Coding Education Specialist Novant Health IncCoding Education SpecialistNorth Carolina, NCRemoteMastery of Microsoft Office Suite, including using Word templates, creating PowerPoints, maneuvering Excel spreadsheets (creating pivot tables, trending large amounts of data, etc.). Should be a subject matter expert in resolving CCI, OCE, and Medical Necessity edits in the radiology, laboratory, and medicine areas, using CMS and payor-specific guidance.
NewInpatient Coding Compliance Specialist Duke UniversityInpatient Coding Compliance SpecialistDurham, NCRemoteAll Duke University remote workers must reside in one of the following states: North Carolina, Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington. Educate providers regarding compliance with government regulations with special attention to Center for Medicare and Medicaid guidelines as they pertain to academic medical centers, HIPAA, and fraud and abuse with periodic updates.
Coding Instructor Code NinjasCoding InstructorCary, North Carolina$12–$15 / hourWe are looking for a Coding Instructor Sensei to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
NewConsultative Coding Professional Humana IncConsultative Coding ProfessionalNCRemote$59,300–$80,900 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Future Opening: Coding Instructor Cognito LLCFuture Opening: Coding InstructorCary, NC$12–$15 / hourWe are looking for a Coding Instructor Sensei to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
Paramedic I - Code Team - Duke Life Flight - Durham NC Duke UniversityParamedic I - Code Team - Duke Life Flight - Durham NCDurham, NCThe Duke Life Flight Code Team Paramedic will perform a variety of activities within their scope of practice to include the delivery of high quality emergency care as a rapid response team tending to ill or injured persons of all ages in designated areas of the DUH campus. The Paramedic performs a variety of activities across various practices settings and patient populations in accordance with the Paramedic scope of practice as defined by the North Carolina Medical Board and with the approval of the practice setting Medical Director.
CHARGE CODE AUDITOR Duke UniversityCHARGE CODE AUDITORDurham, NCThe Charge Code Auditor for the Birthing Center is responsible for ensuring accurate, complete, and timely charge capture for all hospital obstetric services, including OB Emergency Department (OB ED) visits, OB Operating Room procedures, vaginal and cesarean deliveries, newborn hearing screens, and circumcisions. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
Senior Consultant, Health Insurance - Risk Regulatory & Compliance Deloitte Touche Tohmatsu LtdSenior Consultant, Health Insurance - Risk Regulatory & ComplianceRaleigh, NCThe wage range for this role 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. Our 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.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistRaleigh, NC$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Charge Master Analyst Sutter HealthCharge Master AnalystRaleigh, NC$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
Executive Care Coordinator, Bilingual Valeris IncExecutive Care Coordinator, BilingualDurham, NCBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Provides personalized case management to patients and HCPs including outbound communication to HCPs, specialty pharmacies and patients to communicate benefit coverage and/or appropriately help drive next steps in obtaining coverage and/or access to prescribed medicine.
NewRCM Manager VeradigmRCM ManagerRaleigh, North CarolinaStrong customer service skills for client satisfaction, health of client AR and management of RCM team memberso answering client inquiries; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externallyo acts as primary point of contact for team members and provides guidance on work matters. In addition to performing similar work, the Manager will oversee and ensure group productivity and performance in accordance with financial goals to ensure the health of the client's Accounts Receivable Supports RCM Management by efficiently and effectively providing oversight and review of the team, processes and workload.
Executive Care Coordinator, Bilingual ValerisExecutive Care Coordinator, BilingualMorrisville, North CarolinaBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Provides personalized case management to patients and HCPs including outbound communication to HCPs, specialty pharmacies and patients to communicate benefit coverage and/or appropriately help drive next steps in obtaining coverage and/or access to prescribed medicine.
Executive Case Manager (Remote) ValerisExecutive Case Manager (Remote)Raleigh, North CarolinaRemoteBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Personalized Case Management Provides personalized case management to patients and HCPs including outbound communication to HCPs, specialty pharmacies and patients to communicate benefit coverage and/or appropriately help drive next steps in obtaining coverage and/or access to prescribed medicine.
NewRCM Manager Veradigm IncRCM ManagerRaleigh, NCIn addition to performing similar work, the Manager will oversee and ensure group productivity and performance in accordance with financial goals to ensure the health of the client's Accounts Receivable Supports RCM Management by efficiently and effectively providing oversight and review of the team, processes and workload. At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve.
Office and Billing Manager Meredith CollegeOffice and Billing ManagerRaleigh, NCNotice: If you are seeing this position posted on a job board other than the official Meredith College career posting page, please know that any pay range included is not authorized or approved by Meredith College and may not reflect the actual pay rate for the position. Ensure all new staff and students have completed necessary paperwork and agreements before beginning work and are added to necessary portals (i.e. data collection, etc).
NewRCM Manager Veradigm (formerly Allscripts)RCM ManagerRaleigh, NCIn addition to performing similar work, the Manager will oversee and ensure group productivity and performance in accordance with financial goals to ensure the health of the client's Accounts Receivable Supports RCM Management by efficiently and effectively providing oversight and review of the team, processes and workload. At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve.
NewSENIOR PATIENT RELATIONS REPRESENTATIVE - 40000958 Durham County NCSENIOR PATIENT RELATIONS REPRESENTATIVE - 40000958Durham, NC$40,528–$68,849 / yearAll DCoDPH employees are considered healthcare personnel (HCP) working in a health care setting with the potential for exposure to patients and/or infectious materials and, therefore, are required to comply and provide documented proof of the following: Measles, Mumps & Rubella (MMR) vaccination/immunity. Responsibilities include preparing and verifying claims, correcting errors, responding to payer requests, and assisting with billing needs for programs such as Family Planning, STD, Tuberculosis, Immunization, Refugee Health, Maternal Health, Nutrition, and Dental Services.
Medical Director, Orthopedic Spine Surgery - Remote UnitedHealth Group Inc.Medical Director, Orthopedic Spine Surgery - RemoteRaleigh, NCRemote$248,500–$373,000 / yearCurrent board certification through the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) in Orthopedic Surgery, with fellowship training and substantial clinical experience in Spine Surgery. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
NewMedical Director, Vascular Surgery - Remote UnitedHealth Group IncMedical Director, Vascular Surgery - RemoteRaleigh, NCRemote$248,500–$373,000 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.