FirstHealth of the Carolinas Jobs

FirstHealth of the Carolinas, a private, not-for-profit health care network, is headquartered in Pinehurst, NC. Richmond Memorial Hospital joined the FirstHealth of the Carolinas family on March 1, 2001, and became a division of Moore Regional Hospital in August 2009.

FirstHealth of the Carolinas, a private, not-for-profit health care network, is headquartered in Pinehurst, NC. Richmond Memorial Hospital joined the FirstHealth of the Carolinas family on March 1, 2001, and became a division of Moore Regional Hospital in August 2009.

Fully Remote The OP Coding Specialist is responsible for reviewing the office and hospital charges to evaluate reasons for denials in the Follow Up work queues.

FirstHealth of the Carolinas is a private, not-for-profit, community-based health care network serving the mid-Carolinas. + Paid malpractice with tail coverage **About FirstHealth of the Carolinas:** + Financially stable, award-winning health care system with four hospitals, primary and convenient care clinics, occupational health services, dental centers, home health, hospice & palliative care, health & fitness centers, a robust philanthropic Foundation, and more.

We are seeking a#Neonatal Nurse Practitioner to provide PRN coverage in Pinehurst, NC!# Join a close-knit team that is making a difference!# Located in the beautiful Village of Pinehurst, our organization is considered one of the premier healthcare systems in the Southeast.# FirstHealth of the Carolinas is a private, not-for-profit, community-based health care network serving the mid-Carolinas. FirstHealth of the Carolinas is a private, not-for-profit, community-based health care network serving the mid-Carolinas.

