technical solutions to moderate to complex business needs and changes by gathering, compiling and reviewing information and data, examining and evaluating existing systems and procedures, identifying alternate courses of action, developing tools and/or improvements using existing software packages and coordinating the development and implementation of new functionality and new applications with user and Information Technology staff. . Effectively communicate with users addressing certain aspects of complex project requirements such as specifications definition/review, impact monitoring, user updates, training, needs definition and related support; effectively explain the functioning of the application software and related systems to the users.
Director, Barings Connect/Low Code Lead BaringsDirector, Barings Connect/Low Code LeadCharlotte, North CarolinaWe recognize those who work diligently for us and reward them for personal and professional integrity, communication skills, distinct competencies and expertise in specific strategies, ability to collaborate as a team member and true dedication to the interests of our clients. Through active asset management and direct origination, we provide innovative solutions and access to differentiated opportunities across public and private capital markets.
Specialist, Codes & Standards - State Adoption Eaton Corporation PlcSpecialist, Codes & Standards - State AdoptionCharlotte, NCRemote$97,000–$143,000 / yearAfter making a conditional offer and running a background check, if Eaton is concerned about conviction that is directly related to the job, you will be given the chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report. d) Stay current with emerging technology and regulatory trends and update product/marketing teams for potential new product opportunities or product updates.
Code Enforcement Officer Institute for Building Technology and SafetyCode Enforcement OfficerCharlotte, North CarolinaCommunicates with supervisors, employees, other departments, city council members, board members, attorneys, contractors, property owners, landlords, outside agencies, community groups, the public, and other individuals as needed to coordinate work activities, review status of work, exchange information, or resolve problems. Under close supervision of a departmental supervisor, performs specialized work enforcing city codes and ordinances pertaining to signs, housing, litter, overgrowth, abandoned vehicles, rubbish, and other code violations.
Director, Barings Connect/Low Code Lead Barings LLCDirector, Barings Connect/Low Code LeadCharlotte, NCWe recognize those who work diligently for us and reward them for personal and professional integrity, communication skills, distinct competencies and expertise in specific strategies, ability to collaborate as a team member and true dedication to the interests of our clients. Through active asset management and direct origination, we provide innovative solutions and access to differentiated opportunities across public and private capital markets.
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 Specialist United Surgical Partners International IncBilling SpecialistRock Hill, SCA diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States.
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.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorNC$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Director of Medical Practice Operations - Cardiology Team Member ServicesDirector of Medical Practice Operations - CardiologyCharlotte, North CarolinaUnderstands capital responsibilities and core tenets of expense management and revenue impact from volume, identifying and developing capital needs for practices to assist in annual capital planning. Evaluates and manages quality metrics to drive clinical quality and patient safety, overseeing outcomes, licenses, certifications, accreditations, onsite inspections, and risk events.
Medical Assistant I - Atrium Health Monroe Internal Medicine Full-Time Advocate Aurora Health IncMedical Assistant I - Atrium Health Monroe Internal Medicine Full-TimeMonroe, NC$21.85–$32.80 / hourProviding 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. Headquartered 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.
Medical Assistant I - Atrium Health Monroe Internal Medicine Full-Time Advocate Health and Hospitals CorporationMedical Assistant I - Atrium Health Monroe Internal Medicine Full-TimeMonroe, North CarolinaProviding 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. Headquartered 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.
Senior Consultant, Healthcare Strategy & Finance - Value Based Care FORVIS, LLPSenior Consultant, Healthcare Strategy & Finance - Value Based CareCharlotte, 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. The Finance & Strategy Healthcare Consulting team empowers healthcare leaders to deliver quality care, invest in growth, and address workforce challenges-all while meeting the unique needs of their communities.
Cert/Reg Medical Assistant- Onsite Telepresenter II, Post Acute SNF FT Days Atrium HealthCert/Reg Medical Assistant- Onsite Telepresenter II, Post Acute SNF FT DaysCharlotte, NC$22.90–$34.35 / hourRecognized/certified as a CMA or RMA by one of the following National Organizations: American Association of Medical Assistants (AAMA), National Health Career Association (NHA), National Healthcare Worker's Association (NHCWA), National Center for Competency Testing (NCCT), American Registry of Medical Assistants (ARMA) American Medical Technologists (AMT), National Association for Health Professionals (NAHP), National Registry of Medical Assistants (NRMA). 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.
Medical Assistant I - Atrium Health Monroe Internal Medicine Full-Time Atrium HealthMedical Assistant I - Atrium Health Monroe Internal Medicine Full-TimeMonroe, NC$21.85–$32.80 / hourProviding 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. Headquartered 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.
