28 jobs found in Nc United States, NC

Job Description Job Description Summary: Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities derived from medical record documentation (paper or electronic) for outpatient encounters. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. Duties & Responsibilities: Responsible for the assignment of accurate E&M, ICD, CPT, and HCPCS codes and modifiers from medical record documentation. Identifies and abstracts information from medical records (paper or electronic) for special studies and audits, internal and external. Interacts with MTF staff to ensure documentation is clear and supports coding assignments. Educates MTF staff through individual or group in-services and training sessions. Maintains a delinquency report of missing records in...

Job Description Job Description Salary: LOOKING FOR EXPERIENCED IN OFFICE MEDICAL BILLER TO JOIN OUR AMAZING TEAM!   PREFERRED PRIMARY CARE BILLING EXPERIENCE! The medical biller handles billing and collections with various insurance providers (i.e. BCBS, United Health, Medicaid, Tricare, Humana, Managed Care Plans etc.). Responsible for compiling data, computing fees, and maintaining billing records. Under direct supervision, performs complex data entry and related operations in posting payments from patients and third parties. Reviewing patient charts ensuring all billing parameters having been completed and covered for maximum payment.  Posts payments and credits in EHR system, while maintaining compliance and resolving account problems. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:  Other duties may be assigned. Consults with resources such as fee charts, business office guidelines, government programs, and insurance company representatives in...

Job Description JOB SUMMARY: Under direct supervision, responsible for timely and accurate coding of hospital based professional services (outpatient or inpatient hospital; single services or complete inpatient stays) by reading medical record documentation from the paper and/or electronic records. Assigns sequence (primary, secondary, etc.) according to coding guidelines and enters into the electronic system to provide data for billing and reimbursement. EDUCATION/EXPERIENCE: High school diploma or GED equivalent. One year of related coding experience. Experience in coding of physician professional services in a teaching environment and familiarity with Medicare Teaching Physician Rules preferred. LICENSURE, CERTIFICATION, and/or REGISTRATION: Certified Medical Coder (CPC-A, CPC, or CCS) or certification required within one year of hire date. ESSENTIAL FUNCTIONS: Uses appropriate diagnoses codes, professional service codes and modifiers in the coding of hospital...

Job Description Coder IV Facility HB, Inpatient Facility Coding 40 hours per week, day shift JOB SUMMARY: Responsible for assignment, review, and correction of ICD CM/PCS codes (Inpatient) and ICD-10-CM/CPT, Evaluation and Management codes (Outpatient) in the WakeOne health information system and the review/editing of associated facility charges. Performs audit, quality review and improvement assignments as directed for Inpatient and Outpatient respective facility charges and reports on findings. Identifies and assists management with the resolution of coding quality or process issues. Data reported is used for statistical, financial and billing purposes and to meet licensure requirements. EDUCATION/EXPERIENCE: Minimum of five years' of coding experience in an academic medical center or an equivalent combination of coding experience and education with demonstrated competency of knowledge base. Coding QA background or similar experience preferred. Satisfactory completion...

Job Description Coder II Facility HB Infusion Coding Team, Coding Education 40 hours per week, day shift JOB SUMMARY: Responsible for the coding of medical information into the WakeOne medical records abstracting system and for monitoring completion of the coding function through established best practice processes, professional and regulatory coding guidelines. Assigns ICD CM/PCS codes (Inpatient) and ICD CM/CPT codes (Outpatient) as directed for respective encounters. Reviews and edits associated facility charges as directed for the encounters assigned. Data reported is used for statistical, financial and billing purposes and to meet licensure requirements. Prior infusion coding or basic understanding of hierarchy structure. EDUCATION/EXPERIENCE: Graduation from an accredited medical coding program and two years' experience as a Coder I in an acute care facility or a similar position in another facility with demonstrated competency of knowledge base. Satisfactory...

