MEDICAL CODER SPECIALIST Duke UniversityMEDICAL CODER SPECIALISTDurham, NCExtensive knowledge of coding surgical procedures and applicable modifiers in multi-specialty setting Understands and apply appropriate Center Medicare Services guidelines to coding Advanced ICD-10-CM & CPT-4 coding conventions Anatomy and Physiology Medical Terminology Extensive DRG/APC reimbursement knowledge Coding software familiarity Effective written and verbal communication skills Data entry/CRT. Responsibilities include primary diagnosis and procedural coding for the designated major surgical specialty areas and other major procedural areas, including capture of applicable Physician Quality Reporting System (PQRS) and reconciliation of all surgical cases performed at each hospital where applicable.
MEDICAL RECORDS CODER II (Outpatient) Duke UniversityMEDICAL RECORDS CODER II (Outpatient)Durham, NCRemoteMust hold one of the following active/current certifications: Registered Health Information Administrator (RHIA) Hospital Coding Registered Health Information Technician (RHIT) Hospital Coding Certified Coding Specialist (CCS) Hospital Coding Certified Professional Coder (CPC) Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding. All 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.
MEDICAL RECORDS CODER II-Commitment Bonus Duke UniversityMEDICAL RECORDS CODER II-Commitment BonusDurham, NCRemoteExperience: RHIA certification-no experience required; RHIT certification-no experience required; CCS certification-one year of coding experience required; CPC or HCS-D certification-two years of coding experience required. Advanced ICD-10-CM & CPT-4 coding conventions Anatomy and Physiology Medical Terminology Extensive DRG/APC reimbursement knowledge Coding software familiarity Effective written and verbal communication skills Data entry/CRT Level.
MEDICAL RECORDS CODER II Duke UniversityMEDICAL RECORDS CODER IIDurham, NCRemoteMust hold one of the following active/current certifications: Registered Health Information Administrator (RHIA) Hospital Coding Registered Health Information Technician (RHIT) Hospital Coding Certified Coding Specialist (CCS) Hospital Coding Certified Professional Coder (CPC) Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding. RHIA certification-no experience required RHIT certification-no experience required CCS certification-one year of coding experience required CPC or HCS-D certification-two years of coding experience required.
Medical Records Coder III Outpatient (REMOTE) BayCare Health SystemMedical Records Coder III Outpatient (REMOTE)Raleigh, NCRemoteResponsibilities: The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Medical Records Coder III Outpatient (PRN/ REMOTE) BayCare Health SystemMedical Records Coder III Outpatient (PRN/ REMOTE)Raleigh, NCRemoteResponsibilities: The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Medical Records Coder II (PRN) (REMOTE) BayCare Health SystemMedical Records Coder II (PRN) (REMOTE)Raleigh, NCRemoteOur network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. Responsibilities: The Medical Records Coder II assigns diagnosis and procedural codes using ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems and monitors bill hold reports.
Specialty Coder II (REMOTE) BayCare Health SystemSpecialty Coder II (REMOTE)Raleigh, NCRemoteThe Specialty Coder audits physician documentation to assign appropriate CPT codes, diagnosis codes, and modifiers related to anesthesia coding and billing as well as anesthesia minutes. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Specialty Coder II - Anesthesia (REMOTE) BayCare Health SystemSpecialty Coder II - Anesthesia (REMOTE)Raleigh, NCRemoteThe Specialty Coder audits physician documentation to assign appropriate CPT codes, diagnosis codes, and modifiers related to anesthesia coding and billing as well as anesthesia minutes. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Certified Professional Coder III Novant Health IncCertified Professional Coder IIINCWhat We Offer Why This Role Matters As a Certified Professional Coder III, you will be part of a dynamic team of Cardiovascular Coders supporting patient care by driving accuracy and adherence to coding guidelines, governmental and private Third-Party rules, and regulations. • Functions include but are not limited to reviewing surgical operative reports and abstracting clinical diagnoses, procedure codes, and other pertinent information to bill appropriately for services.