Medical Assistant II - Atrium Health Onsite Telepresenter Lincoln County Seasonal Atrium HealthMedical Assistant II - Atrium Health Onsite Telepresenter Lincoln County SeasonalCharlotte, NC$22.90–$34.35 / hourCertified or registered as a CMA or RMA by one of the following National Organizations: American Association of Medical Assistants (AAMA), Certified Clinical Medical Assistant (CCMA) certification issued by the National Health Career Association (NHA), RMA certification issued by the American Medical Technologists (AMT), Medical Assistant (NCMA) certification issued by the National Center for Competency Testing (NCCT), Clinical Medical Assistant Certification (CMAC), or American Medical Certification Association (AMCA). Recognized or certified as a CMA or RMA by one of the following National Organizations: American Association of Medical Assistants (AAMA), National Health Career Association (NHA), National Healthcare Worker's Association (NHCWA), National Center for Competency Testing (NCCT), American Registry of Medical Assistants (ARMA) American Medical Technologists (AMT), National Association for Health Professionals (NAHP), National Registry of Medical Assistants (NRMA).
Medical Assistant II - Atrium Health Onsite Telepresenter Mecklenburg Seasonal Atrium HealthMedical Assistant II - Atrium Health Onsite Telepresenter Mecklenburg SeasonalCharlotte, NC$22.90–$34.35 / hourCertified or registered as a CMA or RMA by one of the following National Organizations: American Association of Medical Assistants (AAMA), Certified Clinical Medical Assistant (CCMA) certification issued by the National Health Career Association (NHA), RMA certification issued by the American Medical Technologists (AMT), Medical Assistant (NCMA) certification issued by the National Center for Competency Testing (NCCT), Clinical Medical Assistant Certification (CMAC), or American Medical Certification Association (AMCA). Recognized or certified as a CMA or RMA by one of the following National Organizations: American Association of Medical Assistants (AAMA), National Health Career Association (NHA), National Healthcare Worker's Association (NHCWA), National Center for Competency Testing (NCCT), American Registry of Medical Assistants (ARMA) American Medical Technologists (AMT), National Association for Health Professionals (NAHP), National Registry of Medical Assistants (NRMA).
Medical Assistant II - Atrium Health Onsite Telepresenter Seasonal Atrium HealthMedical Assistant II - Atrium Health Onsite Telepresenter SeasonalCharlotte, NC$22.90–$34.35 / hourCertified or registered as a CMA or RMA by one of the following National Organizations: American Association of Medical Assistants (AAMA), Certified Clinical Medical Assistant (CCMA) certification issued by the National Health Career Association (NHA), RMA certification issued by the American Medical Technologists (AMT), Medical Assistant (NCMA) certification issued by the National Center for Competency Testing (NCCT), Clinical Medical Assistant Certification (CMAC), or American Medical Certification Association (AMCA). Recognized or certified as a CMA or RMA by one of the following National Organizations: American Association of Medical Assistants (AAMA), National Health Career Association (NHA), National Healthcare Worker's Association (NHCWA), National Center for Competency Testing (NCCT), American Registry of Medical Assistants (ARMA) American Medical Technologists (AMT), National Association for Health Professionals (NAHP), National Registry of Medical Assistants (NRMA).
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorNC$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Medical Bill Review Analyst I CorVel Healthcare CorporationMedical Bill Review Analyst ICharlotte, NCRemote$13.08–$22.89 / hourPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)SC$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Advanced Inpatient Coder Specialist (REMOTE) BayCare Health SystemAdvanced Inpatient Coder Specialist (REMOTE)Charlotte, NCRemoteResponsibilities: The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department for ICD-10 inpatient encounters for accurate code and MSDRG assignments as well as PSI/HAC reviews.
Registered Nurse/MDS Coordinator IMCS Group IncRegistered Nurse/MDS CoordinatorCharlotte, NCProcesses Skills REQUIRED: Admission Criteria, Appeals and Denials, Audits, Benefits Eligibility, Care coordination, Clinical Documentation Improvemen, Determine Medical Necessity per Evidence-Based Guidelines, Discharge Planning, Needs Assessment/ Order DME, Needs Assessment/Home Health, Needs Assessment/Hospice, Needs Assessment/Skilled Nursing, Physician Advisor, Plan of Care, Pre-Cert Review, Prior Authorizations, QI/ CASPER Review & Retrospective Review. -MDS is an integral part of the unit and is responsible for MDS completion, baseline care plan completion and presentation to residents, care plan meeting, carpe plan development and CAA completion, submission and validation of assessments, oversite of cert/recert process, properly dx code for new admissions, education MDS changes and triple check/ utilization review ensuring UB04 is properly completed and validated for release.
Registered Nurse/Case Manager IMCS Group IncRegistered Nurse/Case ManagerCharlotte, NCProcesses Skills REQUIRED: Admission Criteria, Appeals and Denials, Audits, Benefits Eligibility, Care coordination, Clinical Documentation Improvemen, Determine Medical Necessity per Evidence-Based Guidelines, Discharge Planning, Needs Assessment/ Order DME, Needs Assessment/Home Health, Needs Assessment/Hospice, Needs Assessment/Skilled Nursing, Physician Advisor, Plan of Care, Pre-Cert Review, Prior Authorizations, QI/ CASPER Review & Retrospective Review. -MDS is an integral part of the unit and is responsible for MDS completion, baseline care plan completion and presentation to residents, care plan meeting, carpe plan development and CAA completion, submission and validation of assessments, oversite of cert/recert process, properly dx code for new admissions, education MDS changes and triple check/ utilization review ensuring UB04 is properly completed and validated for release.
