Medical coder jobs in North Carolina

Software Guidance & Assistance, Inc., (SGA), is searching for a Risk Adjustment Coders for a Contract assignment with one of our premier Healthcare clients in Greensboro, NC. Responsibilities : The Coding Educator Risk Adjustment provides coding trainings and education as well as supports physicians, mid-levels,and support staff on how to be understand and capture HCCs for appropriate organization members. Working under general supervision, this role provides prospective and retrospective chart reviews, provider assessments, and one-on-one and group education. Abstracts diagnosis codes per THN policy from notes to be used to educate provider and staff on the importance of coding appropriately for HCC. Prepares targeted education for providers and staff with practice specific information. Acts as a coding resource for practices and responds in a timely manner to inquiries. Establishes and maintains a positive and professional working relationship with physicians, clinical, administrative and other staff as well as THN internal staff. Works with leadership team to establish EMR access within all practices. Actively participates in THN POD meetings with other THN departments and completes daily logs and other process forms as directed by supervisor. Performs other duties as assigned. Required Skills: HS Diploma/GED MUST be a Certified Professional Coder (CPC only) - no other coding certs accepted 2-5 years of Risk Adjustment coding experience required Ability to work independently in a fast paced environment own ICD10 coding books (required) Preferred Skills: CRC certification preferred SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at ******************* . SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company EEO page to request an accommodation or assistance regarding our policy.

Liberty Cares With Compassion At Liberty Home Care, we know that following an illness, trauma or surgery, the ability to recover at home can greatly improve patient outcomes. Our healthcare professionals are dedicated to offering recovery with independence to our patients. We are currently seeking an experienced: HIM FIELD CODER Full Time (North Carolina Based) Job Summary: Provides LHRS facilities with accurate pre-authorization ICD coding and reports codes to facility designated staff within a turn-around time of 5-15 minutes, business days. Provides LHRS facilities with accurate ICD codes during facility HIM staff new hires, vacation, extended leaves or vacancy. Entering codes into facility EHR within a 24 business hours following resident admit. Completes LHM home health and hospice intake coding as assigned. Entering codes into EHR within 24 business hours following notification. Perform ICD code analysis, as requested and report findings to LHM Senior Director of Coding Reimbursement. Serve as an ICD coding resource, responding to staff questions concerning ICD coding in a timely manner. Works with other departments as needed to improve documentation quality and/or to improve the processes which are related to accurate ICD code assignment. Assist with training of staff on ICD coding. Attends educational sessions pertinent to ICD coding to ensure competency in LTC, home health & hospice coding. Performs other duties as assigned. Job Requirements: Must be a high school graduate Must be a Registered Health Information Administrator/RHIA (BS) or Registered Health Information Technologist/RHIT (AAS), AHIMA Certification required Extensive knowledge of ICD-10-CM coding required 1-3 years of relevant coding experience in the LTC and/or home health and hospice setting preferred Knowledge of Medicare/Medicaid regulations preferred Must be dependable, flexible, and able to work and cooperate well with staff and have understanding, patience, and tact in working with practitioners and others. Must be able to prioritize work assignment and complete duties within specified timeframe, but also be flexible to adapt to changing priorities. Excellent computer skills Must have a valid N.C. driver's license. Must have neat professional appearance at all times. Visit *********************** for more information. Background checks/drug-free workplace. EOE. PI39077ee7b378-37***********6