Job Description Job Description Calling all Medical Billing Specialists! Do you have billing experience and open to seasonal work? Come join a great company. This seasonal opportunity may turn into a long term, temp to hire opportunity for you. Are you a top performer and have experience with medical billing, insurance verification, benefits and prescription experience? Apply Today!   Job Title: Medical Billing Specialist   Location: Charlotte, NC (ONSITE) (Applicant must reside within 25-30miles of Charlotte, NC)   Start Date: Monday, 12/04/2023~ Jobs will go quickly - get your name on the list!   Duration: 3 months+ Potential Temp To Hire   Pay : $18.00/hr - $21.00/hr BOE   Schedule: **Must be available to work a shift between hours below** Monday - Friday with occasional Saturdays 7:00am - 7:00pm AVAILABILITY   Job Description: Assist with billing and receiving payment from patients or insurance companies. Assist with completing...

This position starts out onsite for the first 60-90 days and then will go remote reporting onsite one day a month! Insight Global is seeking a Billing Supervisor to support a large heathcare customer in Atlanta, GA. This individual is responsible for coordinating and supervises the billing and government follow-up functions for all hospital facilities in the system. Oversee a team of 18 individuals. Ensures daily billing of hospital revenue and accuracy and quality of billing activities. Works with hospital departments such as Admissions, Data Processing, Medical Records, ancillary areas, and patient care departments to monitor issues with account registration, charging, and coding to ensure efficiency in the patient account process. This supervisor will be hands on and required to step into the bill when needed. The individual needs to be strong with reporting and looking for trends! Qualifications: Associate degree preferably Bachelor degree 3+ years of...

Job Description Job Description Are you and RN that wants to transition to Administration? This may be the role for you. At Care Ring, the Supervisor of the Low-Cost Clinic assumes responsibility for overseeing the daily operations of the clinic, including the management of front desk staff and clinical staff. This leader works directly with patients, providers and Care Ring leadership to ensure quality and timely delivery of medical services to the uninsured in accordance with Care Ring's mission and strategic objectives. Responsibility/Accountability Categories Operations: clinic workflow, operations, supplies, and schedules Directly supervises medical assistants and front desk administrative staff. Works closely with Medical Director and clinic providers to facilitate efficient clinic flow to accommodate daily needs. Manages all patient appointment schedules, ensuring schedules are booked according to clinic volume and revenue goals. Collaborates with agency...

Job Description Job Description Customer Service Representative Job Description/AR Billing Specialist NH Med Services Job Summary: The Customer Service Representative will be responsible for, but not limited to, completing the intake process, maintaining knowledge of insurance criteria and requirements, as well as handling cash register transactions. Skills Excellent teamwork skills Strong Organization Experience in Microsoft suite Effective communication Attention to detail Job Responsibilities: Completes insurance intake process Processes insurance denials Submits claims to primary and secondary insurance Assists walk-in customers Reviews, organizes, verifies patient records for billing purposes Computes charges due for services rendered Accurately creates and maintains patient files and enters patient data into Brightree billing software Verifies accuracy of data entry and corrects errors as needed Applies proper procedure to process billings to...

This position starts out onsite for the first 60-90 days and then will go remote reporting onsite one day a month! Insight Global is seeking a Billing Supervisor to support a large heathcare customer in Atlanta, GA. This individual is responsible for coordinating and supervises the billing and government follow-up functions for all hospital facilities in the system. Oversee a team of 18 individuals. Ensures daily billing of hospital revenue and accuracy and quality of billing activities. Works with hospital departments such as Admissions, Data Processing, Medical Records, ancillary areas, and patient care departments to monitor issues with account registration, charging, and coding to ensure efficiency in the patient account process. This supervisor will be hands on and required to step into the bill when needed. The individual needs to be strong with reporting and looking for trends! Qualifications: Associate degree preferably Bachelor degree 3+ years of...

Job Description Job Description Welcome to your new work family! Carolina Elite Women's Care is seeking a highly motivated, detail oriented Medical Biller to join our growing office. HOURS Monday-Thursday 8:00am-5:00pm Friday 8:00am-12:00pm JOB RESPONSIBILITIES Checking eligibility and benefits verification for treatments and procedures Obtaining maximum reimbursement for services Preparing, reviewing, and transmitting claims using billing software Researching and appealing denied claims within standard billing cycle timeframe Checking insurance payments for accuracy and compliance with contract discount Calling insurance companies regarding discrepancies in payments if necessary Identifying and billing secondary or tertiary insurances Answering all patient or insurance telephone inquiries Setting up patient payment plans Working collection accounts REQUIREMENTS At least an Associate’s degree or higher Minimum of 1 year of Medical...

