34 coder provider practice jobs found

Department 05509 WFBMG University Group Practice: WFBMC Main - Radiology: Xray Status Full time Benefits Eligible Yes Hours Per Week 40 Schedule Details/Additional Information Will support The role covers diagnostic radiology, MRI, nuclear medicine, PET, CT, mammography, and ultrasound. Interventional radiology and its procedures are excluded. Schedule Monday - Friday 1st shift, 8 hours day, 40 hours a week. Can pick a start between 6:00 and 9:00 a.m. Certification Required Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Hybrid Opportunity Primarily remote, and will need to go on site as needed for computer equipment pick up and support and department team events at Atrium Health Wake Forest Baptist - Medical Center. Pay Range $26.55 - $39.85 Essential Functions Code hospital-based professional services accurately and on time, including outpatient or inpatient...

Department: 05509 WFBMG University Group Practice: WFBMC Main - Radiology: Xray Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Will support: The role covers diagnostic radiology, MRI, nuclear medicine, PET, CT, mammography, and ultrasound. Interventional radiology and its procedures are excluded. Schedule: Monday - Friday 1st shift, 8 hours day, 40 hours a week. Can pick a start between 6:00 and 9:00 a.m. Certification required: Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Hybrid opportunity: Primarily remote, and will need to go on site as needed for computer equipment pick up and support and department team events at Atrium Health Wake Forest Baptist - Medical Center. Pay Range: $26.55 - $39.85 Medical Coder II Requirements and...

Carolina Oncology Specialists has been providing compassionate, patient-centered care since 1983, delivering high-quality oncology and hematology services tailored to each individual's needs. Patients benefit from the convenience of receiving chemotherapy treatments in our clinics, along with expert diagnosis, treatment, and management of a wide range of blood disorders. Why Join Us? We are seeking talented, compassionate, and highly motivated individuals who are passionate about making a difference. At Carolina Oncology Specialists, you'll have the opportunity to support the meaningful work of community oncology while helping provide exceptional care and hope to the patients and families we serve. Join a team dedicated to clinical excellence, collaboration, and improving lives every day. Job Summary Certified Coding Specialist (Remote) Organization: Carolina Oncology Specialists Location: Fully Remote (U.S.-based candidates only, preference for NC residents) Department: Billing...

Medical Biller & CoderWake County Health and Human Services is looking for a talented Medical Biller & Coder who values others in their community and can work with great attention to detail! The Medical Biller & Coder position is part of a team responsible for billing claims for Public Health and Health Clinic services, which includes supporting and interacting daily with clinic administration to ensure that all of the data elements necessary to successfully bill and collect payment for each claim. This includes ensuring patient, demographic, payer, provider, diagnoses and procedure codes are correctly recorded in the practice management system. They will be responsible for validating, preparing and submitting patient billing and insurance information for first and third party billing, review records of medical billing and claims, denials, settlements and medical insurance and respond to questions from patients, clerical staff and insurance companies, as well as...

Medical Biller & Coder Wake County Health and Human Services is looking for a talented Medical Biller & Coder who values others in their community and can work with great attention to detail! The Medical Biller & Coder position is part of a team responsible for billing claims for Public Health and Health Clinic services, which includes supporting and interacting daily with clinic administration to ensure that all of the data elements necessary to successfully bill and collect payment for each claim. This includes ensuring patient, demographic, payer, provider, diagnoses and procedure codes are correctly recorded in the practice management system. They will be responsible for validating, preparing and submitting patient billing and insurance information for first and third party billing, review records of medical billing and claims, denials, settlements and medical insurance and respond to questions from patients, clerical staff and insurance companies, as well as...

What You'll Be Doing Wake County Health and Human Services is looking for a talented Medical Biller & Coder who values others in their community and can work with great attention to detail! The Medical Biller & Coder position is part of a team responsible for billing claims for Public Health and Health Clinic services, which includes supporting and interacting daily with clinic administration to ensure that all of the data elements necessary to successfully bill and collect payment for each claim. This includes ensuring patient, demographic, payer, provider, diagnoses and procedure codes are correctly recorded in the practice management system. They will be responsible for validating, preparing and submitting patient billing and insurance information for first and third party billing, review records of medical billing and claims, denials, settlements and medical insurance and respond to questions from patients, clerical staff and insurance companies, as well as...

Experienced Associate, Healthcare ForensicsThe Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients.Job Duties:Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance mattersContributes to forensic engagements related to medical coding and...

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...

This position is located in the Health Information Management (HIM) section at the Fayetteville VA NC Coastal Health Care System. MRT Auditors are skilled in classifying medical data from inpatient/outpatient health records in the hospital setting, and/or physician-based settings, such as physician offices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis & procedure. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency: MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). Experience and...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's 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. 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,...

Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: Performs technical and administrative work reviewing, abstracting and assigning accepted medical CPT, HCPCS, and ICD-10 codes for professional services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures. Employees report to an administrative superior but independently handle assigned tasks. Responsibilities: Assigns International Classification of Diseases (ICD-10-CM) diagnosis codes in an accurate and productive manner. Assigns all diagnosis codes to chronic conditions documented that may impact Hierarchal Condition Categories (HCCs) or expected mortality. Assigns Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) codes in an accurate and productive...

