Liberty HealthNewHIM FIELD CODER Liberty HealthHIM FIELD CODERWilmington, NCJob Summary: Provides LHRS facilities with accurate pre-authorization ICD coding and reports codes to facility designated staff within a turn-around time of 5-15 minutes, business days. At Liberty Home Care we know that following an illness, trauma or surgery, the ability to recover at home can greatly improve patient outcomes.
Duke UniversityMEDICAL 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.
Duke UniversityMEDICAL CODER SPECIALIST Duke UniversityMEDICAL CODER SPECIALISTDurham, NCResponsibilities 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. Maintain 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 and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures.
Raleigh Orthopaedic ClinicNewSurgical Coder Raleigh Orthopaedic ClinicSurgical CoderRaleigh, NC$22ā$31 / hourThis position is responsible for accurately reviewing operative reports, assigning CPT and ICD-10 codes, posting surgical charges, and supporting reimbursement and appeals processes. Collaborate with physicians, billing staff, and insurance representatives to ensure accurate coding and payment.
Tryon Medical PartnersSupervisor Certified Professional Coder Tryon Medical PartnersSupervisor Certified Professional CoderCharlotte, NCFull timeJob 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.
Novant HealthCertified Professional Coder II Novant HealthCertified Professional Coder IIWinston-Salem, North CarolinaAs a Certified Professional Coder II, you will be part of a dynamic team of Ambulatory Coders supporting patient care by driving accuracy and adherence to coding guidelines, governmental and private Third-Party rules, and regulations. Demonstrate a comprehensive knowledge of all procedures concerning the sequencing of diagnoses, procedures such as but not limited to those outlined in ICD-10-CM, CPT, HCPCS, and CMS guidelines.
Novant Health IncCertified 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. ā¢ 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.
Atrium HealthPB Coder II - ENT / Audiology Atrium HealthPB Coder II - ENT / AudiologyNCRemote$26.55ā$39.85 / hourMajor Responsibilities: Independently perform complex, specialty-specific professional fee coding (CPT/HCPCS and ICD-10-CM) for physician services rendered in both office and hospital settings, ensuring expert application of modifiers and E/M guidelines, or; Perform entry-level facility coding for simple outpatient encounters (e.g., diagnostic imaging, labs) and basic inpatient services (e.g., uncomplicated admissions, short stays) using ICD-10-CM and ICD-10-PCS, where applicable. Responsible 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.
WakeMed Health & HospitalsCoder, Sr-Inpatient WakeMed Health & HospitalsCoder, Sr-InpatientRaleigh, 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.
WakeMed Health & HospitalsPhysician Coder I WakeMed Health & HospitalsPhysician Coder IRaleigh, North CarolinaLicensure: Certified Coding Specialist Or Certified Professional Coder Or Certified Outpatient Coder Or Registered Health Information Administrator Or Registered Health Information Technician Required Education: High School Diploma or Equivalent Required Experience: 2 Years Coding - Physician Preferred Overview: The Physician Coder I has a background in and experience with coding inpatient and outpatient Evaluation and Management (E/M) services, bedside and/or clinic procedures, and ancillary procedures/testing for all specialties within WakeMed.
FirstHealth of the Carolinas, Inc.Clinical Coder III FirstHealth of the Carolinas, Inc.Clinical Coder IIIPinehurst, North CarolinaEnjoy a free gym-membership to one of our 7 FirstHealth Fitness Centers to stay active and prioritize your health, take advantage of our educational assistance programs through FirstU to pursue academic or professional development goals. In addition, FirstHealth has received numerous accolades for its patient care and outcomes, including recognitions from Healthgrades, U.S. News & World Report, and Becker's Healthcare.
Mitchell MartinSenior Medical Billing & Coding Specialist Mitchell MartinSenior Medical Billing & Coding SpecialistCharlotte, NC$50,000ā$55,000 / yearThis role requires strong expertise in FQHC billing methodologies, payer regulations, and coding compliance, along with the ability to identify trends, resolve complex issues, and support overall revenue integrity. ā¢ The Senior Medical Billing & Coding Specialist is responsible for supporting and optimizing the organizationās revenue cycle operations, with a focus on accurate coding, timely billing, and maximizing reimbursement.