Are you are you a Registered Nurse (RN) who is passionate about MDS? When you join Ciena Health Care Company as a Clinical Reimbursement Specialist, you will share your expertise with the MDS nurses in several facilities. In this role, you will audit and evaluate Medicare compliance and the RAI process in our North Carolina facilities. If you love teaching and communicating with other nurses, this is a great role for you! The successful applicant will live in North Carolina, and have a comprehensive knowledge of Medicare, PDPM, RAI process, quality measures, as well as OBRA regulations. Join us with an attractive benefits offering: * Competitive pay * Medical, dental, and vision insurance * 401K with matching funds * Life Insurance * Employee discounts * Tuition Reimbursement * Student Loan Reimbursement Responsibilities: * Ensure the RAI process is complete and assessments are complete. * Audit Completion of MDS, CAA's and care plans within regulated time frames. * Provide teaching as needed for MDS nurses in assessing resident through physical assessment, interview and chart review. * Assist MDS nurses in follow up on resident care needs with care givers, including physician, nursing, social services, therapy, dietary, and activity staff. * Reviews MDS nurse completion of information from hospital, consults and outside agencies and uses such information in the completion of the assessment and care planning. Requirements: * Knowledge of the Resident Assessment Instrument (RAI) process, including the principles the Patient Driven Payment Model is required. * Knowledge of regulatory standards and compliance requirements. * Registered Nurse RN in the state. * 50% travel with some overnight stays possible. Ciena Healthcare We are a provider of skilled nursing, subacute, rehabilitative, and assisted living services dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana. We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way. IND123

Job Details Hickory Office - HICKORY, NC Full Time DayDescription ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: The Medical Coder is responsible for accurately assigning CPT, ICD-10, and HCPCS codes to patient encounters to ensure proper billing and compliance with regulatory requirements. This role supports revenue cycle efficiency by ensuring claims are coded correctly, reducing denials, and assisting providers with documentation improvement. Other duties may be assigned. FINANCIAL OPERATIONS & REPORTING Review medical documentation for accuracy and completeness. Assign appropriate CPT, ICD-10, and HCPCS codes according to established guidelines. Ensure coding compliance with federal, state, and payer-specific requirements. Collaborate with physicians and clinical staff to clarify diagnoses and procedures when necessary. Work with billing team to resolve coding-related claim rejections or denials. Maintain up-to-date knowledge of coding regulations, payer requirements, and ophthalmology-specific coding changes. Assist with audits and provide feedback to improve documentation and compliance. Support process improvements to strengthen revenue cycle performance.

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. To ensure accurate and appropriate gathering of information into the coding classification systems to meet departmental, hospital and outside agency requirements. This includes ensuring appropriate reimbursement, compliance and charging with the various coding guidelines and regulatory agencies. Responsible for obtaining accurate and complete documentation in the medical record for accurate coding assignment. Responsible for the coding of moderately complex patient classes i.e. ED, observations, same day care, etc. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High School Diploma or Equivalent. 2. Certification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), COC-A (Certified Outpatient Coder-Apprentice), COC (Certified Outpatient Coder), Formerly CPC-H (Certified Professional Coder-Hospital), CPC (Certified Professional Coder) or CIC (Certified Inpatient Coder). EXPERIENCE: 1. One (1) year of hospital coding experience. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. Codes moderately complex patient classes. 2. Assigns hospital codes to a variety of patient classes (i.e. ED, OBS, SDC, etc.). 3. Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas. 4. Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals. 5. Assures the accuracy, quality, and timely review of data needed to obtain a clean bill. 6. Contacts physicians or any persons necessary to obtain information required for to accurately code assignments. Works and communicates with other offices in any manner necessary to facilitate the billing process. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Must be able to sit for long periods of time. 2. Must have visual and hearing acuity within the normal range. 3. Must have manual dexterity needed to operate computer and office equipment. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment. 2. Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material. 3. May require travel. SKILLS AND ABILITIES: 1. Must be able to concentrate and maintain accuracy during constant interruptions. 2. Must possess independent decision-making ability. 3. Must possess the ability to prioritize job duties. 4. Must be able to handle high stress situations. 5. Must be able to adapt to changes in the workplace. 6. Must be able to organize and complete assigned tasks. 7. Must possess excellent written and verbal communication skills. 8. Must possess the knowledge of anatomy, physiology and medical terminology. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: SYSTEM West Virginia University Health System Cost Center: 548 SYSTEM HIM Coding Analysis

