- Highmark Health (Raleigh, NC)
- …Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) ... using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers for… more
- Humana (Raleigh, NC)
- …our caring community and help us put health first** The Claims Financial Recovery Coding Specialist /Medical Coding Coordinator 2 for the Financial Recovery ... procedures, contract provisions, and CMS guidelines. The Claims Financial Recovery Coding Specialist / Medical Coding Coordinator 2 + Maintains required… more
- ProTrain (Raleigh, NC)
- …the health care delivery system. + Explain the responsibilities of the billing and coding specialist to protect patient rights under HIPAA. + Demonstrate a basic ... Live Online instructor with experience teaching Medical Billing & Coding . Candidates must have experience teaching in a classroom...+ Describe the role of the Certified Medical Billing Specialist + Describe the origin of medical language. +… more
- Intermountain Health (Raleigh, NC)
- …Registered Health Information Professional (RHIT), Certified Outpatient Coder (COC), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), ... perform final validation and resolution of professional claims issues not requiring coding expertise. They perform manual charge entry and participate with Claims… more
- Highmark Health (Raleigh, NC)
- …Information Technician (RHIT) + Registered Health Information Associate (RHIA) + Certified Coding Specialist Physician (CCS-P) + Certified Coding Associate ... and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts...and cash flow as it pertains to the unbilled coding report. (10%) + Keeps informed of the changes/updates… more
- Humana (Raleigh, NC)
- …and provider relations/engagement + Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) + Prior experience in successfully engaging ... Professional will work closely with providers to identify documentation and coding improvement opportunities and give guidance around operational and clinical best… more
- CenterWell (Raleigh, NC)
- …our caring community and help us put health first** The Director, Medical Coding extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The Director, Medical Coding requires an in-depth understanding of how organization capabilities interrelate across… more
- UNC Health Care (Chapel Hill, NC)
- …Categories (HCCs). 4. Participates in DRG Reconciliation with Clinical Documentation Specialist (CDS). 5. Queries providers when documentation is conflicting, needs ... optimal and proper reimbursement. 7. Ensures compliance with all appropriate coding , billing and data collection regulations and procedures. 8. Provides information… more
- Ensono (Raleigh, NC)
- Mainframe Systems Programmer- Automation- Must have Rexx coding -NetView preferredRemote - United StatesJR010762 Position Summary **Mainframe Systems Programmer - ... lead self and others and/or established as Product SME and/or established as specialist . + Understand how the whole picture aligns to overall Ensono strategy. +… more
- Granville Health System (Oxford, NC)
- Summary:#The CDI Specialist is responsible for improving the overall quality and completeness of our clinical documentation. The CDI Specialist is responsible ... for appealing any insurance denial or DRG downgrade based on documentation and coding issues. #Responsible to detect, observe, and report compliance variances to the… more
- CHS Inc. (Raleigh, NC)
- …creating connections to empower agriculture. **Summary** CHS is hiring an Experienced AP/AR Specialist (Energy Billing Specialist ) to join its finance team. The ... Experienced AP/AR Specialist (Energy Billing Specialist ) will provide day-to-day...Accounts Payable/Account Receivable System from source documents, complete necessary coding , confirm accuracy of data, and make necessary corrections.… more
- Lenovo (Morrisville, NC)
- ThinkPad Global Product Management Specialist **General Information** Req # WD00070030 Career area: Product Management Country/Region: United States of America ... and Requirements** Lenovo is seeking a Global Product Management Specialist to join its World-Wide ThinkPad Product Business Unit....Analysis and Extraction + Data Collection and Management + Coding + Technical Writing + Product Marketing _We are… more
- Lucid Software (Raleigh, NC)
- Product Support Specialist Raleigh, NC Lucid Software is the leader in visual collaboration, helping teams see and build the future from idea to reality. We hold ... as Google, Atlassian, and Microsoft. As a Product Support Specialist on the Customer Operations team, you will be...such as Splunk or Loggly + Experience with any coding language + Basic Project Management experience \#LI_MK1 We… more
- Lumen (Raleigh, NC)
- …the world and shape the future. **The Role** As a Lead Project Controls Specialist , you will be responsible for leading the project controls processes with the ... from the project team. * Approve Purchase Orders and/or Subcontracts for proper coding . * Input and document changes to cost reports or forecasts. * Interface… more
- Sedgwick (Raleigh, NC)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically difficult ... client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management.… more
- Sharecare, Inc. (Raleigh, NC)
- …manner. * Strong understanding of medical terminology and familiarity with ICD-10 coding . * Proficiency in using Electronic Health Record (HER)systems. * Understand ... and abide by all HIPAA Privacy and Security Laws. * Meet and adhere to Attendance and Schedule, Production and Metrics, and Quality Goals. * Extract Disability Forms from all EMR Accounts to ensure that all requests are received and Provide proper Data Entry… more
- Sutherland Global Services (Raleigh, NC)
- …and types of coverage + Reviewing contracts and identifying billing or coding issues and requesting re-bills, secondary billing, or corrected bills as needed. ... + Handling other duties as assigned + Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, collections) procedures and policies + Full understanding of Managed Care… more
- Ford Motor Company (Raleigh, NC)
- …PEGA. + Ford systems experience including CMMS, eCAR, SIMS, GCP, Empress. + Coding Experience including C++, R, Python, HTML. + Experience in Root Cause Analysis, ... FMEA, Risk Mapping, Predictive Analytics, Value Stream Mapping, Green/Black Belt Ideal, Artificial Intelligence Integration Ideal. You may not check every box, or your experience may look a little different from what we've outlined, but if you think you can… more
- Elevance Health (Cary, NC)
- …an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit ... activities. + Draws on advanced ICD-10 coding expertise, mastery of clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools,… more
- Robert Half Finance & Accounting (Raleigh, NC)
- Description We are inviting applications for the role of an Accounts Payable Specialist based in Raleigh, North Carolina. This role primarily involves processing and ... reimbursements while adhering to firm standards. * Ensure accurate coding of expenses and reimbursements in line with expense...of 3 years of experience in an Accounts Payable Specialist role or similar position. * Proficient in Account… more