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3 jobs found in Pinehurst

FH
Clinical Coder III
FirstHealth Physician Group Pinehurst, NC
Clinical Coding Specialist III Thoroughly reviews patient medical records as required to specifically and accurately code diagnoses and procedures treated or otherwise impacting the patient care. Effectively verifies the electronic medical record contains supporting documentation to justify diagnostic and procedural code assignments and follows up accordingly if questionable. Assists with auditing medical records for quality of coding and to ensure appropriate reimbursement, and reports findings to the Coding Program Manager. Also serves as backup for coding, billing, abstracting, and/or auditing of Outpatient and ED records. The Clinical Coding Specialist III is responsible for remaining current on all ICD and CPT coding changes as well as payer specific requirements and regulations. Coding of complex inpatient records. Successful demonstration of proficiency and compliance with regulatory requirements Identification of principal diagnosis and appropriate MS-DRG. Complete...

Jun 16, 2026
Hu
Medical Coder
Humana Pinehurst, NC
Become a part of our caring community The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment As the Medical Coder / Coding Educator 2 you will Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provider onsite education, based on business needs Collaboration with other market provider facing role Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data-driven educational materials and...

Jun 11, 2026
UC
Maximize Reimbursement: Medical Billing & Coding Specialist
United Cerebral Palsy of Georgia Pinehurst, NC
United Cerebral Palsy of Georgia is seeking a Patient Account and Coding Specialist to ensure accurate patient reimbursement and maintain medical records. You will directly address billing issues and claims discrepancies, ensuring compliance with coding standards. This role requires strong attention to detail and effective communication with patients regarding billing inquiries. Candidates should possess coding certification and relevant experience in a healthcare environment. Join our mission to provide exceptional service in patient care. #J-18808-Ljbffr

Jun 06, 2026
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