BLUE RIDGE COMMUNITY COLLEGEMedical Office Administration Adjunct Instructor BLUE RIDGE COMMUNITY COLLEGEMedical Office Administration Adjunct InstructorFlat Rock, NCEmployer 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.
Charlotte Community Health ClinicMedical Billing Specialist (Certified Billing and Coding Specialist) Charlotte Community Health ClinicMedical Billing Specialist (Certified Billing and Coding Specialist)Charlotte, NCCreates and establishes payment methods with patients for delinquent accounts, tracks payments, and follows up with patients when gaps in payment occur. Started in 2000 by a group of committed volunteers, Charlotte Community Health Clinic is a Federally Qualified Health Center (FQHC) that offers high-quality medical, dental, and behavioral health services for children and adults.
First Choice Community Health CentersMedical Billing Specialist First Choice Community Health CentersMedical Billing SpecialistLillington, NCFull timeEssential Duties and ResponsibilitiesProvides billing information by collecting, analyzing, and summarizing third-party billings, accounts pending, and late charges data and trends. Assist Billing Manager in completion of all annual cost reports, annual financial audit, annual UDS report, and any other required annual governmental reporting.
Cumberland Medical AssociatesMedical Biller Cumberland Medical AssociatesMedical BillerFayetteville, NCAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
FirstHealth of the Carolinas, Inc.Physician - Medical Director - Utilization Management FirstHealth of the Carolinas, Inc.Physician - Medical Director - Utilization ManagementPinehurst, North CarolinaServe as the clinical expert on physician practice patterns, over- and under-utilization of resources, medical necessity, levels of care, care progression, denial management, compliance with governmental and private payer regulations, appropriate physician coding, and documentation requirements. Work closely with medical staff leadership, all medical staff, and ancillary departments to optimize services and ensure appropriateness of patient care.
Atrium HealthNewMedical Assistant II - Atrium Health Onsite Telepresenter Lincoln County Seasonal Atrium HealthMedical Assistant II - Atrium Health Onsite Telepresenter Lincoln County SeasonalCharlotte, NC$22.90ā$34.35 / hourCertified or registered as a CMA or RMA by one of the following National Organizations: American Association of Medical Assistants (AAMA), Certified Clinical Medical Assistant (CCMA) certification issued by the National Health Career Association (NHA), RMA certification issued by the American Medical Technologists (AMT), Medical Assistant (NCMA) certification issued by the National Center for Competency Testing (NCCT), Clinical Medical Assistant Certification (CMAC), or American Medical Certification Association (AMCA). Recognized or certified as a CMA or RMA by one of the following National Organizations: American Association of Medical Assistants (AAMA), National Health Career Association (NHA), National Healthcare Worker's Association (NHCWA), National Center for Competency Testing (NCCT), American Registry of Medical Assistants (ARMA) American Medical Technologists (AMT), National Association for Health Professionals (NAHP), National Registry of Medical Assistants (NRMA).
Medi-WeightlossMedical Assistant & Receptionist Medi-WeightlossMedical Assistant & ReceptionistWinston-Salem, North CarolinaAt Medi-Weightloss of Winston-Salem, weāre dedicated to helping individuals achieve their health and weight loss goals through personalized medical programs in a warm, supportive environment. Enthusiasm for Learning: Eagerness to develop new skills in the medical field, with comprehensive training provided in injection administration, EKG, phlebotomy, and more.
Avance CareCoding Manager - Hybrid/Durham Avance CareCoding Manager - Hybrid/DurhamDurham, North CarolinaNotify 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.
Tryon Medical PartnersCoding Reimbursement Specialist II Tryon Medical PartnersCoding Reimbursement Specialist IICharlotte, NCRemoteFull timeInterprets progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services, according to guidelines established by the AMA. The Coding Reimbursement Specialist II performs various duties to accurately interpret and bill physician charges for physician services by entering into the appropriate CPT, ICD-10, and modifiers into the Billing system.