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. Occ Summary The Medical Coder Specialist will have frequent and daily interactions with internal and external clients, including but not limited to physicians and Non-physician Surgical Providers. Responsibilities include primary diagnosis and procedural coding for the designated major surgical specialty areas and other major procedural areas, including capture of applicable Physician Quality Reporting System (PQRS) and reconciliation of all surgical cases performed at each hospital where applicable. The Medical Coder Specialist focuses their work on the detailed physician surgical chart abstraction, as well as being an immediate liaison to documentation improvement and optimization of physician coding practices for compliance and revenue purposes for the providers in these areas. Surgical abstraction coding is defined as the identification of codes based solely on the source documentation for CPT and ICD-10-CM, respectively. Work Performed Primarily code from final surgical/procedural operative reports signed by the provider. Review the complex (problematic coding that needs research and reference checking) medical records and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM and/or CPT coding conventions. Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes, and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures. Correlate information from "approved" supporting clinical documentation, not limited to Pathology, Radiology, and/or other Physician Consultations, after review by the Attending Physician, wherever appropriate. Provide education/training to physicians and other providers on coding and clinical documentation. Consult with and educate/train physicians on coding practices and conventions in order to provide detailed coding information. Communicate with nursing and ancillary services personnel for needed documentation for accurate coding. Provide real-time feedback to surgical/procedural providers as it pertains to proper coding and clinical documentation of services performed. Engage in provider/ department contact and education as the primary liaison for clarification of documentation and coding for defined surgical operative cases, including documentation deficiencies. Mentor and assists in the training of other coders within the department. Participate in the development of coding policies and procedures as identified. Coordinate/mentor the work of designated coding employees to ensure quality and quantity of work performed through regular audits. Assist with research and development of presentation materials for continuing education programs for physician in their areas of specialization. Interact with and provide high-level analysis of trends to Management, Revenue Managers, and others about coding-related issues. Researches and identifies trends in unbilled accounts. Contact appropriate personnel for clinical documentation inefficiencies. Coordinate quality reporting measures with/ providers and revenue managers/management (PQRS). Collaborate with appeal and edit coders to expedite the resolution of accounts. Use authorized electronic media/ systems for Physician and Non-physician Clinician documentation, Coding Abstraction for each Surgical Procedure, Review of CCI Edits, LCD, and NCD coverage. Perform other related duties incidental to the work described herein. Knowledge, Skills, and Abilities Extensive knowledge of coding surgical procedures, applicable modifiers in a multi-specialty setting. Understands and applies appropriate Center Medicare Services guidelines to coding Advanced ICD-10-CM & CPT-4 coding conventions, Anatomy and Physiology, Medical Terminology. Extensive DRG/APC reimbursement knowledge, Coding software familiarity, Effective written and verbal communication skills, Data entry/CRT Level Characteristics Code and abstract from Surgical Operative Notes while providing the primary communication with/ specialty surgical providers in the health system. Minimum Qualifications Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation, or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department. Education Bachelor's degree in medical record administration or associate degree in medical record technology, or a year coding diploma or courses in Medical Terminology, Anatomy & Physiology with extensive training in coding. Experience Requires four years of coding experience, with at least two of those years in surgical abstraction (physician or medical group in multi-specialty surgical practices, i.e., Cardiothoracic Surgery, Neurosurgery, General Surgery, Orthopedics, etc.). Degrees, Licensures, Certifications Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department. Nearest Major Market: Durham Nearest Secondary Market: Raleigh

Job Description 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 work within the required thresholds. Position requires excellent computer/communication skills for provider and staff interactions. Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient), documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience. Candidate must have the ability to handle multiple projects and appropriately prioritize tasks to meet deadlines. Requirements: Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC) CCS-P (Certified Coder Specialist - Physician (CCS-P) with the appropriate level of experience. An accrediting institution recognized by the American Health Information Management Association (AHIMA) and/or the American Academy of Professional Coders (AAPC) must accredit education. CONTINUED EDUCATION REQUIREMENTS: Contract medical coders will obtain the required continued education hours at no expense to the government in order to maintain the current and proper national certification(s) required for the position. Experience. A minimum of three years of experience in the outpatient setting (physician's office or ambulatory surgery centers) within the last five years, including assignment of E&M, CPT, and HCPCS codes.

