87 Results for

Medical Coder Jobs in North Carolina

Jobs

Program Integrity Investigator TriWest Healthcare Alliance

Charlotte, NC

Remote

Full time

Complies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).

7 days ago

Coding Auditor, Physician Group Vidant Medical Center

Greenville, NC

$59,446.40–$86,646.56 / year

The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations. Responsible for the creation and maintenance of audit and education programs that will ensure success for all staff and employed providers based on their specific needs and support accurate, compliant coding practices for ECU Health Physicians in accordance with coding guidelines.

30+ days ago

Risk Adjustment Provider Educator Millennium Physician Group

North Carolina, NC

The Risk Adjustment Provider Educator provides Risk Adjustment education to providers and all support staff through a variety of mediums including direct interactive learning sessions individually or in group settings, written guides and protocols, audits, etc. Formed in 2008 and headquartered in Fort Myers, Florida, with offices in Florida, North Carolina, and Texas, Millennium Healthcare is the largest independent physician group in the state of Florida and one of the largest in the United States.

30+ days ago

Primary Care Physician CenterWell Senior Primary Care

Gastonia, NC

$255,000–$298,500 / year

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. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships.

20 days ago

Primary Care Physician CenterWell

Gastonia, North Carolina

30+ days ago

Revenue Cycle Manager Piedmont Health Services

Durham, NC

$66,849–$89,355
Quick Apply

Provide leadership for all revenue cycle staff; supervise staffing, productivity, annual evaluations, coaching, disciplinary actions, and payroll approvals; partner with executive leadership, operations, finance, compliance, and clinical leaders to achieve organizational goals. Operating 11 Community Health Centers, 2 PACE (Program of All-Inclusive Care for the Elderly) SeniorCare facilities, and 2 Mobile Health Units, PHS extends its services to residents across five counties, including Alamance, Caswell, Chatham, Orange, and Lee.

30+ days ago

Clinical Documentation Specialist Carolinas HealthCare System Blue Ridge

Morganton, NC

Youll love working with us because: We are a teaching hospital We work together to ensure our patients receive outstanding, holistic care Your expertise and ideas are valued Your health and well-being matter And much more I love working atUNCHealth Blue Ridge because I know I am seen and valued. AHIMA credential of RHIT or RHIA or CCS or CDIP or ACDIS CCDS required within 24 months of hire;Licensed RN preferred but must have coding experience.

30+ days ago

Hospital Coding Spec II - Cancer Center/Infusion West Virginia University Medicine

Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.

30+ days ago

Manager, Revenue Integrity hybrid WakeMed Health & Hospitals

Raleigh, NC

3 Years Leadership Required 1 Year Project Management Required 5 Years Healthcare Required 7 Years Health Information Management Preferred 7 Years Accounting/Finance - Revenue Cycle Preferred. By partnering with clinical, operational, and financial leaders, the Manager drives process improvements that enhance revenue cycle performance and support the organization's financial health.

30+ days ago

Facilities Management Application Analyst (BAS) Advocate Aurora Health Inc

Charlotte, NC

$41.10–$61.65 / hour

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. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs.

30+ days ago

Hospital Coding Spec II - Edits WVU Medicine

North Carolina

Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

30+ days ago

Healthcare Price & Transparency Analyst (Associate | Analyst | Senior) Blue Cross and Blue Shield Association

The role uses SQL, analytical and reporting tools, healthcare data, and business knowledge to analyze and validate data, research complex issues, develop reporting and analytics solutions, support regulatory and industry submissions, and translate operational requirements into actionable insights. Clear written and verbal communication and collaboration skills, including the ability to explain financial, healthcare, and technical topics to technical and nontechnical audiences and work effectively with end users, business stakeholders, technical teams, leaders, and external partners.

6 days ago

Coding Tech II CaroMont Health

Gastonia, NC

Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education to effectively apply ICD-10-CM/PCS and/or CPT coding guidelines to inpatient and/or outpatient diagnosis and procedures. Requires a certified Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) and have at least 2 years of experience in coding.

