50 jobs found in Raleigh

Data Coder (Part-Time) (Remote) General Information Location: Cary, NC, Remote Organization: KMR Group INC Job Type: Part Time - Regular Description and Requirements ABOUT WCG: WCG's clinical solutions are built on a foundation of best-in-class clinical services companies. We deliver transformational solutions that stimulate growth, foster compliance, and maximize efficiency for those performing clinical trials. WCG is proud to serve individuals on the frontlines of science and medicine, and the organizations striving to develop new products and therapies to improve the quality of human health. It is our role to empower them to accelerate advancement, while ensuring the risks of progress never outweigh the value of human life. Please note that this is a part-time position requiring 20-29 hours per week. This is a remote position open to US-based candidates. The expected base hourly range for this position is $17.00 to $24.50. This hourly pay range may...

Outpatient Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role...

We Are More Than A Health System We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more in our careers and in our communities. Job Description Summary This position performs facility coding and abstracting functions of Inpatient. Responsibilities And Duties 1. 60% Assigns appropriate admit, principal and secondary diagnoses and/or procedure codes by reading documentation present in medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting and maintaining the minimum Coder productivity requirements. Assign Present on Admission PO indicators to all inpatient account diagnoses as required by official coding...

Certified Professional Coder (CPC), Independent Contractor Remote, North Carolina Who we are: Constellation Quality Health, formerly CCME, is a non‑profit health care quality organization and QIO‑like Entity certified by the Centers for Medicare & Medicaid Services (CMS) founded by physicians in 1983. Headquartered in North Carolina’s Research Triangle, we offer an array of quality improvement, clinical review, audit, technical, and consulting services and solutions to improve care delivery, system performance, and patient outcomes. What you’ll do: The Certified Professional Coder (CPC) is responsible for reviewing and comparing provider service documentation to billed claims in order to determine compliance with clinical policies, state and federal regulations. Perform reviews in a manner consistent with contract requirements for timeliness and accuracy. Our requirements for this role: Associate or bachelor’s degree required in a human services field or five (5) years of...

What Customer Service Operations contributes to Cardinal Health Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Customer Service Management is responsible for strategic oversight and leadership direction within the Customer Service function. Job Summary The Supervisor, HCP Medical Documentation oversees the Clinical Notes Team responsible for reviewing and qualifying medical documentation to ensure compliance with insurance requirements, primarily for Continuous Glucose Monitoring (CGM) products. This role manages a team of associates who interpret clinical notes from healthcare providers, validate documentation against Medicare and insurance policies, and support the submission of claims. The Supervisor ensures timely turnaround of documentation, allocates work across multiple systems, and drives team performance through coaching, development, and...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses...

Description 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 Provides supervision of laboratory services and personnel for one or more clinical laboratories. Responsibility and accountability may be for a single shift or 24/7. Responsibilities Collects and analyzes data to evaluate products, processes, procedures, and laboratory needs. Coordinates various programs and implements processes with other departments. Serves as a resource for employees, healthcare providers and professionals within and outside the UNCHCS. Ensures compliance with regulatory guidelines. Establishes and reviews policies and procedures. Manages personnel and administers personnel policies in accordance with the Healthcare Systems personnel policies. Responsible for Human Resource functions which include recruiting/hiring, performance evaluations, training, counseling and disciplinary...

A healthcare organization is looking for a Certified Hospital Coder III to support patient care by ensuring accuracy in coding and compliance with guidelines. The role offers a fully remote work opportunity, provides equipment, and comes with flexible hours and comprehensive benefits. Candidates should have a minimum of 3 years of acute inpatient coding experience and possess relevant coding licensure like CCS or CPC. Strong attention to detail and the ability to work independently are essential for success in this role. #J-18808-Ljbffr

Hcc Coder Position Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized...

Siu Coding Auditor Hi, we're Oscar. We're hiring a SIU Coding Auditor to join our SIU team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About The Role The Senior Specialist works in the Special Investigation Unit to support in assessing trends and patterns in FWA across the healthcare industry using deep coding knowledge to prevent and recoup inappropriately paid claims. The Specialist Investigation Unit runs and coordinates activities across Oscar to reduce the incidence and impact of fraud, waste, and/or abuse ("FWA") on all our operations. You will report to the Manager, SIU Coding Audit. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our culture and our...

A healthcare insurance company is seeking a Medical Coding Auditor to ensure accurate coding for medical claims. The role involves analyzing claims against medical records, conducting audits, and ensuring compliance with coding guidelines. Ideal candidates should have certification in coding, three years of experience, and strong attention to detail. This position offers remote work and competitive benefits, contributing to overall organizational success and cost efficiency. #J-18808-Ljbffr

A leading healthcare data company is seeking an Outpatient Auditing Specialist to perform coding audits and ensure compliance in their operations. You will bring 5+ years of outpatient facility coding expertise along with skills in auditing and provide necessary education to coders. This remote role offers a flexible schedule and includes health benefits, a 401k plan, and more. The estimated pay range is $35 to $45 per hour. #J-18808-Ljbffr

A safety management company is seeking a Safety Specialist based in Raleigh, NC. The role involves maintaining safety standards, conducting safety audits, and providing training to employees. Candidates should have an associate degree in safety management or equivalent, along with a minimum of 2 years' experience in safety management. Strong communication and analytical skills are essential for the position. This role offers an opportunity to contribute to workplace safety and regulatory compliance. #J-18808-Ljbffr

Overview The Inpatient Coder Sr 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...