Our client is a leading force in advancing safer, smarter AI technology. Their work has been featured in Forbes, The New York Times, and other major outlets for pioneering high-quality, human-verified data that powers today's top AI systems. They've built a global community of expert contributors and have already paid out more than $500 million to professionals worldwide who help train, test, and improve next-generation AI models. Why Join This Team? Earn up to $32/hr, paid weekly. Payments via PayPal or AirTM. No contracts, no 9-to-5. You control your schedule. Most experts work 5-10 hours/week, with the option to work up to 40 hours from home. Join a global community of experts contributing to advanced AI tools. Free access to the Model Playground to interact with leading LLMs. Requirements Bachelor's degree or higher in Computer Science from a selective institution. Proficiency in Python, Java, JavaScript, or C++. Ability to explain complex programming concepts fluently in Spanish and English. Strong Spanish and English grammar, punctuation, and technical writing skills. Preferred: 1+ years of experience as a Software Engineer, Back End Developer, or Full Stack Developer. What You'll Do Teach AI to interpret and solve complex programming problems. Create and answer computer-science questions to train AI models. Review, analyze, and rank AI-generated code for accuracy and efficiency. Provide clear and constructive feedback to improve AI responses. to help train the next generation of programming-capable AI models!

Perform dictionary coding in accordance with study specific coding conventions using MedDRA and WHO Drug within various coding systems. Manage end-to-end delivery of clinical data management coding responsibilities concurrently for single/multiple projects ensuring quality and timeliness. Provide leadership and mentorship to Medical Coding Specialists as needed. Create, review, and maintain guidance and training documentation for coding guidelines an accordance with ICH guidance, official coding guidelines and dictionary definitions Responsibilities: Perform coding in accordance with study specific coding conventions as outlined in the Data Management Plan (DMP) Perform coding using MedDRA and WHO Drug of (eCRF) verbatim terms using various coding systems Provide independent review of coded data by ensuring consistent code assignment within a project by reviewing coding and re-assignment Responsible for medical coding review, synonym dictionaries review, therapeutically aligned coding conventions Create, review, and maintain guidance and training documentation for coding guidelines an accordance with ICH guidance, official coding guidelines and dictionary definitions Provide support to other departments concerning dictionary use and code assignment Ensure compliance with industry quality standards, regulations, guidelines and procedures Management of query assignment within eCRF systems for questionable verbatim terms Preparation of specific study coding reports for accuracy and consistency as well as client requirements Interaction with clients regarding specific coding requests and coding timelines Participate in system upgrades, including User Acceptance Testing (UAT) to maintain a validated coding environment Perform coding related study close activities ensuring all coding is accurate and proper documentation is complete Liaise with Clinical Data Managers and Programmers for purposes of project requirements Communicate issues that require decisions, including proposal for a solution CTCAE coding and review Experience: 5+ years in Pharmaceutical/Biotechnology industry or CRO environment Thorough knowledge and experience with WHODrug AND MedDRA dictionaries Knowledge of ICH/GCP guidelines, 21 CFR Part 11 and clinical trial methodology Excellent verbal and written communication skills Detail oriented, ability to multitask with strong prioritization, planning and organization skills Excellent team player Proficiency in Microsoft Office Applications Working knowledge of MedDRA and WHODrug best practice documents Good understanding of Clinical Data Management processes and the applicable regulatory requirements Good overview of all systems lined to the coding process, and understanding of their interactions and dependencies Education: Bachelor of Science degree in biology or health-related field preferred Language Skills Required: Speaking: English (Required) Writing/Reading: English (Required)