Applied Medical SystemsNewCoding Denial Specialist Applied Medical SystemsCoding Denial SpecialistDurham, NCRemote$26ā$28 / hourSupportive Environment: Join a team that values collaboration and provides an atmosphere where your contributions are recognized ā Growth Opportunities: Access to all areas of revenue cycle management with opportunities for professional development ā Competitive Compensation: Attractive salary and benefits package ā Flexibility: Remote work with flexible scheduling ā Career Stability: Be part of a stable, growing organization with a 45-year track record and a strong future. ā High School Diploma or equivalent ā Completion of formal coursework in medical terminology, disease processes, anatomy and physiology, and medical coding and regulatory compliance ā Required: Coding certification through AHIMA (RHIA, RHIT, CCS, CCS-P, CCA) or AAPC (CPC, COC, CEMC) .
CaroMont HealthAmbulatory Coding Education & Audit Specialist CaroMont HealthAmbulatory Coding Education & Audit SpecialistGastonia, NCKnowledge Requirements: Knowledge of coding classification systems, including ICD-10-CM, CPT, EM level of 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.
Memorial Hermann Health SystemNewSenior Certified Inpatient Coding Specialist Memorial Hermann Health SystemSenior Certified Inpatient Coding SpecialistHome Office, NCLicenses/Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), or Certified Inpatient Coder (CIC) Coding Certification(s) from American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC) required. Reviews medical record documentation to identify pertinent diagnosis/procedures that require code assignment for inpatient records and accurately code the diagnoses and procedures using ICD-10 coding conventions for the purpose of reimbursement, research, and compliance with federal regulations.
Foot and Ankle AssociatesBilling Manager Foot and Ankle AssociatesBilling ManagerMooresville, NCApply working knowledge of podiatry CPT coding, including nail and callus procedures (11055ā11057, 11719ā11721), routine foot care, surgical codes (28285, 28296, 29581, etc.), and E/M coding. We are seeking an experienced Billing Manager to lead our insurance and billing operations across all locations and ensure the financial health of the practice through accurate, timely revenue cycle management.
The ResourceCoding Specialist The ResourceCoding SpecialistWinston-Salem, NCThe 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.
Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistRaleigh, NC$110,700ā$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.
Park Avenue GroupNewRevenue Cycle Risk Auditor Park Avenue GroupRevenue Cycle Risk AuditorCharlotte, NCAngott Search Group is proud to partner with a private practice physician group who specializes in providing exemplary anesthesia in the search for a Revenue Cycle Risk Auditor. This role plays a key part in ensuring compliance and accuracy in coding, documentation, and billing processes.
MindlanceAppeals 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.
FirstHealth of the Carolinas, Inc.Revenue Cycle Management Analyst FirstHealth of the Carolinas, Inc.Revenue Cycle Management AnalystPinehurst, North CarolinaOverview: The Revenue Cycle Management Analyst (hybrid position) is responsible for working collaboratively with the billing staff and Assistant Director of the analysis of all payer denials, audits and reconsideration requests. Maintains working knowledge of the Revenue Cycle, including Governmental Reimbursement, Managed Care Contracting & Analysis and the performance of the Business Office & Registration areas.
Centene Corporation GroupClinical Investigator I (Special Investigation Unit) Centene Corporation GroupClinical Investigator I (Special Investigation Unit)NCRemote$56,200ā$101,000 / yearLicenses/Certifications: Coding certification from an accredited organization (American Academy of Professional Coders or American Health Information Management Association), RN, LPC, LPN, LCSW, LMHC, PT, OT, or ST or related license. Ideal background includes reviewing medical records for fraud investigations, as well as experience from a specialist physician's office focused on record review and documentation quality.
Twin Lakes CommunityNursing Scheduler - 1st shift M-F Twin Lakes CommunityNursing Scheduler - 1st shift M-FBurlington, NCPOSITION SUMMARY: Primary responsibilities are performing detailed review of medical records, identifies and adds pertinent diagnoses and procedures codes at admission and throughout long term stay, assists with collecting information to file insurance and abstracts/verifies resident information into computer database. Maintain a thorough understanding of anatomy and physiology, medical terminology, pharmacology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM coding.
ACROSS THE LIFESPAN LLCOffice Manager/ CMA ACROSS THE LIFESPAN LLCOffice Manager/ CMAGreensboro, NCThe Office Manager/ Certified Medical Assistant at Across the Life Span, PLLC serves as the operational backbone of the practice, ensuring efficient day-to-day administrative functions, seamless billing and coding workflows, and a welcoming, compliant clinical environment. The ideal candidate brings expertise in medical billing, coding, and office systems management, and is committed to supporting a team dedicated to transforming lives.