Family Medicine Advanced Practice Provider Needed for a Thriving Practice in Central NC.# Join an organization with a reputation for excellent care and provider collaboration.# FirstHealth of the Carolinas - a private, not-for-profit health care network serving the mid-Carolinas - is seeking an experienced Family Medicine APP to join an established and respected group of providers in our Seven Lakes, NC practice.### #About the opportunity:# Established practice treating patients from birth to age 90+.# Reputable and well-established clinic.# Work-life balance # dependable hours, low volume call.# Provider-led, financially stable group of hospital employed providers.## Enjoy a comprehensive compensation and benefits package:# Competitive base salary## Quality bonus, potential for productivity incentive# 501(c)(3) status provides eligibility for the Public Service Loan Forgiveness Program (PSLF)# Annual time off# Comprehensive health, life and disability benefits# 3 retirement savings plans # 401a, 403b with match, 457b# Relocation allowance# CME allowance, license and DEA reimbursement# Center for Provider Wellbeing resources# Paid malpractice with tail coverage# About FirstHealth of the Carolinas:# Financially stable, award-winning health care system with four hospitals, primary and convenient care clinics, occupational health services, dental centers, home health, hospice # palliative care, health # fitness centers, a robust philanthropic Foundation, and more.# Organizational culture guided by a commitment to patient safety, quality and performance excellence, as evidenced by some of FH Moore Regional Hospital#s recent achievements:# Named to Fortune/Merative 100 Top Hospitals list - second year in a row.# Recognized by Business North Carolina magazine as #1 in NC for patient satisfaction.# Healthgrades 2021 Outstanding Patient Experience Award - the only hospital in the state to achieve this award for 14 years in a row.# Earned the Healthgrades 2021 Patient Safety Excellence Award.# Awarded an #A# in The Leapfrog Group#s Spring 2022 hospital safety grades.# After Fitch Ratings reaffirmed our #AA# bond rating, Becker#s Hospital Review recognized FirstHealth among 12 health systems in the country with strong operational and financial metrics, despite the disruption of COVID-19.# We are included on Newsweek#s list of World#s Best Hospitals 2021, putting us in the top 3% in the country.# Join us on our journey to zero harm and the best place to work in healthcare!# About the community:# Considered a #micropolitan# area, we are located in the world-renowned Sandhills area of NC, acclaimed for golf and equestrian industries.# Exceptional quality of life # Pinehurst has been recognized as one of North Carolina#s best places to live and safest communities.# Dream lake life at Seven Lakes, NC! Temperate climate allows for outdoor activities to be enjoyed year-round.# Neighboring Southern Pines is listed in #50 Best Small Towns in America#.## Family friendly resort destination offers a variety of affordable housing choices with excellent public and private schools.# Relaxed lifestyle within reach of urban amenities - just an hour from Raleigh-Durham, one of the fastest growing metro areas in the US.# Two hours from the crystal waters of the Atlantic coast and three hours to the rugged Appalachian Mountains.# Candidate Qualifications:## PA must be a graduate of an AMA approved Physician Assistant program and have NCCPA certification. NP must be a graduate of a Nurse Practitioner Education program and have national certification.## This position requires a minimum of 3 years of advanced practice experience treating all ages in a busy Primary Care setting.# The ideal candidate is someone who conveys a genuine interest in delivering high quality patient care.## Must be comfortable independently managing assigned patients with minimal oversight from the supervising physician.# At this time we are unable to consider new grads for this opportunity.# Must have excellent interpersonal skills and be able to exercise a high degree of initiative, judgment, and discretion in decision making.### Clean background, NC license, NC DEA, and AHA BLS certification required.