Claims Recoup & Collect Anlyst TriWest Healthcare AllianceClaims Recoup & Collect AnlystCharlotte, NCRemoteFull timeUnder limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.
Business Office Specialist Guardian Pharmacy LLCBusiness Office SpecialistCharlotte, NCAs a supporting member to the local management team, assists in day-to-day financial support and operations of the pharmacy by providing assistance in monitoring of financial management, human resources and general administrative support as well as performing data and research assistance. ESSENTIAL JOB FUNCTIONS (could include, but not limited to the following): Financial Support: Perform daily / weekly functions to include: daily deposits, payment postings, coding of invoices, and processing daily US Mail.
Business Office Specialist Guardian Pharmacy Services ManagementBusiness Office SpecialistCharlotte, North CarolinaAs a supporting member to the local management team, assists in day-to-day financial support and operations of the pharmacy by providing assistance in monitoring of financial management, human resources and general administrative support as well as performing data and research assistance. As needed Assist with billing and collections function to ensure a high level of customer service is maintained and collection targets achieved by reviewing accounts and taking proactive approach to minimize AR risk.
Registered Nurse/MDS Coordinator APN Consulting IncRegistered Nurse/MDS CoordinatorCharlotte, NCProcesses Skills REQUIRED: Admission Criteria, Appeals and Denials, Audits, Benefits Eligibility, Care coordination, Clinical Documentation Improvemen, Determine Medical Necessity per Evidence-Based Guidelines, Discharge Planning, Needs Assessment/ Order DME, Needs Assessment/Home Health, Needs Assessment/Hospice, Needs Assessment/Skilled Nursing, Physician Advisor, Plan of Care, Pre-Cert Review, Prior Authorizations, QI/ CASPER Review & Retrospective Review. -MDS is an integral part of the unit and is responsible for MDS completion, baseline care plan completion and presentation to residents, care plan meeting, carpe plan development and CAA completion, submission and validation of assessments, oversite of cert/recert process, properly dx code for new admissions, education MDS changes and triple check/ utilization review ensuring UB04 is properly completed and validated for release.
Registered Nurse/Case Manager APN Consulting IncRegistered Nurse/Case ManagerCharlotte, NCProcesses Skills REQUIRED: Admission Criteria, Appeals and Denials, Audits, Benefits Eligibility, Care coordination, Clinical Documentation Improvemen, Determine Medical Necessity per Evidence-Based Guidelines, Discharge Planning, Needs Assessment/ Order DME, Needs Assessment/Home Health, Needs Assessment/Hospice, Needs Assessment/Skilled Nursing, Physician Advisor, Plan of Care, Pre-Cert Review, Prior Authorizations, QI/ CASPER Review & Retrospective Review. -MDS is an integral part of the unit and is responsible for MDS completion, baseline care plan completion and presentation to residents, care plan meeting, carpe plan development and CAA completion, submission and validation of assessments, oversite of cert/recert process, properly dx code for new admissions, education MDS changes and triple check/ utilization review ensuring UB04 is properly completed and validated for release.
Coder II - Pulmonary - Rheumatology - Sleep Medicine Advocate Aurora Health IncCoder II - Pulmonary - Rheumatology - Sleep MedicineCharlotte, NCRemote$26.55–$39.85 / hourHeadquartered 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.
Authorization Specialist Carolina Oncology SpecialistsAuthorization SpecialistCharlotte, North CarolinaCarolina Oncology Specialists has been caring for patients in Catawba County since 1983, offering patients high quality, personalized healthcare close to their own home so patients and caregivers don’t have to travel far for excellent care. The Authorization Specialist is responsible for obtaining and verifying prior authorizations for oncology services, including chemotherapy, radiation therapy, imaging, and supportive care.
Remote MSDRG Auditor CGI IncRemote MSDRG AuditorCharlotte, NCRemote$58,000–$114,900 / yearThe DRG Validation Auditor is charged with rendering appropriate, well-supported, and thoroughly-documented decisions which may result in the identification of improper payments (overpayments and underpayments) on paid claims on behalf of the client from various providers of clinical services, including but not limited to acute care, long-term acute care, acute rehabilitation, and skilled nursing facilities, as well as other provider types and care settings. Position Description: The DRG Validation Auditor is a member of the CGI Healthcare Compliance, DRG Validation Team, with responsibility for reviewing medical records to determine the accuracy of coding and reimbursement for clinical services rendered to beneficiaries of health plans, including Commercial and Government Clients.