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p>The 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.
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. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise.
Supportive Environment: Join a team that values collaboration and provides an atmosphere where your contributions are recognized ● Growth Opportunities: Access to all areas of revenue cycle management with opportunities for professional development ● Competitive Compensation: Attractive salary and benefits package ● Flexibility: Remote work with flexible scheduling ● Career Stability: Be part of a stable, growing organization with a 45-year track record and a strong future. ● High School Diploma or equivalent ● Completion of formal coursework in medical terminology, disease processes, anatomy and physiology, and medical coding and regulatory compliance ● Required: Coding certification through AHIMA (RHIA, RHIT, CCS, CCS-P, CCA) or AAPC (CPC, COC, CEMC) .
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We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Requires at least one of these certifications: RHIA, RHIT, CCS, CCS-P, CCS-H, CPC, or CPMA.Knowledge of coding classification systems, including ICD-10-CM, CPT, EM levelof service, and HCPCS nomenclature, and the rules, guidelines, and coding conventions established by the American Medical Association, the Center for Medicare and Medicaid Services (CMS), and the American Hospital Association as the leading organizations that govern coding rules and reporting. Qualifications: Bachelor degree with 2 years experience related to coding/auditing; Associate degree with 3-4 years experience coding/auditing experience; or high school diploma with 7+ years of coding/auditing experience.
Extensive knowledge of ICD-9-CM and CPT coding principles and guidelines Extensive knowledge of hospital/technical and/or professional services reimbursement systems (DRGs, APCs, RBRVUs) Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing for professional and technical services; strong managerial leadership, and interpersonal skills; excellent written and oral communication skills; and excellent analytical skills. Collaborate with other coding managers to ensure consistent implementation of coding policies, procedures, and practice - Maintain strong communication with Director(s) and business partners in reporting of unbilled activities related to coding - Schedule regular staff meetings for updates, new policies, education, open discussion related to healthcare, diversity, training, encouraging positive work environment.
Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories CRC (HCC)CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred.
li> Additional Skills (required): Demonstrated experience designing and operating Gitbased CI/CD promotion workflows, including: Branching and merge strategies; Pull request governance and approvals; Tagging and release versioning. Experience: 3 years of progressive experience in DevOps, Release Engineering, Platform Engineering, or Integration Engineering roles within a healthcare or other highly regulated environment, required.
The Medical Coding Services team partners closely with Product, Operations, Commercial, Revenue Cycle, and R&D stakeholders to improve coding quality, reduce denials, optimize claim adjudication outcomes, and strengthen service integrity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
The Resource is partnering with a top-tier anesthesia practice in Winston-Salem to identify a motivated Coding Specialist (or certification candidate) ready to launch or grow a career in medical coding and healthcare revenue cycle operations. This is a great opportunity for recent graduates, newly certified professionals, or individuals actively pursuing AAPC or AHIMA certification who are looking to gain hands-on experience in a collaborative, high-performing healthcare environment.
p>Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings. 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.
div class="job-details-content content">Company DescriptionUpswing is an online student success service that provides students of our partner colleges 24/7 access to a marketplace of tutors, mentors, and advisors. You would be a great fit if you
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. 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.
Qualifications: Bachelor or Associates Degree in Health Information Management or related healthcare field or 5-10 years experience as an auditor/coder within a health care organization. Serves as a subject matter expert on interpretation and application of documentation and coding rules and regulations, and conduct enterprise risk assessments of potential and detected compliance deficiencies.
Licensure, Registration, and/or Certification Required: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC). Additionally, the liaison works closely with Clinician Coding Liaison team members, Production Coding, and Coding Support teams to improve coding accuracy, documentation specificity, and overall billing practices while monitoring payer-specific rules and coverage trends.
Carolina Oncology Specialists has been caring for patients in Catawba County since 1983, offering patients high quality, personalized healthcare close to their own home so patients and caregivers don't have to travel far for excellent care. Assign accurate ICD-10-CM, CPT, and HCPCS Level II codes for oncology-related services (including chemotherapy, infusions, and supportive care).
However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with CGI's legal duty to furnish information. You'll develop innovative solutions and build relationships with teammates and clients while accessing global capabilities to scale your ideas, embrace new opportunities, and benefit from expansive industry and technology expertise.
p>Under 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.
p>The individual will partner closely with model owners, Model Risk Management, internal and external auditors, and senior leadership to evaluate model behavior, identify emerging risks, and support enhancements to AML monitoring capabilities across the enterprise. Responsibilities include performing ongoing monitoring and performance assessments of AML Transaction Monitoring models, conducting comprehensive code reviews and code change assessments, and executing below-the-line testing of model thresholds.
p>The Revenue Analyst plays a critical role in supporting the financial health of Kinston Community Health Center by analyzing revenue cycle data, identifying trends and opportunities, and providing actionable insights to optimize reimbursement.
p>Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings. The Veradigm Life Science Real World Evidence (RWE) team is seeking a Principal Research Analytics Analyst to complement its growing team of healthcare analysts, data scientists, and researchers to collaborate on healthcare database analyses.
p>We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin.
li>Advises service line leaders and their staff on proper usage of charge codes; identifies opportunities for capturing additional revenue in accordance with payer guidelines; develops specifications to modify existing charge capture applications to reduce charge-related claim edits/rejections. Under the direction of the Director of Revenue Integrity, the Revenue Integrity Analyst II plays an important role in a high-profile group tasked with improving revenue results by taking a global view of clinical and financial processes, functions and interdependencies from the provision of patient care to final bill generation.