Coder, Sr-Inpatient WakeMed Health & HospitalsCoder, Sr-InpatientRaleigh, NCEOE Licensure Registered Health Information Technician Required - Or Registered Health Information Administrator Required - Or Certified Professional Coder Required - Or Certified Coding Specialist Required - Or Certified Outpatient Coder Required Education Associate's Degree Health Information Management Required Bachelor's Degree Health Information Management Preferred Experience 5 Years Coding - Inpatient Required Diagnosis-Related Group Analysis Required. Overview Serves as the senior member of the corporate coding team by providing extensive knowledge for timely and accurate coding and DRG assignment.
Senior Inpatient Coder WakeMed Health & HospitalsSenior Inpatient CoderRaleigh, North CarolinaLicensure: Registered Health Information Technician Required - Or Registered Health Information Administrator Required - Or Certified Professional Coder Required - Or Certified Coding Specialist Required - Or Certified Outpatient Coder Required Education: Associate's Degree Health Information Management Required Bachelor's Degree Health Information Management Preferred Experience: 5 Years Coding - Inpatient Required Diagnosis-Related Group Analysis Required Overview: Serves as the senior member of the corporate coding team by providing extensive knowledge for timely and accurate coding and DRG assignment.
NewCertified Professional Surgery Coder Applied Medical SystemsCertified Professional Surgery CoderDurham, North Carolina$26–$28 / hourAt Applied Medical Systems (AMS), we’ve spent over 45 years helping healthcare providers thrive through expert medical billing, coding, and practice management. We’re looking for a Revenue Cycle Support Specialist who thrives in complexity, works well independently, and is driven to find solutions—not wait for them.
Inpatient Coder Specialist (REMOTE) BayCare Health SystemInpatient Coder Specialist (REMOTE)Raleigh, 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.
Inpatient Coder Specialist (PRN/ REMOTE) BayCare Health SystemInpatient Coder Specialist (PRN/ REMOTE)Raleigh, 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.
RCS Medical Coding Auditor (CPC, CPMA) VeradigmRCS Medical Coding Auditor (CPC, CPMA)Raleigh, North CarolinaBy continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates’ unique contributions and support their professional growth. 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.
NewMedical Records Manager I - Murdoch Dev Center State of North CarolinaMedical Records Manager I - Murdoch Dev CenterGranville County, NC$45,651–$68,477 / yearBachelor''s degree in medical record science or medical record administration from an appropriately accredited institution; or Completion of a medical record technician program from an appropriately accredited institution and two years of experience in medical record work; or an equivalent combination of education and experience. Position serves as Lead Coder overseeing and managing diagnostic information housed in EPIC (electronic health record) which involves supervising coding staff/assignments; assuring the accurate input of diagnostic information on applicable work queues, ensuring complete and timely updates of diagnostic data in EPIC.
RCS Medical Coding Auditor Veradigm IncRCS Medical Coding AuditorRaleigh, NC$57,728–$80,243 / yearBy continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates' unique contributions and support their professional growth. 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.
RCM Medical Coding Processor Veradigm Coding ServicesRCM Medical Coding ProcessorRaleigh, North CarolinaAt 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. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates’ unique contributions and support their professional growth.
RCM Medical Coding Processor Veradigm IncRCM Medical Coding ProcessorRaleigh, NCAt 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. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates' unique contributions and support their professional growth.
(Remote Part-Time) Instructor - Medical Billing and Coding ProTrain(Remote Part-Time) Instructor - Medical Billing and CodingRaleigh, NCRemoteWe provide a CE-Turnkey Solution and partnership opportunities for institutions of higher learning to provide programs to various verticals such as Military Tuition Assistance (TA), Military Spouses (MyCAA), Wounded Warriors, Veterans, Unemployed (WIA), Corporate and Individuals. ProTrain is an affordable solution for students seeking to prepare for an in-demand career that will help move them and America forward to achieve the goal of Education 2 Employment!
NewMedical Billing and Coding Tutor (Remote) UpswingMedical Billing and Coding Tutor (Remote)North Carolina, DurhamRemoteYou would be a great fit if you Subject matter expert or advanced knowledge during attainment of your undergraduate degree, certification program, graduate degree or professional experience in medical billing and coding. Company Description Upswing is an online student success service that provides students of our partner colleges 24/7 access to a marketplace of tutors, mentors, and advisors.