About WakeMed: 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 Position Information: The Coder Sr., Account Manager serves as the senior member of the Corporate Coding Team by reviewing denials and appeals for coding related issues. Reviews daily Epic work queues and reports status of inpatient and outpatient accounts trending data and predicting fluctuations in A/R for both inpatient and outpatient accounts. Knowledgeable of the revenue cycle, CMS guidelines, managed care contracts, and LCDs. Performs the function of coding, DRG assignment, collection of predefined indicators, and abstracting medical records. Reviews SMART accounts on a daily basis as assigned. Experience Requirements: 5 Years Coding -...

Job Description Job Description We have a Position Open for a Full-Time, Experienced, Patient Focused Individual, in an Excellent Team, Family and Patient Atmosphere! Medical Office Billing Supervisor Requires 5-year minimum Coding and Billing experience in a Medical Office Supervisory Role Have a strong working knowledge of Medicare, Medicaid and all other insurance carriers. Excellent People, Phone, and Communication Skills. Strong Desire to Work with and Serve Others. Verify all patient insurance coverages and insurance pre-certification as needed. Must possess excellent computer skills and be able to instruct others in Excel, Google Docs, Microsoft Office. Responsible for the daily staff supervision relative to patient accounting, customer services and daily posting of patient payments. Provide direction for medical staff to make sure all services are properly coded and billed. Coordinate with our Billing Outsource Company to ensure all services performed...

Job Description Job Summary Reviews clinical documentation and diagnostic results as appropriate to abstract data and apply appropriate ICD-9-CM/ICD-10-CM/PCS1 and CPT 4 codes for reimbursement, external reporting, research, regulatory compliance, medical necessity, CCI, NCCI and other regulatory edits. Code and abstract medical records of moderate to high complexity within the Primary Enterprise acute care facilities. Essential Functions Reviews moderate to high complexity medical records to identify the appropriate principal diagnosis and procedure codes and all other appropriate secondary diagnoses and procedure codes and assign Present on Admission indicators, Hospital Acquired Conditions and Core Measures for all diagnosis codes. Facilitates appropriate MSDRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines. Reviews charges and Evaluation and Management levels. Demonstrates...

At Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our 35,000 employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities through philanthropy and volunteerism. We give our best effort to our work, and we put people first. Were looking for people who are determined to make life better for people around the world. **Company Overview** At Lilly, we unite caring with discovery to make life better for people around the world. We are a 140+ year strong global healthcare leader headquartered in Indianapolis, Indiana with manufacturing sites throughout the US, EU, and Asia. Our 35,000 employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give...

Summary: Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities derived from medical record documentation (paper or electronic) for outpatient encounters. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. Duties & Responsibilities: Responsible for the assignment of accurate E&M, ICD, CPT, and HCPCS codes and modifiers from medical record documentation. Identifies and abstracts information from medical records (paper or electronic) for special studies and audits, internal and external. Interacts with MTF staff to ensure documentation is clear and supports coding assignments. Educates MTF staff through individual or group in-services and training sessions. Maintains a delinquency report of missing records in order to facilitate the completion of...

Description POSITION SUMMARY: The Certified Professional Coder is responsible for coding diagnosis and procedures from medical records for the purpose of reimbursement, research and compliance with regulations. Ensures billing procedures are per Central Billing Office standards. Essential Job Functions: 1.Obtains patients information from providers regarding services for hospitalized patients. 2.Utilizes history and physicals, operational logs, nursing notes, and discharge summaries to generate accurate CPT, HCPCS and ICD-9CM codes. 3.Confirm information and return encounters to resident for correction for optimum reimbursement. 4.Maintains monthly lag report for program director. 5.Provides timely and accurate practice statistics on procedures productivity. 6.Participates in educational programs and in-service meetings. 7.Actively participates in Continuous Quality Improvement. 8. Creates and provides physician and advance practitioners with training packets...

