32 jobs found in Pinehurst, NC

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities 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. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. 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 interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and tailor education plans for each assigned provider. Reports to the Manager, Medicare Risk Adjustment. The role includes delivering on-site and virtual education sessions, analyzing coding quality data, and collaborating with cross-functional teams to enhance documentation and workflow processes across the network. Travel up to 5% is required. #J-18808-Ljbffr

Overview FirstHealth of the Carolinas is a nationally recognized health care system located in central North Carolina. Comprised of four hospitals with more than 600 beds, the system also offers leading-edge heart care in the Reid Heart Center, the area's only dedicated heart and vascular center. Our growing health system has more than 6,200 employees serving in more than 75 locations throughout a 15-county service area. 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. Employee Benefits At FirstHealth of the Carolinas, we believe in supporting our employees' professional growth and personal well-being. That is why we offer a comprehensive benefit package that is designed to help you thrive. Enjoy a free gym-membership to one of our 7 FirstHealth Fitness Centers to stay active and prioritize your health, take advantage of our...

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and tailor an education plan for each assigned provider. The role reports to the Manager, Medicare Risk Adjustment. You will arrange training sessions, analyze coding quality trends, and deliver data‑driven educational materials. The position includes travel to provider offices and collaboration with leaders to raise documentation standards. #J-18808-Ljbffr

Humana is seeking a Medical Coder / Coding Educator 2 who identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. This role reports to the Manager, Medicare Risk Adjustment and supports cross‑functional teams. You will arrange educational sessions, analyze coding quality trends, and present data driven findings using Excel and Power BI. Some on‑site travel and work-from-home flexibility are available to support healthcare #J-18808-Ljbffr

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities 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. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. 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 interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and tailor an education plan for each assigned provider. The role reports to the Manager, Medicare Risk Adjustment and involves on-site education, data-driven materials, and collaboration across market provider-facing teams. You will lead educational sessions, analyze reports to identify needs, and create presentations on coding quality trends and risk areas. #J-18808-Ljbffr

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities 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. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. 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 interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

Humana is seeking a Medical Coder / Coding Educator 2 to drive education plans for providers and improve documentation quality. You will arrange training, analyze coding trends, and present findings to leadership, leveraging data visualization. This role emphasizes on-site education with some remote work and collaboration with market-facing teams. Qualifications include CPC certification, 3+ years in coding education or auditing, strong data analytics skills, and knowledge of Risk Adjustment and #J-18808-Ljbffr

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and tailor education plans for each assigned provider, reporting to the Manager, Medicare Risk Adjustment. Responsibilities include arranging educational sessions, identifying educational needs from reports, preparing reports on coding quality trends, and delivering on-site education while collaborating with market provider-facing roles. #J-18808-Ljbffr

Cape Fear Valley Health seeks a Senior Clinical Coding Specialist to ensure accurate diagnosis and procedure coding across record types. This role trains new staff, supports backlog tasks, and serves as a coding resource for ICD-10 and CPT-4 guidelines within the EPIC environment. The position requires CCS certification and five years of hospital coding experience, with auditing or lead coder background preferred, to help maintain data integrity and drive compliant reimbursement. #J-18808-Ljbffr

Performing testing procedures and quality checks (e.g., random sample tests) to identify errors or deviations in products and processes Assisting in the application of quality management methods to detect errors and deviations in processes or products Carrying out the documentation and reporting of errors or deviations in processes or products to the Quality Supervisor for further action Maintaining databases of quality-related information to ensure accurate tracking and reporting of quality metrics Collaborating with team members to ensure compliance with external requirements and quality tests, contributing to a culture of quality awareness #J-18808-Ljbffr

Benefits: 401(k) 401(k) matching Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As 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. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare Note and process all necessary forms from the insurance Assist patients in navigating the billing and...

SUMMARY: Responsible for billing team leadership, subject matter expertise and performing a variety of regular tasks to ensure timely and comprehensive billing and collections for Medical and Dental services rendered by First Choice Community Health Center (FCCHC) providers. Supervises billing specialists to ensure all tasks are completed timely and accurately. The Revenue Cycle Manager is expected to devote 50% of work time to learn leadership and subject matter expert responsibilities. The Revenue Cycle Manager should proactively seek to further develop billing process competencies; and assist in implementation of process improvements. Essential Duties And Responsibilities Team Leadership Supervise and coordinate the workload of the billing staff to ensure all task are completed accurately and in a timely manner Define and communicate current and new billing tasks and definitions of the billing team Recommend and report billing issues of concern related to clinic operations...