Coding Manager - Hybrid/Durham Avance CareCoding Manager - Hybrid/DurhamDurham, North CarolinaFull timeNotify the Vice President of RCM, Human Resources, and other managers of all non-routine matters relating to the operations and affairs of the areas for which the position is responsible, including but not limited to significant concern, current problems, and potential problems. Hold and attend regular meetings with coders, billing staff, providers, managers, and other stakeholders to share information and communicate on company issues, as needed.
NewCoding Auditor 1 BAYLOR SCOTT & WHITECoding Auditor 1Raleigh, NCCert Coding Specialist (CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Inpatient Coder (CIC), Cert Interv Radiology CV Coder (CIRCC), Cert Outpatient Coder (COC), Cert Professional Coder (CPC), Reg Health Info Administrator (RHIA), Reg Health Information Technic (RHIT): Must have one of these certifications and 5 years of coding experience. Works collaboratively with the Clinical Documentation Specialists and Coaches to communicate opportunities for accurate, complete, and compliant documentation.
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.
NewSupervisor, Physician Coding WakeMed Health & HospitalsSupervisor, Physician CodingRaleigh, NCThis role provides daily administrative support (including productivity monitoring, quality assurance reviews, timekeeping, and helps with workflow management. Certified Professional Coder Or Registered Health Information Administrator Or Registered Health Information Technician Or Certified Documentation Improvement Practitioner Or Certified Coding Specialist Required.
NewAppeals Analyst MindlanceAppeals AnalystDurham, NCRemote100% Remote in the 28 states - North Carolina, Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, and Wyoming will be allowed to maintain their current residence and work remotely. " Analyze, research, resolve and respond to confidential/sensitive appeals, coding disputes, grievances and coverage/organization determinations from members, member's representatives, providers, media outlets, senior leadership and regulatory agencies with established regulatory and accreditation guidelines.
NewProgram Integrity Auditor NACBAProgram Integrity AuditorRaleigh, NCEducationAssociate's degree or equivalent experience (2+ years of relevant experience + high school diploma or GED).Anticipated Weekly Hours40Time TypeFull timePay Range$46,988.00 - $122,400.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Primary ResponsibilitiesServe as an audit team member for a health plan(s) which currently administers benefits to Medicaid members across multiple lines of business including acute, behavioral health, individuals with developmental disabilities, and children in out-of-home care.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistNC$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.
NewRevenue Cycle Manager Piedmont Health ServicesRevenue Cycle ManagerChapel Hill, NC$61,889–$83,173Provide 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.
HCS Compliance Analyst II - Hospital Compliance UNC HealthHCS Compliance Analyst II - Hospital ComplianceMorrisville, NC$31.04–$44.62 / hourThis position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job. Under the supervision and direction of Compliance Program leadership, the HCS Compliance Analyst II implements the essential elements of UNC Health's systemwide Compliance Program, such as conducting audits, monitoring ongoing risks to the organization, training and educating teammates, completing investigations of potential misconduct, and providing such other professional services as directed.
Compliance Analyst I - Third Party Risk Management UNC HealthCompliance Analyst I - Third Party Risk ManagementMorrisville, NC$31.04–$44.62 / hourUnder the supervision and direction of Compliance Program leadership, the HCS Compliance Analyst I implements the essential elements of UNC Health's systemwide Compliance Program, such as supporting audits, assisting with monitoring of ongoing risks to the organization, training and educating teammates, completing investigations of potential misconduct, and providing such other professional services as directed. This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Coding Quality Assurance Auditor Novant Health IncCoding Quality Assurance AuditorNCThe Coding Quality Assurance Auditor is part of Novant's RCS Coding team supporting patient care by driving accuracy and adherence to coding guidelines, governmental and private Third-Party rules, and regulations, to deliver the most remarkable patient experience, in every dimension, every time. Excellent verbal and written communication skills and the ability to effectively communicate with coding team members, providing positive constructive feedback from audit results.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)NC$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU)NC$43,888–$93,574 / yearExperience with Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research. Bachelor's Degree in Criminal Justice, Healthcare Management, Public Health, Biological Sciences, Data Analytics, or other related field preferred or equivalent experience.