77 jobs found in Raleigh

Veradigm LLC in Raleigh, NC is seeking an RCM Medical Coding Processor for a full-time position. The candidate will be responsible for abstract coding of E/M visits and will ensure compliance with AMA CPT and ICD-10 guidelines. This role requires a CPC credential and at least 2 years of ProFee coding experience, emphasizing attention to detail, communication, and collaboration across teams. A comprehensive benefits package, including medical and dental insurance, is included. #J-18808-Ljbffr

Coder II, InpatientThe Coder II, Inpatient is responsible for coding inpatient accounts with a balance less than $90,000 including Rehab and accounts that fall into the Inpatient Coder I category, performs the functions of coding, DRG assignment, collection of predefined indicators and abstracting medical records with a case mix greater than 1.5, provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes. Remains current with recognized resources - AHA Coding Clinic and Official Coding Guidelines. Groups discharges utilizing the 3M encoder selecting the appropriate DRG for reimbursement. Communicates with physicians and clinical staff regarding coding and documentation issues.**Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.**Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and...

DME Billing Specialist Location: Raleigh, NC Job Summary: We are seeking a detail-oriented and experienced DME Billing Specialist to join our team. The ideal candidate will be responsible for managing the billing process for Durable Medical Equipment (DME), ensuring timely claim submission, payment processing, denial resolution, and compliance with payer guidelines. This role requires strong knowledge of insurance billing, Medicare and Medicaid regulations, and excellent customer service skills. Key Responsibilities: Process and submit claims for Durable Medical Equipment (DME) accurately and promptly. Verify patient insurance eligibility, benefits, and authorization requirements. Review physician orders and supporting documentation to ensure billing compliance. Monitor claim status and follow up on unpaid, denied, or rejected claims. Resolve billing discrepancies and initiate appeals when necessary. Post payments, adjustments, and reconcile patient accounts....

Description *This position qualifies for our UNC Rex Incentive Program, which includes up to $20,000 commitment incentive or up to $25,000 tuition loan forgiveness.* In addition, this position is also eligible for up to $10,000 in relocation assistance (based on location) and our employee referral program. Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Serves as nursing Team Leader. Provides education, training, and oversight to assigned nursing staff. 4 East is a 31 bed pulmonary and nephrology intermediate care unit. Nurses on this unit care for patients with lung, kidney and heart related illness or diagnoses. Nurses monitor and manage patients with ventilators, peritoneal dialysis, arrhythmias and cardiac drips. We provide an exceptional level of care, continuously utilizing critical thinking and a wide range of clinical skills for patients with...

**Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) + Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) + Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and...

Senior Coding SpecialistServes as the senior member of the corporate coding team by providing extensive knowledge for timely and accurate coding and DRG assignment. Performs the function of coding, DRG assignment, collection of predefined indicators, and abstracting medical records. Provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes. Serves as a liaison between coders and CDS team on coding and documentation issues. Reviews SMART accounts on a daily basis as assigned.**Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.**Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOERegistered Health Information Technician Required - Or Registered...

Associate Director Medical Science Liaison The Associate Director Medical Science Liaison is a manager-leader within the Medical Affairs department. Direct and indirect responsibilities include solid tumor oncology HCP engagement, investigator-initiated studies, support of company sponsored trials, scientific congress support, development of MSL plans, and management of a regional MSL team as assigned. Essential Duties And Responsibilities: Responsible for providing direction, guidance, and support to a team of MSLs in an assigned region Responsible for direct territory responsibilities in situations when no MSL coverage available Assessment, recognition, and improvement of MSL performance at the individual and group level Ensure the successful execution of MSL strategic, operational, and tactical plans Keep the executive director of MSLs informed about key information in a timely manner Represent Exelixis Medical Affairs as managers in the field Represent Medical...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical...

Newport News, VirginiaHiring Range$46.10 - $63.43/Hourly Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.OverviewWorks under the supervision of the Director of Nursing and/or Nurse Managers and assumes responsibility for the smooth and effective operation of the hospital in the absence of the Administrator and/or Director of Nursing. Assists team members in the interpretation and application of facility policy. Coordinates the provision of appropriate staffing levels and resources for quality patient care. Makes rounds throughout the facility to assess facility operations and respond effectively to situations that arise. This position must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served within Facility. The Nursing Supervisor may work in a variety of settings and roles within Riverside Health System. May...