# To learn more contact our Physician Recruiter at 910-715-1438 or## lcabrera-portillo@firsthealth.org# Family Medicine Advanced Practice Provider Needed for a Thriving Practice in Central NC. Join an organization with a reputation for excellent care and provider collaboration. FirstHealth of the Carolinas - a private, not-for-profit health care network serving the mid-Carolinas - is seeking an experienced Family Medicine APP to join an established and respected group of providers in our Seven Lakes, NC practice. About the opportunity: * Established practice treating patients from birth to age 90+. * Reputable and well-established clinic. * Work-life balance - dependable hours, low volume call. * Provider-led, financially stable group of hospital employed providers. * Enjoy a comprehensive compensation and benefits package: * Competitive base salary * Quality bonus, potential for productivity incentive * 501(c)(3) status provides eligibility for the Public Service Loan Forgiveness Program (PSLF) * Annual time off * Comprehensive health, life and disability benefits * 3 retirement savings plans - 401a, 403b with match, 457b * Relocation allowance * CME allowance, license and DEA reimbursement * Center for Provider Wellbeing resources * Paid malpractice with tail coverage About FirstHealth of the Carolinas: * Financially stable, award-winning health care system with four hospitals, primary and convenient care clinics, occupational health services, dental centers, home health, hospice & palliative care, health & fitness centers, a robust philanthropic Foundation, and more. * Organizational culture guided by a commitment to patient safety, quality and performance excellence, as evidenced by some of FH Moore Regional Hospital's recent achievements: * Named to Fortune/Merative 100 Top Hospitals list - second year in a row. * Recognized by Business North Carolina magazine as #1 in NC for patient satisfaction. * Healthgrades 2021 Outstanding Patient Experience Award - the only hospital in the state to achieve this award for 14 years in a row. * Earned the Healthgrades 2021 Patient Safety Excellence Award. * Awarded an 'A' in The Leapfrog Group's Spring 2022 hospital safety grades. * After Fitch Ratings reaffirmed our 'AA' bond rating, Becker's Hospital Review recognized FirstHealth among 12 health systems in the country with strong operational and financial metrics, despite the disruption of COVID-19. * We are included on Newsweek's list of World's Best Hospitals 2021, putting us in the top 3% in the country. * Join us on our journey to zero harm and the best place to work in healthcare! About the community: * Considered a "micropolitan" area, we are located in the world-renowned Sandhills area of NC, acclaimed for golf and equestrian industries. * Exceptional quality of life … Pinehurst has been recognized as one of North Carolina's best places to live and safest communities. * Dream lake life at Seven Lakes, NC! Temperate climate allows for outdoor activities to be enjoyed year-round. * Neighboring Southern Pines is listed in "50 Best Small Towns in America". * Family friendly resort destination offers a variety of affordable housing choices with excellent public and private schools. * Relaxed lifestyle within reach of urban amenities - just an hour from Raleigh-Durham, one of the fastest growing metro areas in the US. * Two hours from the crystal waters of the Atlantic coast and three hours to the rugged Appalachian Mountains. Candidate Qualifications: * PA must be a graduate of an AMA approved Physician Assistant program and have NCCPA certification. NP must be a graduate of a Nurse Practitioner Education program and have national certification. * This position requires a minimum of 3 years of advanced practice experience treating all ages in a busy Primary Care setting. * The ideal candidate is someone who conveys a genuine interest in delivering high quality patient care. * Must be comfortable independently managing assigned patients with minimal oversight from the supervising physician. At this time we are unable to consider new grads for this opportunity. * Must have excellent interpersonal skills and be able to exercise a high degree of initiative, judgment, and discretion in decision making. * Clean background, NC license, NC DEA, and AHA BLS certification required. To learn more contact our Physician Recruiter at 910-715-1438 or lcabrera-portillo@firsthealth.org