About the Division: The primary purpose of the Engineering Applications Services Unit is to coordinate and direct the planning, development, or procurement, installation, operation, and support of the following systems for the various Divisions, Branches and Units of the Department: HiCAMS (Highway Construction and Materials System) and related systems; Computer Aided Design and Drafting (CADD) systems; Letting and Compliance Systems (LCS); Engineering Content Management (ECM). The following Management Preferences are not required, but applicants that possess these skills are preferred: Strong knowledge of C# (version 7 or later), ASP.NET (version 4 or later), MVC, APIs (OData version 3, version 4 or later), NET Core (version 6 or later), JavaScript (ECMAScript version 5 or later), and jQuery (version 3 or later).
div> Carolina Oncology Specialists has been caring for patients in Catawba County since 1983, offering patients high quality, personalized healthcare close to their own home so patients and caregivers don’t have to travel far for excellent care. This role focuses on analyzing payer activity, identifying reimbursement discrepancies, and driving resolution of denied or underpaid claims to support optimal revenue cycle performance at Carolina Oncology Specialists.
Clients rely on us to answer questions that demand an objective and multidisciplinary approach—one that integrates expertise across social, statistical, data, and laboratory sciences, engineering, and other technical disciplines to solve the world’s most challenging problems. Sharing insights gained from the above activities with fellow programmers, leaders, and other division staff through activities such as presentations at staff meetings, contributions to collective codebase utilities, and training early career staff.
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. 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.
p>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. 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.
You'll serve as a primary resource responsible for designing, configuring, and implementing Salesforce solutions within the Lead-to-Opportunity Agile Release Team, supporting Account and Contact management, Lead and Opportunity processes, related objects, and associated workflows.
MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS: Bachelor's degree in health administration, public health, finance or a related field from an appropriately accredited college or university and two (2) years of experience in healthcare revenue cycle or billing operations or; Six (6) years of experience in healthcare revenue cycle or billing operations. All 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.
p>The Veradigm Life Science Real World Evidence (RWE) team is seeking a Principal Research Analytics Analyst to complement its growing team of healthcare analysts, data scientists, and researchers to collaborate on healthcare database analyses. 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.
Work activities involve light to moderate physical effort (for example, sitting in one place for extended periods of time, standing, walking, bending, lifting lightweight objects, intermittent to sustained periods of keyboarding). As such, timely and accurate CTMS service deliverables are imperative to meet the increasing demands on research sites to decrease study activation timelines, which directly affects site funding.
Key Requirements and Technology Experience: Key skills; API security testing, DAST and SAST tools (e.g., Burp Suite, OWASP ZAP, Veracode, Checkmarx, Fortify). By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners.
Join the Trinnex Security Team as a Senior Cyber Security Analyst, where you will operate at the intersection of cybersecurity and DevSecOps to protect critical software systems that support water utilities and infrastructure. Whether it's optimizing water supply and demand, detecting leaks and anomalies, or enhancing water quality and resilience, Trinnex delivers value and impact to public sector clients across the country.
Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management.
p>About the Division: The Department of Information Technology Services (DIT) Enterprise Applications team is responsible for the enterprise applications platforms used to provide services to all state agencies, personnel and citizens; which includes ServiceNow, Office 365, Electronic Digital Signature, Content management, Database and Middleware Services, and others in this growing area of business. The following Management Preferences are not required, but applicants that possess these skills are preferred:
p style="text-align:inherit"/> Salary Range: The base salary range represents the anticipated low and high of the Syneos Health range for this position.
Activities include reviewing billing activity for state agency referrals, assisting in the investigation and triage of FWA complaints, coordination with other departments and assist in prevention activities including training of internal staff and internal departments. Analyst, Fraud, Waste, and Abuse (FWA) will assist in detecting, investigating, remediating and referring to state regulatory agencies incidents of FWA arising in connection with medical, behavioral, transportation, and other healthcare services.
em> Maintain awareness of bank, regulatory, and industry changes and trends Responsibilities may also include contributing to CBB Risk Data Team projects or project implementation Perform other duties as assigned BASIC QUALIFICATIONS Seven to ten years of applicable experience Bachelor's degree or equivalent work experience PREFERRED SKILLS/EXPERIENCE SQL/SAS coding experience Five years of experience with bank systems Five years in a reporting, analytics, or technology environment Strong problem-solving, process facilitation, project management, and analytical skills Excellent interpersonal, written, and verbal communication skills Considerable knowledge of applicable laws, regulations, financial services, and regulatory trends that impact CBB Advanced understanding of CBB products, services, systems, and associated risks/controls, as well as supporting operational functions Python experience Advanced Excel computer skills and database knowledge Experience with SharePoint or TEAMS Comfortable working in a team environment with layers of required review/approval Ability to work in a fast-paced environment with large workloads If there's anything we can do to accommodate a disability during any portion of the application or hiring process, please refer to our disability accommodations for applicants. RESPONSIBILITIES Customer Remediation Support: The CBB Risk Data Team supports issue and business line management with research, data analysis, documentation and execution Credible Challenge: The CBB Risk Data Team accepts ownership of the data used within all CBB customer remediation events.
This role is responsible for best practice documentation, evaluating and adopting new BI technologies and techniques, and designing complex solutions including interactive dashboards and self-service analytics. The Senior Data Analyst manages solution development projects, coordinates stakeholder requirements, and ensures timely delivery of solutions that meet functional requirements and drive business impact.
SynergisticIT provides support for candidates navigating STEM OPT extension, H1B filing, and Green Card processes (where applicable), which can matter when timing is critical.
p/> General Description of Available Benefits for Eligible Employees of Truist Financial Corporation: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of Truist offering the position. Additionally, you will be involved in a multi-year conversion from the current ECC application suite to the new S4 Hana platform, and will play a key role in driving successful implementation of this large-scale conversio.
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