9,320 Results for

Operator Jobs in Spring Lake, NC

Jobs

Hospital Based Inpatient Coder III - HIM - FT - Days - Remote Eligible South Broward Hospital District

Remote

Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators.

30+ days ago

Senior Healthcare Data Analyst Machinify

As a Senior Healthcare Data Analyst you will sit at the intersection of domain expertise and data engineering: translating raw claims feeds into trusted canonical models, driving payment integrity insights, and serving as the internal expert on how claims flow through adjudication. Cross-functional partnership — Partner with data engineers, data science, clinical staff, and product managers to translate complex healthcare requirements into scalable data solutions; collaborate with data scientists to enable advanced analytics and ML use cases.

23 days ago

Medical Coder Presidential Staffing Solutions

Remote

Our staff has a quick turn around and have been able to fill positions within 48 hours with short notice, we have filled hard to fill locations and jobs, and managed over 16 contracts with over 70 employees at a time. Our consulting division provides contracting assistance, program managing, application assistance, certification assistance and proposal writing.

30+ days ago

Inpatient Pediatric Medical Coder Guidehouse Inc

Remote

$59,000–$98,000 / year

What You Will Do: The Inpatient Pediatric Medical Coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and CPT Diagnosis codes, as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Duties and Responsibilities: Demonstrates the ability to perform quality hospital coding on Inpatient pediatric accounts including Medicare/NonMedicare, Surgical, Medical, Cardiac, moms/babies, and trauma cases.

17 days ago

Lead Medical Director - Claim Editing Machinify

Within 6 to 12 months, you will move validated concepts into production through a repeatable governance process, establish program metrics and performance reviews, implement at least one AI-assisted improvement, and demonstrate measurable gains in content quality, speed, consistency, or scalability. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise.

20 days ago

Software Engineer Empirical Security Inc

$155,000–$225,000 / year

Software Engineers at Empirical Security craft web applications that deliver novel security data, build data pipelines that power machine learning systems and architect software at scale to transform how organizations protect themselves. Empirical Security is dedicated to building an inclusive, diverse, equitable, and accessible workplace that fosters a sense of belonging - so if youre excited about this role but your past experience doesnt align perfectly with every qualification in the job description, we encourage you to still consider submitting an application.

6 days ago

Junior Revenue Cycle Management (RCM) Specialist - REMOTE CareTalk Health

Remote

Job Title: Junior Revenue Cycle Management (RCM) Specialist Location: Remote - United States Employment Type: FT W2 Compensation: $35 per hour CareTalk Health is a virtual medical practice that specializes in Clinical Process Outsourcing (CPO). This is an ideal role for someone early in their medical billing or healthcare administration career who has a solid grasp of the insurance workflow and wants to grow in a fast-paced virtual care environment.

30+ days ago

Director - Clinical Documentation Integrity - FT - Days - MTC South Broward Hospital District

Education and Certification Requirements: Bachelors: Health Information Management (Required)Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - State of Florida (FL), Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate, Registered Nurse License (RN LICENSE) - State of Florida (FL). Leads and implements provider documentation strategies by working closely with the Medical Director of Centralized UR-HIM, CMOs, Hospitalist Physician leaders, CFOs, Vice President - Chief Medical Information Officer (CMIO), HIM leaders, and the medical staff.

30+ days ago

Payment Integrity Clinical Readmission Manager Devoted Health Inc

Remote

$73,000–$125,000 / year

Relevant Experience: Five or more years of experience in clinical nursing, hospital-based care, healthcare audit, Payment Integrity, utilization management, quality review, or a related healthcare environment, including demonstrated experience reviewing inpatient hospital readmissions. A bit about this role: The Clinical Readmission Manager is responsible for conducting prepayment and post-payment clinical reviews of inpatient hospital admissions and subsequent admissions to the same or a related hospital within 30 days of the prior discharge date.

8 days ago

Coder (Clinic - III) ThedaCare

Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional services including specialty medical services, in and outpatient E&M, and surgical procedures (i.e., cardiology, orthopedic, and general surgery) with a high degree of accuracy. The Coder (Clinic - III) performs coding review for surgical specialties for ThedaCare Physician Services to accurately reflect services rendered.

11 days ago

DRG Reviewer Machinify

As part of the Complex Payment Solutions Team, you will, as a DRG Reviewer, be a key contributor responsible for conducting thorough DRG payment validation reviews, including clinical and coding assessments, of medical records and related documentation in accordance with contract-specific review criteria. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise.

30+ days ago

Managing Consultant – Clinical Documentation Integrity (CDI) – Healthcare Berkeley Research Group

CQT’s broad-based engagements help providers transform how they deliver care through a combination of reduced complications and mortality, optimizing surgery quality and operations, improved throughput and length-of-stay reduction, improved emergency department performance, quality infrastructure enhancements, and more accurate clinical coding and documentation—helping organizations deliver better patient care and outcomes while most effectively utilizing their clinical resources and infrastructure. Led by seasoned healthcare executives, operators, and clinicians, IHS partners with organizations to drive sustainable performance improvement and long-term growth through strategic growth design, operating model transformation, AI and digital enablement, clinical quality and patient care optimization, and revenue strategy—helping clients build resilient, future-ready healthcare enterprises in an increasingly complex environment.