Why Join First Choice Community Health Centers Nestled in the heart of North Carolina, Harnett County offers a unique blend of small-town charm and convenient access to big‑city amenities. Located less than an hour from both Raleigh and Fayetteville, residents enjoy the tranquility of rural living with the benefit of nearby urban excitement. At First Choice, we’re proud to offer employment opportunities in this beautiful area, giving you the chance to work in a close‑knit community while staying connected to the vibrant Triangle region. With a perfect balance of peaceful and affordable living and easy access to cultural and career opportunities, Harnett County is an ideal place to call home. Position Summary The Medical Billing Specialist will be responsible for billing and collections for Medicare, Medicaid, Insurance, and Self Pay patients for all Medical and Dental clinics. Responsibilities vary depending on assignment from Billing Supervisor. This role is on‑site at our...

FIRST CHOICE COMMUNITY HEALTH CENTERS INC is looking for a Medical Billing Specialist to handle billing and collections across their Medical and Dental clinics in Lillington, NC. The ideal candidate has a High School diploma with a preference for an Associates Degree in Medical Billing and Coding and must have at least two years of billing experience. We offer comprehensive benefits including company-paid medical insurance and a retirement plan. #J-18808-Ljbffr

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities 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. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. 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 interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and tailor education plans for assigned providers. You will report to the Manager, Medicare Risk Adjustment and lead sessions to enhance care quality and coding accuracy. The role requires strong data analytics skills, experience with risk adjustment, and the ability to present findings to leadership. Travel up to 5% is involved with remote work options. #J-18808-Ljbffr

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and design tailored education plans. The role reports to the Manager, Medicare Risk Adjustment, and involves collaborative work with provider-facing teams. The position emphasizes data‑driven reporting, on‑site education, and cross‑functional collaboration. Travel to provider offices is up to 5% and work from home is supported. #J-18808-Ljbffr

Job Summary The Medical Coder / Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. Reports to the Manager, Medicare Risk Adjustment. Responsibilities 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. Provide on‑site education, based on business needs. Collaborate with other market provider‑facing roles. 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 interventions. Participate in cross‑functional teams to improve documentation, data integrity, and...

Fortune-Brands-Innovation is seeking a qualified individual for a supervisory position focused on maintaining quality standards in manufacturing. The successful candidate will manage an Auditor team, ensuring compliance with ISO requirements while fostering a skilled workforce. Applicants should possess a Bachelor's Degree and supervisory experience within manufacturing. The salary range is competitive, starting from $60,000 to $99,000, with benefits including comprehensive health plans and a robust 401(k). #J-18808-Ljbffr

Medical Billing SpecialistNestled in the heart of North Carolina, Harnett County offers a unique blend of small-town charm and convenient access to big-city amenities. Located less than an hour from both Raleigh and Fayetteville, residents enjoy the tranquility of rural living with the benefit of nearby urban excitement. At First Choice, we're proud to offer employment opportunities in this beautiful area, giving you the chance to work in a close-knit community while staying connected to the vibrant Triangle region. With a perfect balance of peaceful affordable living and easy access to cultural and career opportunities, Harnett County is an ideal place to call home.The Medical Billing Specialist will be responsible for billing and collections for Medicare, Medicaid, Insurance, and Self Pay patients for all Medical and Dental clinics. Responsibilities of individual Billing Specialist will vary depending on assignment of responsibilities given by Billing Supervisor. This role is...

Searching for a new Lab Leadership job? My name is Leah and I'm a healthcare recruiter, I'm here to help!I have an amazing Medical Technologist, Supervisor position available near Matthews, North Carolina!Details- Full-time and permanent- Shift:5x8s, 11a-7:30p- Opportunities for growth- Full, comprehensive benefits package (PTO, health insurance, life insurance, 401k, etc)Requirements- College degree- ASCP cert- Prior experience, including leadershipClick apply or email your resume to / call or text ! You can also schedule a time to chat here -REFby Jobble

Dynamic and growing dermatology practice is seeking an energetic and highly motivated Medical Biller/Coder to join our team.This role is essential to maintaining the financial health of our practice and ensuring accurate, timely billing and reimbursement.Key Responsibilities:Verify and submit claims to insurance companies for reimbursement AR follow up Working rejected, denied and non-covered claims Completing appeals Completing large insurance payer projects Working with Insurance Provider Representatives to initiate and complete all major insurance projects Analyze large groups of claims by insurance payer to identify trends and develop solutions for future submissions Review and analyze medical records and patient information to ensure accurate coding and billing Verify appropriate coding has been utilized including ICD-10, ICD-9, HCPCS, and CPT coding Communicate with healthcare providers, insurance companies, and patients regarding billing inquiries or disputes Maintain...