30+ days ago

Outpatient Coding Specialist FirstHealth of the Carolinas, Inc.

Pinehurst, North Carolina

Education/formal training/licensure/certification/experience: · Health Information Technology degree or similar degree or work related coding experience, including college level medical terminology and Anatomy and Physiology required. Responsibilities: Thoroughly reviews outpatient medical records (Emergency Department-ED; ambulatory surgery, etc.) to specifically and accurately code diagnoses and procedures based on patient’s plan of care and treatment, and to also identify allowable ED charges when applicable.

8 days ago

Management Engineer - Coding and Clinical Documentation Integrity Duke University

Durham, NC

Translate complex coding, CDI, clinical, quality, and financial data into clear, actionable insights for DUHS Quality Office leadership, Coding/CDI leadership, clinical teams, and executive stakeholders. Serve as a Management Engineer within the DUHS Quality Office, providing dedicated analytics, project management, and performance improvement support to Duke Health's Coding and Clinical Documentation Integrity (CDI) teams.

18 days ago

Management Engineer - Coding And Clinical Documentation Integrity Duke University

Durham, NC

17 days ago

Coding Specialist II - Physician Group (Surgery Team) Vidant Medical Center

Greenville, NC

Remote

$23.52–$34.28 / hour

Provides code assignment for all levels of Professional Fee (Physician Coding) for Inpatient, Outpatient and/or Ambulatory Services and/or Charge Entry services for large multi-specialty physician group. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.

24 days ago

Lead Consultant, Healthcare Performance Improvement - Coding Compliance FORVIS, LLP

Charlotte, NC

Forvis 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.

30+ days ago

Coding Education Specialist Novant Health Inc

North Carolina, NC

Remote

Mastery 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.

30+ days ago

Principal Product Manager, Veradigm Comprehensive Submissions (VCS) Veradigm Inc

Raleigh, NC

Hands-on experience with the CMS EDGE server, including enrollment, medical, pharmacy, and supplemental submissions, EDGE business rules and interface control documents, RATEE and default risk adjustment charge avoidance, data submission and quality thresholds, and HHS-RADV initial validation audit and second validation audit cycles. Monitors and interprets regulatory change, including CMS Advance Notices and Rate Announcements, HHS Notice of Benefit and Payment Parameters, EDGE server business rules and interface control documents, state Medicaid companion guides, and NCQA HEDIS technical specifications; converts change into assessed, prioritized, and dated roadmap commitments.

30+ days ago

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Medical Coder Jobs in North Carolina

Program Integrity Investigator TriWest Healthcare Alliance

Coding Auditor, Physician Group Vidant Medical Center

Risk Adjustment Provider Educator Millennium Physician Group

Primary Care Physician CenterWell Senior Primary Care

Primary Care Physician CenterWell

Revenue Cycle Manager Piedmont Health Services

Clinical Documentation Specialist Carolinas HealthCare System Blue Ridge

Hospital Coding Spec II - Cancer Center/Infusion West Virginia University Medicine

Manager, Revenue Integrity *hybrid* WakeMed Health & Hospitals

Facilities Management Application Analyst (BAS) Advocate Aurora Health Inc

Hospital Coding Spec II - Edits WVU Medicine

Healthcare Price & Transparency Analyst (Associate | Analyst | Senior) Blue Cross and Blue Shield Association

Coding Tech II CaroMont Health

Outpatient Coding Specialist FirstHealth of the Carolinas, Inc.

Management Engineer - Coding and Clinical Documentation Integrity Duke University

Management Engineer - Coding And Clinical Documentation Integrity Duke University

Coding Specialist II - Physician Group (Surgery Team) Vidant Medical Center

Lead Consultant, Healthcare Performance Improvement - Coding Compliance FORVIS, LLP

Coding Education Specialist Novant Health Inc

Principal Product Manager, Veradigm Comprehensive Submissions (VCS) Veradigm Inc

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Manager, Revenue Integrity hybrid WakeMed Health & Hospitals