ACROSS THE LIFESPAN LLC*Office Manager* Urgently hiring ACROSS THE LIFESPAN LLC*Office Manager* Urgently hiringRoxboro, NCThe Office Manager at Across the Life Span, PLLC serves as the operational backbone of the practice, ensuring efficient day-to-day administrative functions, seamless billing and coding workflows, and a welcoming, compliant clinical environment. The ideal candidate brings expertise in medical billing, coding, and office systems management, and is committed to supporting a team dedicated to transforming lives.
FirstHealth of the Carolinas, Inc.NewOutpatient Coding Specialist (Remote) FirstHealth of the Carolinas, Inc.Outpatient Coding Specialist (Remote)Pinehurst, North CarolinaRemoteOverview: Thoroughly reviews outpatient medical records (Emergency Department-ED; ambulatory surgery, etc.) to specifically and accurately code diagnoses and procedures based on patientās plan of care and treatment, and to also identify allowable ED/Other Outpatient charges when applicable. CCS preferredĀ· Experience with E/M assignment or drug administration coding preferredĀ· Must achieve minimum score of 85% on competency samplingKnowledge, skills and abilities required:Ā· Working knowledge of CPT coding, modifier guidelines, medical procedures.Ā·
TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Charlotte, NCRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. ā¢ Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Novant HealthNewPatient Services Coordinator III - OB/GYN Novant HealthPatient Services Coordinator III - OB/GYNChina Grove, North CarolinaSupports efficient patient flow through scheduling, check-in, and check-out functions, including follow-up appointment scheduling, insurance reverification, charge review, payment posting, daily close processes, and reconciliation of cash and other payments. What You'll Do: Provides exceptional front desk and patient registration support by welcoming patients professionally, verifying and updating demographic and insurance information, obtaining required documentation and signatures, and collecting copays or other patient balances accurately.
Novant HealthNewPatient Services Coordinator III - Carmel OB/GYN Novant HealthPatient Services Coordinator III - Carmel OB/GYNCharlotte, North CarolinaSupports efficient patient flow through scheduling, check-in, and check-out functions, including follow-up appointment scheduling, insurance reverification, charge review, payment posting, daily close processes, and reconciliation of cash and other payments. What You'll Do: Provides exceptional front desk and patient registration support by welcoming patients professionally, verifying and updating demographic and insurance information, obtaining required documentation and signatures, and collecting copays or other patient balances accurately.
Randolph HealthCertified Coding Specialist Randolph HealthCertified Coding Specialistasheboro, NC$17.58ā$27.99 / hourAssociate degree from an accredited school for the Accredited Record Technicians program, preferred or successful completion of the Coding Module from the American Health Information Home Study Program, accepted. Works closely with billing department to assure compliance with governmental rules and regulations and insurance billing guidelines.
Opportunities Industrialization CentersBilling Director Opportunities Industrialization CentersBilling DirectorRocky Mount, NC$85,000ā$110,000 / yearThis role will provide one-on-one and group training to faculty physicians, advanced practitioners, and billing and coding staff as well as ensure the organization complies with federal and state regulations and laws, and other third-party payor billing guidelines. Ā· Ensure that written front desk and coding policies and procedures are followed and updated to ensure adherence to HIPPA, Medicare, Medicaid, FQHC, HRSA, and state and federal guidelines and regulations.
Zelis Healthcare, Inc.NewInpatient DRG Reviewer-3 Zelis Healthcare, Inc.Inpatient DRG Reviewer-3NCWhere the regrouped 'new DRG' differs from what was originally claimed by the provider, write a customer facing 'rationale' or 'findings' statement, highlighting the problems found and justifying the revised choices of new codes and DRG, based on the clinical evidence obtained during the review. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.
Carteret Health CareBilling Specialist CMG Carteret Health CareBilling Specialist CMGMorehead City, NCAbility to understand and interpret policies and regulations Ability to read and interpret medical charts Ability to examine documents for accuracy and completeness Ability to communicate effectively and work with others Ability to work effectively with physicians, other medical staff, and external agencies Ability to identify and analyze claim problems. Knowledge of billing practices and clinic policies and procedures Knowledge of coding and clinic operating policies Knowledge of health care insurance claim practices and compliance Knowledge of computer systems, programs, and applications Knowledge of medical terminology.