Lead, Medical Network Pricer Capital Rx LLCLead, 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.
Lead, Medical Network Pricer Judi HealthLead, Medical Network PricerCharlotte, North Carolina$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.
Director, Payment Integrity Judi HealthDirector, Payment IntegrityCharlotte, North Carolina$206,400–$258,000 / yearThe 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.
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.
Account Reimbursement Specialist III Tryon Medical PartnersAccount Reimbursement Specialist IIICharlotte, NCFull timeThis role also identifies systemic reimbursement issues and denial trends, performs root-cause analysis, and partners with RCM leadership and operational teams to implement solutions that improve reimbursement, reduce preventable denials, and strengthen revenue cycle performance. The position serves as a resource and subject matter expert for Account Reimbursement Specialists and other RCM team members, providing guidance on complex reimbursement issues, payer policies, denial resolution strategies, and claim correction requirements.
Field Reimbursement Manager Syneos - Commercial - ProdField Reimbursement ManagerCharlotte, NC$150,000–$160,000 / year5+ years’ experience pharmaceutical and/or biotech experience and 2+ years’ relevant experience in the following: patient journey navigation, payer, reimbursement, medical billings & coding, specialty pharmacy & distribution, and patient support services engagement. Provide information to HCP on how the products are covered under the benefit design and educate key private and public payer coverage and changes that impact the products access for patients.
Lead Account Reimbursement Specialist Tryon Medical PartnersLead 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.
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.
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.
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.
Coding Instructor Cognito LLCCoding InstructorIndian Trail, NC$10–$13 / hourThis role is perfect for a recent graduate or college student who enjoys technology, loves working with children, and wants to develop teaching and leadership skills. At our center, children ages 5-14 learn coding, robotics and technology skills by building games and solving fun challenges in a supportive environment.
Coding Instructor Code NinjasCoding InstructorIndian Trail, North Carolina$10–$13 / hourCode Ninjas – Indian Trail 6405 Old Monroe Road, Suite CIndian Trail, NC 28079 We encourage applicants with a positive attitude, a passion for working with kids, and an eagerness to learn—even if you don't have previous teaching experience. This role is perfect for a recent graduate or college student who enjoys technology, loves working with children, and wants to develop teaching and leadership skills.
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.
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.
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.
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.
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.
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.