Certified Medical Coder (CPC) Western North Carolina Community Health ServicesCertified Medical Coder (CPC)Asheville, NC$18.50–$23 / hourCertification(s)/Licensure- AAPC Certified Professional Coder (CPC); or willing to train and test for certification within 1 year of employment. Preferred: Interact in a friendly and professional manner with a wide range of staff, physicians and public.
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-Commitment Bonus Duke UniversityMEDICAL RECORDS CODER II-Commitment BonusDurham, NCRemoteDegrees, Licensures, Certifications: Must 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). Experience: 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.
NewMEDICAL RECORDS CODER II-Ophthalmology Duke UniversityMEDICAL RECORDS CODER II-OphthalmologyDurham, 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.
NewMEDICAL RECORDS CODER II (Emergency Medicine) Duke UniversityMEDICAL RECORDS CODER II (Emergency Medicine)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 (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 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 Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)NC$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
NewMedical Records Coder II - Duke Homecare and Hospice - PRN Duke UniversityMedical Records Coder II - Duke Homecare and Hospice - PRNDurham, NCMaintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM coding guidelines to inpatient and outpatient diagnoses and procedures. Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program.
Professional Physician Coder The Moses H Cone Memorial HospitalProfessional Physician CoderGreensboro, NCCodes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS?all levels). The Professional Physician Coder accurately and efficiently accesses wide range physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services.
Supervisor Certified Professional Coder Tryon Medical PartnersSupervisor Certified Professional CoderCharlotte, NCRemoteJob Summary: Under the direction of the Revenue Cycle Manager, the Supervisor Lead Certified Professional Coder provides operational oversight, leadership, and supervisory support to the coding team and Lead Certified Professional Coder. This role ensures accurate, compliant, and timely coding and charge capture for physician services, while supporting workflow optimization, staff development, performance management, and quality assurance.
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 Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)NC$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Coder II - Pulmonary - Rheumatology - Sleep Medicine Advocate Aurora Health IncCoder II - Pulmonary - Rheumatology - Sleep MedicineCharlotte, NCRemote$26.55–$39.85 / hourHeadquartered 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. 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.
Coder II UNC HealthCoder IIRocky Mount, NCSummary: Responsible for capturing data from medical records for the purpose of reimbursement, statistics, research/studies, resource allocation and benchmarking, as well as works daily with the CDI Auditors, provides education and is part of the Clinical Documentation Improvement Team (CDI). Joining our team means becoming an integral part of our dedication to wellness, where we constantly strive to redefine excellence in healthcare through state-of-the-art facilities and pioneering programs.
Supervisor, Revenue Cycle Clinical Coder Denials | Enterprise Denials | Remote (FL, GA, MO, PA, NC, SC, TN, TX) University of Florida Health Science CenterSupervisor, Revenue Cycle Clinical Coder Denials | Enterprise Denials | Remote (FL, GA, MO, PA, NC, SC, TN, TX)NCRemoteDemonstrated knowledge of hospital billing, reimbursement, denials and appeals, third-party payer contracts, insurance protocols, and revenue cycle workflows. Trains staff on revenue integrity policies, analyzes financial data for strategic insights, and implements improvements to optimize revenue capture.
Advanced Inpatient Coder Specialist (REMOTE) BayCare Health SystemAdvanced Inpatient Coder Specialist (REMOTE)Charlotte, 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.
Certified 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.
Coder Credentialed The Moses H Cone Memorial HospitalCoder CredentialedGreensboro, NCLicensure/Certification/Listing: Required: American Health Information Management Association (AHIMA) - Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician's based (CCS-P) OR from the American Academy of Professional Coders (AAPC) - Certified Profession Coder (CPC), or Certified Outpatient Coder (COC), or Certified Inpatient Coder (CIC). Interacts with clinical staff and providers to improve documentation in order to accurately reflect severity of illness and appropriately support medical necessity and claims submission.
CODER Carolinas HealthCare System Blue RidgeCODERMorganton, NCTHE POSITION Join our dedicated healthcare team as a Coder, where you will be responsible forthe review of clinical documentation and diagnostic results for coding and abstractingall outpatient types while utilizing the appropriate ICD-10-CM and CPT-4 classification systems for reimbursement andexternal reporting, research and regulatory compliance and medical necessity, CCI, NCCI and any other regulatory edits. 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.
NewRemote Wound Care Coder - ICD-10/CPT Pro AcuityMRIRemote Wound Care Coder - ICD-10/CPT ProCharlotte, NCRemoteJoin a team dedicated to precision and quality in healthcare coding while working from home.#J-18808-Ljbffr. Ideal candidates should have a CCS or RHIA certification and at least 3 years of experience in outpatient specialty coding.