Nemours is seeking a Coder! This position is responsible for the proper coding and abstracting of inpatient facility medical records using ICD-10-CM diagnosis and PCS codes in accordance with ICD 10 CM and PCS coding conventions and the Official Guidelines for Coding and Reporting. Knowledge and adherence to the Official Coding Guidelines for ICD 10 CM and PCS is required. Participation in on-going coding training and education is essential and required for this position. Maintaining annual coding certification through the American Health Information Management Association (AHIMA) or the AAPC is also required. Responsibilities: Translate diagnostic and procedural documentation into the appropriate ICD-10-CM, PCS, SOI, and ROM assignments Select the appropriate principal diagnosis code, secondary diagnoses, and procedure codes according to the UHDDS. Analyze the circumstances of admission to ensure proper sequencing, selection of discharge disposition, and Present on Admission (POA) assignment. Appropriate capture Complications and Comorbidities. Ensure appropriate DRG assignment. Identify cases that require further clarification based on the clinical indicators in the record. Communicate and work with the Clinical Documentation Specialist. Review medical record information using Epic. Abstract records in an accurate manner according to established procedures and guidelines. Meet and/or exceed coding quality and productivity standards. Review and address coding validation edits, 3M edits, and participate in Coding Prebill reviews as well as peer reviews. Demonstrate and incorporate a working knowledge of the Epic system for retrieval of clinical data for coding purposes. Assist with coding shadowing and cross training as needed. Qualifications: High School Diploma required; Associate Degree is preferred. Certified Coding Specialist Certification (CCS), Certified Inpatient Coder (CIC), or CPC is required. Minimum one year coding experience is required. Knowledge of the Official Coding Guidelines for ICD 10 CM and PCS is required. Previous experience with All Patient Refined (APR) Diagnostic Related Groups (DRGs) is preferred. Pediatric inpatient coding experience is preferred.

Atlantic Medical Management is currently hiring for professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated. This position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Must have ProFee coding and billing experience. This is a remote position and candidates must be located in North Carolina. Essential Functions Post medical charges into NextGen software in a timely manner to meet daily and monthly goals. Reviews and verifies documentation supports diagnoses, procedures, and treatment results. Identifies diagnostic and procedural information and assigns codes for reimbursements Ability to navigate around CPT, ICD-10, and HCPCS. Work with providers to correct the diagnosis or procedure codes so that the claim can be processed. Identify coding or billing problems from EOBs and work to correct the errors in a timely manner Maintain in depth knowledge of all payers. Coordinate with clinics to ensure all outstanding superbills are collected prior to month end close. Update patient demographic and insurance Transfer open balances to correct insurance Work with patients and guarantors to secure payment Resolves disputed claims by gathering, verifying, and providing additional information Identify problem accounts and escalate as appropriate. Write appeals and include supporting documentation Run appropriate reports and contact insurance companies to resolve unpaid claims Meet set department metrics and threshold set forth by manager. Assist with special projects and other job-related duties as needed. Minimum Qualifications High School Diploma. 2 years of Professional coding/billing experience AAPC certification preferred Experience Medicare, Medicaid and other commercial and private payers. Demonstrated well-developed interpersonal skills to interact in sensitive and/or complex situation with a variety of people. Excellent customer service and professionalism. Maintains patient confidentiality. Proficient computer skills. Organized and efficient. Self-motivated to meet objectives Benefits: 401(k) Health, Dental and Vision insurance Employee assistance program AFLAC Paid time off

