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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. Licensure/Certification Requirements: Must have one of the following: - AAPC (American Academy of Professional Coders) certification-AHIMA (American Health Information Management Association) CCSP Certification.

HOUR

UNC Health

Medical Coder II - Physician Rev Cycle Coding

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.

We are an integrated system of physician practices, hospitals, outpatient centers, and more – each element committed to delivering a remarkable healthcare experience for you and your family. With world-class technology, personal connections, and care that’s easier to access and understand, Novant Health is with you every step of the way on your journey to health and wellness.


Novant Health Inc

Coding Education Specialist

Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Hospital Supervising Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the "Teaching Physician Guidelines" for Professional Coding Supervisors. Will assist with the implementation and facilitation of ongoing medical coding/abstracting, auditing, monitoring, and physician/coder educational activities for existing and new clinics, locations and hospitals.

West Virginia University Medicine

Supervisor, Inpatient Hospital Coding

This 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.

WakeMed Health & Hospitals

Supervisor, Physician Coding

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. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.

CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all.

CVS Health Corp

Coding Data Quality Auditor

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. Reviews National Coverage Determination (NCD), Local Coverage Determination (LCD), and Correct Coding Initiative (CCI) edits and any other coding edits and applies changes to code assignments appropriately, and/or adds modifiers appropriately.

Medical Coder II - HIM Hospital Coding

We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. To thrive in this role, you must have experience identifying different types of hospital documentation including, but not limited to, medical records, UB-04s, EOBs, itemized bills, hospital account notes, appeal letters, and denial/approval letters.

YEAR

R1 RCM Inc

Clinical Coding Appeals Nurse

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.

Hospital Coding Spec II - Cancer Center/Infusion

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.

Duke University

Management Engineer - Coding and Clinical Documentation Integrity

Management Engineer - Coding And Clinical Documentation Integrity

ea_via_bold

Work 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.

Humana Inc

Consultative Coding Professional

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. 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.

Inpatient Coding Compliance Specialist

Position Overview: Responsible for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the clinical departments and coding staff and root cause correction to support accurate charging and coding in compliance with policies. Demonstrated ability to utilize official coding/billing resources including CPT/HCPCS references, OPPS Manual, NCCI Manual, NUBC Manual, etc. to determine applicable charges/codes as documented in the health record.

Sutter Health has a long history in California. Some of our facilities have been providing care in the communities we serve for more than 100 years. Today, we’re proud to partner with more than 12,000 doctors to care for more than 3 million people.
We’re inspired by our Northern California community and work tirelessly to deliver top-rated, affordable healthcare. Doctors, hospitals, care teams and employees in the Sutter Health network are always looking for new, meaningful ways to care for you and your loved ones. We believe that every moment matters when it comes to helping you live a longer, healthier and happier life.
Our not-for-profit network delivers top-rated, personalized care in more than 100 Northern California communities. Recently ranked among the Top 15 Health Systems in the nation by Truven Health Analytics™, our team of more than 50,000 doctors, employees and volunteers partner to spread innovation, improve access to healthcare services and put our patients’ needs first—all to achieve the highest levels of quality, access and affordability.

Sutter Health

Charge Audit Analyst

Under the supervision and direction of Compliance Program leadership, the HCS Compliance Analyst III leads the implementation of 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. 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.

Compliance Analyst III - Compliance and Privacy

OTHER

Operating 10 Community Health Centers, two PACE (Program of All-Inclusive Care for the Elderly) Senior Care facilities, and 2 Mobile Health Units, PHS extends its services to residents across five counties, including Alamance, Caswell, Chatham, Orange, and Lee. Ensures accurate tracking and reporting of data in compliance with CMS regulations; upload DataPACE2, PDE files, Plan to Plan (P2P) reconciliation, Direct/Indirect Remuneration (DIR) report and annual financial reports.

Piedmont Health Services

Health Plan Analyst

ExactHire

The Health IT Technical Analyst acts as a Subject Matter Expert (SME) in clinical data supporting Medicaid and NC HIEA in building solutions for Medicaid and meeting CMS required timelines and committed implementations across programs. NC HIEA engages in projects beyond Medicaid, this role will support new and existing projects as the clinical SME and provide input for best practice and lead and support successful requirements gather and design of projects through implementation.

Expert Technology Services

NCDIT-HIEA - Health IT Technical Analyst

Ceipal

This role involves building solutions for Medicaid, meeting CMS timelines, and supporting new and existing projects as a clinical Subject Matter Expert (SME). Technical Collaboration & Problem Solving - Ability to work with stakeholders to resolve issues, test solutions, and implement new functionality (2 Years).

ARK Solutions, Inc.

Health IT Technical Analyst :: Raleigh, NC (Remote)

jobdiva

The DHTS Application Analyst III provides revenue cycle-focused technical, analytical, and project coordination support for: Management Services Organization (MSO) development and new opportunity/pipeline management, PRMO and Health System AI and automation initiatives supporting margin improvement, reducing administrative burden and improved financial outcomes. Success in this role will be demonstrated by the ability to coordinate complex, cross-functional growth initiatives; keep deliverables, timelines, risks, and dependencies clearly managed; and support scalable infrastructure for MSO development, virtual care expansion, digital enablement, service line growth, additional covered lives, and broader market expansion.

Application Analyst III - Strategic Growth, Expansion and Enablement

Application Analyst III - Strategic Growth, Expansion And Enablement

The Medicare Pricing Procedures Analyst also researches and responds to interdepartmental requests, reviews Medicare pricing guidance, supports system testing and validation, maintains internal documentation, and assists the Technical Claims team with projects that improve the accuracy and efficiency of Medicare pricing operations. This role supports the implementation and validation of CMS pricing updates, maintains pricing information within Medicare systems, and collaborates with CMS, Shared System Maintainers, and other Medicare Administrative Contractors (MACs) to ensure accurate and timely claims payment.

Coding Analyst Jobs in Raleigh, NC

Medical Coder II - Physician Rev Cycle Coding UNC Health

Coding Education Specialist Novant Health Inc

Supervisor, Inpatient Hospital Coding West Virginia University Medicine

Supervisor, Physician Coding WakeMed Health & Hospitals

Coding Data Quality Auditor CVS Health Corp

Medical Coder II - HIM Hospital Coding UNC Health

Clinical Coding Appeals Nurse R1 RCM Inc

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

Management Engineer - Coding and Clinical Documentation Integrity Duke University

Management Engineer - Coding And Clinical Documentation Integrity Duke University

Consultative Coding Professional Humana Inc

Inpatient Coding Compliance Specialist Duke University

Charge Audit Analyst Sutter Health

Compliance Analyst III - Compliance and Privacy UNC Health

Health Plan Analyst Piedmont Health Services

NCDIT-HIEA - Health IT Technical Analyst Expert Technology Services

Health IT Technical Analyst :: Raleigh, NC (Remote) ARK Solutions, Inc.

Application Analyst III - Strategic Growth, Expansion and Enablement Duke University

Application Analyst III - Strategic Growth, Expansion And Enablement Duke University

Medicare Pricing Analyst Wisconsin Physicians Service Insurance Corp

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