A leading health data exchange company seeks an Inpatient Auditing Specialist. This fully remote role involves performing coding audits and providing coder education. Candidates should have over 5 years of coding experience, preferably possess CCS certification, and maintain high accuracy rates. The position offers a flexible schedule and equips employees with the necessary tools for success, including mentorship from experts in the field. Join us to make impactful healthcare decisions through data! #J-18808-Ljbffr

Description We are hiring a Night Auditor! We are looking for people that have a passion to serve others! Working at the front desk means you are at the hub of the hotel with the most interaction with our guests. The department is open 24/7….so each front desk role is as important as the others. Associates working the front desk are the key to the overall experience the guest will have. As the late shift you are essentially working without management supervision so your responsibility is seen as even greater as you assist in closing out the business for the day as well as check in or out those guests during non‑traditional hours. Your keen sense of being proactive, responsive and caring will make all the difference. The night shift also assures the guest a stay that is safe whereby you are monitoring abnormal activity inside and outside of the hotel and monitoring any weather issues that could become threatening to our resting guests. If you enjoy working semi‑independently from...

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g., ICD‑10‑CM, CPT, HCPCS). The role requires interpretation and independent determination of the appropriate courses of action, contributing to overall cost reduction by increasing the accuracy of provider contract payments in our payer systems and ensuring correct claims payment for appropriate CPT/HCPCS code assignments. The Auditor analyzes, enters and manipulates database data, responds to or clarifies internal requests for medical information, understands departmental, segment and organizational strategy and operating objectives, and follows established guidelines and procedures while making decisions in ambiguous situations. Where you come in The Medical Coding Auditor reviews medical claims submitted against medical records to ensure correct coding guidelines are met (e.g.,...

The Self-Storage Property Compliance Auditor is responsible for upholding 10 Federal Self Storage’s operational, compliance, and brand standards across all properties. This field-based role serves as the eyes and ears of the Operations Department—conducting detailed site audits, identifying opportunities for improvement, and ensuring every facility reflects 10 Federal’s commitment to excellence. The auditor evaluates property conditions, verifies operational accuracy, and partners with Operations leadership to ensure consistency in cleanliness, functionality, and compliance. While not a direct supervisor, this position provides leadership through influence—coaching on-site staff and vendors to maintain company standards. Frequent travel is required. The Field Auditor will routinely visit properties across multiple states and may have extended stays during transitions, acquisitions, or special projects. Key Responsibilities Conduct scheduled and unannounced field audits across...

WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance. Essential Job Duties: Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants Conduct pre-visit chart preparations and post-visit chart reviews Oversee audits and participate...

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. Strong interpersonal and communication skills are required to ensure timely identification and resolution of coding-related issues. The Physician Coder I will complete tasks in accordance with designated assignments and will be subject to productivity and quality reviews. 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 Certified Coding Specialist Or Certified Professional Coder Or Certified Outpatient Coder Or Registered Health...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

A leading healthcare provider in North Carolina is seeking a detail-oriented Coding Specialist to assure data quality by coding and sequencing diagnoses, treatments, and procedures. The ideal candidate will have a degree in Health Information Management and prior experience in ICD-10-CM/PCS coding within an acute care setting. Additionally, candidates should possess an AHIMA recognized credential and successful completion of the certification exam within 18 months of hire. This is a full-time onsite role with standard hours of 40 per week. #J-18808-Ljbffr

A healthcare organization in North Carolina is seeking a Coding Specialist to ensure data quality through effective coding and sequencing for reimbursements. Required qualifications include a two or four-year degree in health information fields and an AHIMA-recognized credential. Familiarity with coding software such as EPIC and knowledge of medical terminology are essential. This is a full-time position with onsite responsibilities and offers an inclusive work environment. #J-18808-Ljbffr

Description 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 Assures data quality by coding and sequencing diagnoses, treatments and procedures for optimal reimbursement and validating key data elements for accurate statistics. Education A two year degree in Health Information Technology or four year degree in Health Information Management required. Experience Previous experience in ICD-10-CM/PCS and CPT coding in an acute care setting is preferred Previous EPIC, Optum, & SMART software experience preferred. Licence / Registration / Certification One AHIMA recognized credential, RHIT, RHIA, or CCS (eligible) required Successful completion of certification exam within 18 months of hire date required. Other Skills and Qualifications Can proficiently code charts from primarily one setting (inpatient or outpatient) Developed knowledge of anatomy,...