This is a three month educational program and is located in Pinehurst, North Carolina.# Please email bblakely@firsthealth.org for the CPE application and acceptance into the program.# Program starts 9/7/22#and ends 12/7/22.# # This is a three month educational program and is located in Pinehurst, North Carolina.

Experienced UC/EM Physician Assistant needed for Monday # Friday coverage FirstHealth of the Carolinas # a private, not-for-profit healthcare network serving the mid-Carolinas - is seeking an experienced Physician Assistant to provide coverage at our Convenient Care Clinics. Experienced UC/EM Physician Assistant needed for Monday - Friday coverage FirstHealth of the Carolinas - a private, not-for-profit healthcare network serving the mid-Carolinas - is seeking an experienced Physician Assistant to provide coverage at our Convenient Care Clinics.

**Fully Remote** Uses an appropriate problem-solving approach to plan services to support billing and collection efforts of all FHPG Family Care Centers, Specialty Clinics, and other FH employed or contracted providers billing in under the FH umbrella. Responsible for denial and appeals claim processing for medical providers, and laboratories services ordered by FHPB, ensuring compliance and contractual obligations and State and Federal laws and regulations and generating appeals for denied or underpaid claims. Responsible for reviewing lab billing work queue & communicating medical necessity issues to providers prior to charges being forwarded to HB for billing. Assist in educating providers on Medicare LCDs and payer requirements for specific lab orders. Analyze all coding adjustments made on EOB to ascertain accuracy and validity. Determine and execute best approach for denial resolution and processing appeals in accordance with Federal, State and payer guidelines. Ensure timeliness of appeals, generate appeals based on dispute reason(s), request and obtain medical records as needed for appeal, document all actions taken during the appeal process and any required follow up. Assist manager in identifying coding errors that generate denials and help to establish front end charge review edits to decrease denials. Review claims with 22, 52 & 53 modifiers in the claims requiring attachments work queue, initiate request of records utilizing EPIC software, submit required documentation for claim following payer requirements. Work with Revenue Integrity Manager to utilize workflows set in place to minimize late charges, optimize revenue capture and identify trends within clinic areas that need attention. Serves as the support for Clinics in understanding Medicare, Medicaid and individual payer requirements for billing. On new project acquisitions, education on payer requirements for billing. Communicates operational changes that result from system implementation to all pertinent users. Resolves issues at the point of service and provides feedback to end users and Management.Stays current with technological developments in systems administration technology and recommends ways to take advantage of new technology. Develops tools, procedures and training sessions for staff, AR Director, Clinic Managers, Regional Directors and Compliance Team. Maintains rapport with staff, AR Director, Clinic Managers, Regional Directors and Compliance Team by continuous contact to research and develop new services and methods, setting priorities and resolving problem situations. Provides feedback used to train and support all FHPG Providers and Staff as needed and directed by management. Use detailed system knowledge to gather trending data regarding insurance denials. Provides report of denial root cause analysis with feedback to management. Assist all users in maximizing efficiencies of the system to meet growing hospital and practice demands. Demonstrates advanced knowledge of systems report writer and functionality. Assist in minimizing late charges, timely charge capture, timely appeal and or claim correction. Assist Revenue Integrity Management with implementation of the multiple interfaces and processes where applicable. Assist with implementation and ongoing process monitoring revenue capture at clinic sites where this is applicable. Maintain and generate reporting mechanism to track revenue and billing out of an ambulatory department. Track, work and report returning reimbursements and net revenue for ambulatory areas. Supports compliance as it relates to billing, coding and claim submission. Support and enhance the development of all practice groups new and currently present within the systems in use by clinics. Prefer Bachelor Degree in Business, Healthcare Administration or Information Systems; experience may be accepted in lieu of education or formal training. Three years experience in physician group practice that utilizes EMR and Billing systems to performed daily activities. Greater than three years' experience in Clinic Practices and Clinic Billing. Certification in Coding either CPC or CCS-P.