The North Carolina Department of Commerce, Division of Employment Security, seeks a Finance and Business Compliance Analyst II to perform audits of employers and enforce tax laws. This full-time position (40 hours per week) includes health insurance and retirement benefits, with a recruitment range of $47,703–$70,107. Responsibilities include interviewing employers and reviewing financial records, issuing subpoenas when needed, and applying Employment Security and IRS codes to determine #J-18808-Ljbffr

Associate Director - Medical Information This is a remote position. Our client, a global leader in biotechnology, is seeking a highly motivated "Associate Director - Medical Information" to join its Antiviral Research team for Foster City/Santa Monica/Parsipanny/Rayleigh. Duration: Long term contract (Possibility of further extension) Pay Rate: $90 - 100/Hr on W2 + Medical Benefits, Paid Sick leave, 401K We are seeking an experienced Medical Information professional to provide scientific and operational support for Medical Information activities. The role will focus on responding to medical inquiries, developing scientific response materials, and supporting launch readiness for an upcoming multiple myeloma product launch. Key Responsibilities: Respond to unsolicited medical inquiries from healthcare professionals, patients, caregivers, and internal stakeholders with accurate, evidence-based information. Manage complex medical inquiries and develop scientific response materials,...

Patient Revenue Management OrganizationPursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health.This position is 100% remote. 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.Now offering a $10,000 sign-on bonus that will pay out in 4 equal installments over 24 months—6-month increments.Occ SummaryThe Medical Records Coder II is a certified coder. Coordinate/review the work of subordinate employees and assist with the...

The Coding Network (TCN) is seeking contract E&M coders to perform daily coding for multiple clients nationwide. Remote access to client EMR systems will be used to code and return completed cases with accuracy and timeliness. Hours can range from 15 to 40 hours per week, offering flexible scheduling for project workloads. Applicants must have at least 3 years of E&M coding experience, hold an active CPC, RHIA, or RHIT certification, and reside in the United States. #J-18808-Ljbffr

The Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient, acute rehabilitation, swing bed and LTACH services. This position queries providers regarding documentation, resolves intermediate coding edits, completes analysis and evaluation of documentation. Assignment is based on documentation in the medical record and utilization of coding guidelines, knowledge of clinical disease processes, and treatments. Provides education to coders.Responsibilities Remote States: Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Ohio, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time . Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding...

Mosaic Life Care is seeking an Inpatient Coder II to assign ICD-10-CM/PCS codes for acute care inpatient services, including LTACH. You will query providers, analyze documentation, and ensure accurate coding per guidelines. Remote work is available for eligible states. Requirements include HIM coding education and 3 years of inpatient coding experience, plus CCS/RHIA/RHIT credentials. Collaboration with clinical teams and mentorship of peers are expected. #J-18808-Ljbffr

HIM-Coding Full Time North Carolina Details At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that’s built on a foundation of trust, dignity, respect, responsibility and clinical excellence. Summary: Assigns diagnosis and procedural codes using ICD-10-CM and CPT-4 coding systems with advanced accuracy and efficiency. Audits physician documentation and serves as a resource for the department. Provides mentorship and training to Specialty Coder I team members and clinical coding students. Contributes to coding quality and departmental development. Minimum Qualifications: Other information: Required experience : 2 years of coding and 1 year of medical office related experience Required credentials:...

The Coding Network (TCN) is looking to contract with an E&M coder to perform the daily E&M coding for a number of clients throughout the country. The coder will access the operation reports via a remote connection to the client's EMR and return the coded cases. Hours can range from a 15-40 hour/week commitment. All applicants must: Have a minimum of 3 years of E&M Specific Coding Have an active coding certification (CPC, RHIA, RHIT) Live and work in the United States of America Take and pass TCN’s E&M Coding Exam If you meet the above criteria and are willing to test please submit your resume. Our current E&M needs are in the following medical specialties: E&M ENT E&M Dermatology E&M General Surgery E&M Hospitalist E&M NICU / PICU E&M OB/GYN E&M Orthopedics E&M Pain Management E&M Podiatry E&M Trauma E&M Ophthlamology E&M Urology E&M Wound Care #J-18808-Ljbffr

Overview Serves as the senior member of the corporate coding team by providing extensive knowledge for timely and accurate coding and DRG assignment. Performs the function of coding, DRG assignment, collection of predefined indicators, and abstracting medical records. Provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes. Serves as a liaison between coders and CDS team on coding and documentation issues. Reviews SMART accounts on a daily basis as assigned. **Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.** Department Description Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE Licensure Registered Health...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for pre-appointment review of each encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. This position will support risk adjustment code validation for CMS and HHS Risk Adjustment models Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...