Coder II - Pulmonary - Rheumatology - Sleep Medicine Atrium HealthCoder II - Pulmonary - Rheumatology - Sleep MedicineCharlotte, NCRemote$26.55–$39.85 / hourResponsible for the validation and/or abstraction coding of routine office to off-premise patient visits, including inpatient and outpatient procedures for all billable clinicians, ensuring that claims are submitted to insurance payers in the most compliant, efficient and expeditious manner possible. 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.
RCM Coder Atlantic Medical ManagementRCM CoderJacksonville, North CarolinaRemoteThis position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Atlantic Medical Management is currently hiring for professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated.
NewMedical Coding Educator Humana IncMedical Coding EducatorNCRemote$59,300–$80,900 / yearWork 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. To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Instructor, Healthcare and Medical Office Administration (Coding) Guilford Technical Community CollegeInstructor, Healthcare and Medical Office Administration (Coding)Jamestown, NCTeaching faculty at Guilford Technical Community College are responsible for supporting student success by creating an optimum learning environment, responding to student needs, managing effective instructional activities, developing curriculum courses, modeling employability skills, demonstrating professionalism, developing cooperative work relationships with other faculty and staff, supporting college administrative requirements, and maintaining competency in their instructional field. Teaching and/or industry training experience in healthcare/medical office technology topics in any of the following formats: teaching courses, training sessions, conducting professional development workshops, and/or other continuing education seminars.
Medical Office Administration Adjunct Instructor BLUE RIDGE COMMUNITY COLLEGEMedical Office Administration Adjunct InstructorNCEmployer Blue Ridge Community College Address Blue Ridge Community College, 180 W Campus Dr 180 W Campus Dr Flat Rock, North Carolina, 28731 Phone 828-694-1725 Website https://www.blueridge.edu . Physical Demands: The ability to perform all duties associated with the position including, but not limited to lifting, prolonged standing, sitting, bending, stooping, and operating or performing work with associated tools and machines.
Accounts Receivable Representative (Medical Billing) - Hybrid Schedule OrthoCarolinaAccounts Receivable Representative (Medical Billing) - Hybrid ScheduleCharlotte, NCThe role of Accounts Receivable (AR) Representative with our team, you will be responsible for reviewing aging medical insurance account balances and resolving claim issues with insurance and/or patient. We are currently searching for an Accounts Receivable Representative (Medical Billing) to join our Revenue Cycle team in the OrthoCarolina Business Office in Charlotte.
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.
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 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.
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.
NewEntry-Level Medical Billing & Coding Assistant Revel HealthcareEntry-Level Medical Billing & Coding AssistantCharlotte, North CarolinaWe are seeking an Entry-Level Medical Billing & Coding Assistant to support important administrative functions related to patient care, insurance claims, and healthcare reimbursement. You will help ensure medical services are documented accurately, claims are prepared correctly, and billing records are maintained in accordance with privacy and HIPAA requirements.
(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.
Clinician Coding Liaison - ENT / Audiology Atrium HealthClinician Coding Liaison - ENT / AudiologyNCRemote$35.50–$53.25 / hourAdditionally, 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. 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.
Compliance and Coding Auditor CaroMont HealthCompliance and Coding AuditorGastonia, NCQualifications: 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.
NewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorNC$18.50–$38.82 / hourResponsible 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.
Clinician Coding Liaison - Primary Care Advocate Aurora Health IncClinician Coding Liaison - Primary CareCharlotte, NCRemote$35.50–$53.25 / hourProviding 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.
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.
Supervisor, 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.
Ambulatory Coding Education & Audit Specialist CaroMont HealthAmbulatory Coding Education & Audit SpecialistGastonia, NCRequires 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.
Accounts Receivable Representative OrthoCarolinaAccounts Receivable RepresentativeCharlotte, NCThe role of Accounts Receivable (AR) Representative with our team, you will be responsible for reviewing aging medical insurance account balances and resolving claim issues with insurance and/or patient. We are currently searching for an Accounts Receivable Representative (Medical Billing) to join our Revenue Cycle team in the OrthoCarolina Business Office in Charlotte.
Provider Educator MahecProvider EducatorAsheville, North CarolinaThe Provider Educator plays a key role in empowering our healthcare providers—physicians, residents, APPs, PharmDs, therapists, and more—through engaging education focused on clinical documentation, coding excellence, quality of care, and compliance. Depending on location, provides or arranges for education/training of facility healthcare professionals in use of coding guidelines and practices, proper documentation techniques, medical terminology and disease processes as it relates to clinical data quality management factors.
Coding Denials Specialist Vidant Medical CenterCoding Denials SpecialistGreenville, NCRemote$27.22–$39.68 / hourAnalyzes data from various sources (medical records, claims data, payer medical policies, etc.), determines the causes for denials of payment and partners with management to implement strategies to prevent future denials. This role is responsible for analyzing coding denials by insurance carriers, CPT code(s), and specialty area, review and submission of coding appeals related to denials to include coding, bundling, duplicate, and other assigned denial volume.
NewCharge Master Analyst Sutter HealthCharge Master AnalystNC$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
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.