Fully Remote Uses an appropriate problem-solving approach to plan services to support billing and collection efforts of all FHPG Family Care Centers, Specialty Clinics, and other FH employed or contracted providers billing in under the FH umbrella. Responsible for denial and appeals claim processing for medical providers, and laboratories services ordered by FHPB, ensuring compliance and contractual obligations and State and Federal laws and regulations and generating appeals for denied or underpaid claims. Responsible for reviewing lab billing work queue # communicating medical necessity issues to providers prior to charges being forwarded to HB for billing. Assist in educating providers on Medicare LCDs and payer requirements for specific lab orders. Analyze all coding adjustments made on EOB to ascertain accuracy and validity. Determine and execute best approach for denial resolution and processing appeals in accordance with Federal, State and payer guidelines.#Ensure timeliness of appeals, generate appeals based on dispute reason(s), request and obtain medical records as needed for appeal, document all actions taken during the appeal process and any required follow up. Assist manager in identifying coding errors that generate denials and help to establish front end charge review edits to decrease denials. Review claims with 22, 52 # 53 modifiers in the claims requiring attachments work queue, initiate request of records utilizing EPIC software, submit required documentation for claim following payer requirements. Work with Revenue Integrity Manager to utilize workflows set in place to minimize late charges, optimize revenue capture and identify trends within clinic areas that need attention. Serves as the support for Clinics in understanding Medicare, Medicaid and individual payer requirements for billing. On new project acquisitions, education on payer requirements for billing. Communicates operational changes that result from system implementation to all pertinent users. Resolves issues at the point of service and provides feedback to end users and Management.Stays current with technological developments in systems administration technology and recommends ways to take advantage of new technology. Develops tools, procedures and training sessions for staff, AR Director, Clinic Managers, Regional Directors and Compliance Team. Maintains rapport with staff, AR Director, Clinic Managers, Regional Directors and Compliance Team by continuous contact to research and develop new services and methods, setting priorities and resolving problem situations. Provides feedback used to train and support all FHPG Providers and Staff as needed and directed by management. Use detailed system knowledge to gather trending data regarding insurance denials.#Provides report of denial root cause analysis with feedback to management. Assist all users in maximizing efficiencies of the system to meet growing hospital and practice demands. Demonstrates advanced knowledge of systems report writer and functionality. Assist in minimizing late charges, timely charge capture, timely appeal and or claim correction. Assist Revenue Integrity Management with implementation of the multiple interfaces and processes where applicable. Assist with implementation and ongoing process monitoring revenue capture at clinic sites where this is applicable. Maintain and generate reporting mechanism to track revenue and billing out of an ambulatory department. Track, work and report returning reimbursements and net revenue for ambulatory areas.#Supports compliance as it relates to billing, coding and claim submission. Support and enhance the development of all practice groups new and currently present within the systems in use by clinics. Prefer Bachelor Degree in Business, Healthcare Administration or Information Systems; experience may be accepted in lieu of education or formal training.# Three years experience in physician group practice that utilizes EMR and Billing systems to performed daily activities.# Greater than three years# experience in Clinic Practices and Clinic Billing.# Certification in Coding either CPC or CCS-P. # # # # Fully Remote Uses an appropriate problem-solving approach to plan services to support billing and collection efforts of all FHPG Family Care Centers, Specialty Clinics, and other FH employed or contracted providers billing in under the FH umbrella. Responsible for denial and appeals claim processing for medical providers, and laboratories services ordered by FHPB, ensuring compliance and contractual obligations and State and Federal laws and regulations and generating appeals for denied or underpaid claims. Responsible for reviewing lab billing work queue & communicating medical necessity issues to providers prior to charges being forwarded to HB for billing. Assist in educating providers on Medicare LCDs and payer requirements for specific lab orders. Analyze all coding adjustments made on EOB to ascertain accuracy and validity. Determine and execute best approach for denial resolution and processing appeals in accordance with Federal, State and payer guidelines. Ensure timeliness of appeals, generate appeals based on dispute reason(s), request and obtain medical records as needed for appeal, document all actions taken during the appeal process and any required follow up. Assist manager in identifying coding errors that generate denials and help to establish front end charge review edits to decrease denials. Review claims with 22, 52 & 53 modifiers in the claims requiring attachments work queue, initiate request of records utilizing EPIC software, submit required documentation for claim following payer requirements. Work with Revenue Integrity Manager to utilize workflows set in place to minimize late charges, optimize revenue capture and identify trends within clinic areas that need attention. Serves as the support for Clinics in understanding Medicare, Medicaid and individual payer requirements for billing. On new project acquisitions, education on payer requirements for billing. Communicates operational changes that result from system implementation to all pertinent users. Resolves issues at the point of service and provides feedback to end users and Management.Stays current with technological developments in systems administration technology and recommends ways to take advantage of new technology. Develops tools, procedures and training sessions for staff, AR Director, Clinic Managers, Regional Directors and Compliance Team. Maintains rapport with staff, AR Director, Clinic Managers, Regional Directors and Compliance Team by continuous contact to research and develop new services and methods, setting priorities and resolving problem situations. Provides feedback used to train and support all FHPG Providers and Staff as needed and directed by management. Use detailed system knowledge to gather trending data regarding insurance denials. Provides report of denial root cause analysis with feedback to management. Assist all users in maximizing efficiencies of the system to meet growing hospital and practice demands. Demonstrates advanced knowledge of systems report writer and functionality. Assist in minimizing late charges, timely charge capture, timely appeal and or claim correction. Assist Revenue Integrity Management with implementation of the multiple interfaces and processes where applicable. Assist with implementation and ongoing process monitoring revenue capture at clinic sites where this is applicable. Maintain and generate reporting mechanism to track revenue and billing out of an ambulatory department. Track, work and report returning reimbursements and net revenue for ambulatory areas. Supports compliance as it relates to billing, coding and claim submission. Support and enhance the development of all practice groups new and currently present within the systems in use by clinics. Prefer Bachelor Degree in Business, Healthcare Administration or Information Systems; experience may be accepted in lieu of education or formal training. Three years experience in physician group practice that utilizes EMR and Billing systems to performed daily activities. Greater than three years' experience in Clinic Practices and Clinic Billing. Certification in Coding either CPC or CCS-P.

The Ultrasound Technologist is responsible for all functions associated with all ultrasound exams in imaging's scope of service.

Must be a graduate from an accredited Nuclear Medicine program with at least 1 year of Nuclear Medicine experience preferred.