Summary This position is located in the Health Information Management (HIM) section at the Fayetteville VA NC Coastal Health Care System. MRT Auditors are skilled in classifying medical data from inpatient/outpatient health records in the hospital setting, and/or physician-based settings, such as physician offices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis & procedure. Learn more about this agency Duties Help Provides technical support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, workload, accepted nomenclature, and proper sequencing. They directly consult with the clinical staff for clarification of conflicting or ambiguous clinical data. Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic...

Medical Coder SpecialistAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.Pursue 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...

Medical Coding Auditor Responsible for the creation and maintenance of audit and education programs that will ensure success for all staff and employed providers based on their specific needs and support accurate, compliant coding practices for ECU Health Physicians in accordance with coding guidelines. Conducts internal auditing of medical coding activities using concurrent, prospective and retrospective models as appropriate and/or required. Reviews electronic health information to determine accuracy of coding, billing and documentation, including validation of ICD10CM, CPT, HCPCS and modifier assignment related to medical provider professional Part B services according to regulatory and institutional policy. Reports findings, both written and verbal, to leadership as necessary to include provision of corroborating regulatory or policy guidance. Maintains documentation of all audit activities and communicates the findings with leadership. Utilizes findings to generate topics...

Internal Auditor The Internal Auditor is responsible for conducting regular medical record and coding compliance reviews to ensure that organizational strategies, practices and internal controls are in place and in compliance with all legal and industry regulations. Regularly reviews appropriate federal and state regulations, industry standard policies and procedures, i.e., CMS, AHIMA, AMA, etc., to ensure compliance Conducts internal audits, following established protocols, furnishing detailed reports and periodic updates of audit findings, presenting any irregularities or exceptions, as well as pertinent recommendations for improvement, to the Provider, Auditing Supervisor, executive management, the Compliance Committee, Physician Board and others as appropriate Provides feedback and instruction to the Provider regarding documentation improvements, to include EHR best practices Essential Duties/Responsibilities: Serve as a compliance resource for all coding...

JOB SUMMARY The Dental Coding Specialist is responsible for accurately reviewing, assigning, and validating dental procedure codes (CDT codes) for patient services to ensure proper billing, insurance claim submission, and regulatory compliance. This role works closely with dental providers, billing teams, and insurance companies to maximize reimbursement and maintain accurate patient records. SPECIFIC RESPONSIBILITIES: Review dental records and documentation for coding accuracy with high attention to detail Assign appropriate CDT and related codes for dental procedures and diagnoses. Audit and submit insurance dental claims. Resolve claim denials, coding discrepancies, and reimbursement issues. Ensure compliance with dental coding guidelines, payer rules and regulations. Maintain accurate patient billing and coding records. Communicate with providers, staff, and insurance carriers regarding coding questions. Stay current on coding updates, regulations,...

UNC Health Job OpportunityYour passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.Summary: Performs technical and administrative work reviewing, abstracting and assigning accepted medical CPT, HCPCS, and ICD-10 codes for professional services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures. Employees report to an administrative superior but independently handle assigned tasks.Responsibilities include assigning International Classification of Diseases 10-CM diagnostic and ICD-10-PCS procedural codes accurately and productively, and other applicable codes such as MS-DRG on inpatient cases for all Health Care system cases excluding the academic medical center. Groups codes and completed product into payment group. Assigns codes that affect Severity of Illness and Risk of Mortality and Hierarchal...

Medical Records Coder IIAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's 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.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...

UNC Health Job OpportunityYour passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.Summary: Performs technical and administrative work reviewing, abstracting and assigning accepted medical CPT, HCPCS, and ICD-10 codes for professional services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures. Employees report to an administrative superior but independently handle assigned tasks.Hours: DaytimeResponsibilities:Accurately assigns International Classification of Diseases 10-CM (ICD-10) diagnostic and Current Procedural Terminology (CPT) codes with modifiers, and other applicable codes. Analyzes information for optimal and proper reimbursement, including coding denial resolution. Ensures compliance with all appropriate coding, billing and data collection regulations and procedures. Uses appropriate...

Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: Performs technical and administrative work reviewing, abstracting and assigning accepted medical CPT, HCPCS, and ICD-10 codes for professional services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures. Employees report to an administrative superior but independently handle assigned tasks. Responsibilities: 1. Assigns International Classification of Diseases 10-CM diagnostic and ICD-10-PCS procedural codes accurately and productively, and other applicable codes such as MS-DRG on inpatient cases for all Health Care system cases excluding the academic medical center 2. Groups codes and completed product into payment group. 3. Assigns codes that affect Severity of Illness and Risk of Mortality and Hierarchal Condition...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Patient Revenue Management Organization Pursue 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....

Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: Performs technical and administrative work reviewing, abstracting and assigning accepted medical CPT, HCPCS, and ICD-10 codes for professional services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures. Employees report to an administrative superior but independently handle assigned tasks. Responsibilities: Assigns International Classification of Diseases 10-CM diagnostic and ICD-10-PCS procedural codes accurately and productively, and other applicable codes such as MS-DRG on inpatient cases for all Health Care system cases excluding the academic medical center Groups codes and completed product into payment group. Assigns codes that affect Severity of Illness and Risk of Mortality and...

About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.judi.health. Position Responsibilities: Supportsthe weekly, monthly, and quarterly maintenance and quality assurance checks of standard and custom formularies for all lines of business including Commercial, Medicaid, Medicare Part D, and the...