19 days ago

Senior Director of Product Management - Risk & Quality (Payer) Innovaccer Inc

Domain Mastery: Deep expertise in Risk Adjustment methodologies (CMS-HCC, RxHCC, HHS-HCC), coding workflows (ICD-10, MEAT criteria), retrospective chart reviews, prospective point-of-care nudges, and RADV audit prep. Executive Single Point of Contact (SPOC): Build direct relationships with plan executives (CMOs, Chief Risk Officers, Actuarial Leads, VPs of Risk Adjustment) to understand operational pain points and serve as the product authority for strategic discussions and escalations.

30+ days ago

Data Entry Operator I Mindlance

Remote, IL

Remote

Quick Apply

We are looking for a candidate with a professional, positive outlook and can assist the team in maintaining a turnaround of 48 hours form processing time, across all HealthSpring Health plans. The purpose of the Indexing Team is to accurately identify and classify medical records and prepare them for review by the Medical Record Coding Teams within established market timeframes.

25 days ago

Access Call Center Representative Children's National Hospital

$18.54–$30.89 / hour

Please note that it is the policy of Children's National Hospital to ensure a "drug-free" work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances, by all staff (management, employees and contractors). Complete calls in an accurate and timely manner; transfer calls to appropriate areas as needed; notify manager/supervisor of difficult calls (clarification re insurance, problem callers, etc.); seek appropriate resources to solve problems effectively.

30+ days ago

Nurse Practitioner - Primary Care (ID license required) Greater Good Health

Voluntary Insurance plans: We offer voluntary short term disability, critical illness and accident plans for additional financial security during periods of illness or injury that prevent you from working for a set period of time License Reimbursements: We offer reimbursement for a number of licenses and certifications that we require as a condition of employment; DEA, License, Board Certification, and ALS/BLS. Job Title: Nurse Practitioner – Primary Care Job Location: Greater Good Health Idaho Falls (Ammon), Idaho Clinic Company Description: Greater Good Health is a fast-growing organization delivering care to older adults in access starved communities.

12 days ago

National Accounts Manager (Pharmaceuticals) Asahi Kasei

The National Account Manager (NAM) is responsible for the access and reimbursement strategy and implementation aligned with the portfolio of AKT products creating profitable access and ensuring appropriate placement of AKT medicines on formularies, treatment algorithms, pharmacy policies and medical policies across PBM, Payer and Govt. Our purpose is to transform transplant medicine as the primary partner to the community of transplant healthcare providers and their patients; our focus is in developing new therapies and programs to help transplant healthcare providers and the patients they treat.

30+ days ago

Fractional Clinical Nursing Informaticist Lunar

Streamlining Clinical Workflows : Set up and configure clinical flowsheets, notes, and templates within Lunar, ensuring they meet hospital and clinician needs for effective patient care documentation and a seamless and intuitive workflow for nurses and clinicians using the system. Clinical Background: Ideally, you are a Nurse Practitioner (NP), Advanced Practice Registered Nurse (APRN), or Certified Registered Nurse Anesthetist (CRNA) with nursing experience, preferably in internal medicine or a hospital setting.

30+ days ago

Clinical Documentation Integrity Specialist I (Relief, Non-benefitted) Stanford Health Care

The Relief Clinical Documentation Integrity Specialist I uses clinical and coding knowledge for conducting clinically based concurrent and retrospective reviews of inpatient and/or outpatient medical records to evaluate the clinical documentation of clinical services by identifying opportunities for improving the quality of medical record documentation. Utilizes Hospital coding code set, policies and procedures, Federal and State coding reimbursement guidelines, and application of the Coding Clinic Guidelines to assign working DRG, reviewing patient records throughout hospitalization that have been identified as focus DRG by regulatory agencies or the facility to ensure the codes are reported at the highest specificity.

30+ days ago

Coder IV - IP DRG - Remote (Selected States Only Denver Health and Hospital Authority

Remote

HB & PB Coding Services Remote opportunity for residents of Colorado, Illinois, Kentucky, Mississippi, New Hampshire, Ohio, Pennsylvania, South Carolina, Texas, Utah, Virginia, Washington, and Wisconsin. Our benefits are built to support your life, your family, and your future — with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs.

13 days ago

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Operator Jobs in Spring Lake, NC

Hospital Based Inpatient Coder III - HIM - FT - Days - Remote Eligible South Broward Hospital District

Senior Healthcare Data Analyst Machinify

Medical Coder Presidential Staffing Solutions

Inpatient Pediatric Medical Coder Guidehouse Inc

Lead Medical Director - Claim Editing Machinify

Software Engineer Empirical Security Inc

Junior Revenue Cycle Management (RCM) Specialist - REMOTE CareTalk Health

Director - Clinical Documentation Integrity - FT - Days - MTC South Broward Hospital District

Payment Integrity Clinical Readmission Manager Devoted Health Inc

Coder (Clinic - III) ThedaCare

DRG Reviewer Machinify

Managing Consultant – Clinical Documentation Integrity (CDI) – Healthcare Berkeley Research Group

Senior Director of Product Management - Risk & Quality (Payer) Innovaccer Inc

Data Entry Operator I Mindlance

Access Call Center Representative Children's National Hospital

Nurse Practitioner - Primary Care (ID license required) Greater Good Health

National Accounts Manager (Pharmaceuticals) Asahi Kasei

Fractional Clinical Nursing Informaticist Lunar

Clinical Documentation Integrity Specialist I (Relief, Non-benefitted) Stanford Health Care

Coder IV - IP DRG - Remote (Selected States Only Denver Health and Hospital Authority

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