Job Description: Seeking a Principal Software Engineer that thrives in an environment where we are using innovative technologies to develop and support our Student Debt web-based applications. As a member of the team, you will ensure that you are leading and owning the discussions on how best to complete the work for your squad. A Principal Software Engineer needs to have a strong technical background in multiple coding languages and is willing to assist/mentor more junior staff. Our organization will also allow you to grow and build your abilities each month with dedicated time for learning. The Expertise You Have Bachelor's or Master's degree in a technology related field (e.g. Engineering, Computer Science, etc.) 10+ years of software development experience on business critical, enterprise-wide applications Engineer with expertise and experience in designing and developing applications including new developments, enhancements, maintenance, and support. The role...

**Description** Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. **Associate Director (AD) opportunity with Emergency Services team!** This new hire will work with our team which includes Adult Emergency Department, Pediatric Emergency Department and Behavioral Health Emergency Department to oversee operations/ Carolina Care. Previous ED experience and manager experience are seen an assets for the position. Full time position with state benefits offered. Summary: Responsible for assisting the Director of Emergency Services for UNC Hospitals through daily and long term oversight of department activities. Provides management direction to designated department leadership and staff members. Assist the Director in ensuring the successful attainment of department goals and objectives. Accountable for departmental personnel management, fiscal management,...

Job Summary: The Coder II accurately codes all appropriate diagnoses and procedures for correct billing and accurate statistical reporting using ICD-10-CM / PCS and CPT-4 nomenclatures. Also monitors and processes unbilled accounts and performs various computer-related tasks. Coder II will choose either the outpatient or inpatient coding track. Both tracks code visit records using appropriate standard classification systems accurately in a timely manner. Reviews records for medical necessity and queries providers as appropriate. Regularly monitors the appropriate hold accounts to facilitate timely coding. Has full access to patient health information. Coder II will provide brief OGCR (Official Guidelines for Coding & Reporting) or Coding Clinic education to the coding team at least 2 times each calendar year and will also serve as a resource for coding +/- process questions from Coder Trainees or Coder I as appropriate. Coder II has the option to work remotely as long as...

**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...

About WakeMed: 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 Position Information: The Revenue Integrity Coder collaborates with various departments within the organization - Health Information Management, Revenue Cycle, Patient Access, Case Management. Understanding of the Chargemaster assists to streamline processes. Addresses claim edits daily related to NCDs, LCDs, CCI edits, Medicare and various payer guidelines. Maintains a vast knowledge of coding rules/regulations surrounding ICD-10-CM/PCS, DRGs, APCs, CPT, HCPCS. Utilizes AHA Coding Clinic, AMA CPT Assistant, AHA Coding Clinic for HCPCS, and Payer Specific Billing Guidelines. Applies E&M level services. Works efficiently within EPIC, 3M...

Our Company: Gentiva is an industry leader in hospice, palliative and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for caregivers and clinicians means better care for everyone, so we offer ongoing professional training, lower nurse-to-patient ratios, and comprehensive benefits for eligible employees. Here, youll join gifted colleagues who make a lasting difference in peoples lives every day. Overview: Were looking for a Medical Coder to join our team. You will directly report to Billing Manager. You will be responsible for conducting coding activities in accordance with company policies and procedures. Identifies actual or possible coding errors by review of diagnosis lists. Recognizes d iagnoses documented within medical records other than from a diagnosis list....

Searching for a new Med Tech Leadership job? My name is Leah and I'm a healthcare recruiter, I'm here to help! I have an amazing Medical Laboratory Supervisor position available near Matthews, North Carolina! Details - Full-time and permanent - Shifts: 5x8s, 2-10:30pm - Opportunities for growth - Full, comprehensive benefits package (PTO, health insurance, life insurance, 401k, etc) - Sign-on + relocation! Job Summary Performs laboratory analysis on received specimens, providing clinical information for diagnosis, treatment and prevention of diseases. Responsible for overall quality, efficiency, and safety in the performance of assigned technical duties. Requirements - ASCP certification - Prior experience and knowledge, including leadership Click apply or email your resume to leah@ka-recruiting.com/ call or text 617-746-2751! You can also schedule a time to chat here -https://calendly.com/leahkarecruiting/10min. REF#LM1425