FLSA Non-Exempt About us Physicians East, P.A.is a team of skilled healthcare professionals united to meet the challenge of delivering quality, cost-efficient, comprehensive healthcare to the people of Eastern North Carolina. About the role We are looking for someone that is highly self-directed and can work successfully in a remote setting. Supervision Received: Reports to Regulatory Services Supervisor. Supervision Exercised: None. Typical Physical Demands: Requires prolonged standing or sitting while working in an office environment. Requires some bending or stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, and other office equipment. Typical Working Conditions: Remote - Normal office environment. Responsibilities * Post diagnostic charges for assigned specialties * Research missing ticket report * Maintain current working knowledge of ICD-10-CM, CPT guidelines and carrier specific updates * Communicate with physicians, insurance staff, and related departments regarding coding issues * Research and correct denials if related to coding issues * Attend departmental trainings and meetings as directed by supervisor Location & commitments Full-time role based at our Greenville Arlington Blvd. location, Monday-Friday, 8a.m. - 5 p.m. Overtime may be required to ensure patients are taken care, tasks are completed, and calls are returned in a timely manner. Weekend work is rare but can occasionally be necessary. Candidate requirements 1 to 2 years' experience working with ICD-10 and CPT/HCPCS. Associate degree in Health Information Technology with R.H.I.T certification or certification eligible within one year of employment or CCS/CCS-P/CPC certification with relevant educational requirement. Affirmative Action/EEO statement Physicians East, P.A.is an equal opportunity employer and will not discriminate against any applicant or employee on the basis of age, race, color, ethnicity, religion, creed, sex (including gender, pregnancy, sexual orientation, and gender identity, which includes status as a transgender individual), national origin or ancestry, citizenship, past, current, or prospective service in the uniformed services, genetic information (including family medical history), physical or mental disability, or other legally protected status. Reasonable accommodation will be made for persons with disabilities during the application process and/or at the time of employment. Requests for accommodation should be made to the Human Resources Department as early as possible in the application/employment process. Contact HR Office at **************************

Job DescriptionWe are looking for individuals who want to join our team in Butner, NC. Apply now! Job Opportunity: Medical Coder Make a Difference Behind the Mission Are you passionate about providing detail oriented medical administration? Do you want your work to directly support the health and well-being of incarcerated inmates in North Carolina prisons? If so, this opportunity might be a perfect fit. French Consulting is seeking a Medical Coder to deliver expert healthcare administration support at the Federal Correctional Complex in Butner, North Carolina. You'll play a pivotal role in ensuring efficient healthcare administration. Your efforts will directly contribute to positive patient outcomes supporting efficient use of taxpayer's investment in community security. What You'll Do Medical Coding Assign Evaluation and Management (E&M) codes, International Classification of Diseases, Clinical Modification (ICD-CM) diagnoses, Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for the professional and institutional (facility) components of outpatient primary care encounters. Review encounter and/or record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies that may cause inaccurate coding, medico-legal repercussions or impacts quality patient care. Educate and provide feedback to providers and clinical staff to resolve documentation issues to support coding compliance. Assign accurate codes to encounters based upon provider responses to coding queries. Support DHA coding compliance by performing due diligence in ethically and appropriately researching and/or interpreting existing guidance, including seeking clarification through appropriate channels. Use MHS computer systems to remotely access patient records and assign codes for patient encounters in support of other Facilities. Team Collaboration You will be the expert source of reference for medical staff having questions, issues, or concerns related to coding. Collaborate effectively with healthcare team members, and patients to enhance care and resolve concerns. You'll respond to provider questions and provides examples of appropriate coding and documentation reference(s) to provide clarity and understanding. You'll collaborate with and supports medical coding auditors, trainers, and compliance specialists in providing education and feedback to providers and staff. Participate in staff development programs, cross-training initiatives, and performance improvement activities. Professional Development & Documentation Maintain accurate, timely, and concise patient records, both manual and electronic. Engage in self-directed learning, continuing education, and competency validation. Contribute to the orientation, training, and evaluation of newly assigned personnel. Comply with legal, regulatory, and FCI-specific policies in all aspects of patient care. Who You Are You thrive in a secure environment, managing detailed healthcare records. You communicate effectively and professionally with patients and multidisciplinary teams. You are mission-focused and want to make a meaningful difference in the lives of incarcerated inmates. You are adaptable, collaborative, and eager to support a culture of continuous learning. Qualifications Education: Completed a university or technical school program resulting in completion of ONE of the following: 1) An Associate's degree or higher in Health Information Management, Healthcare Administration, or a biological science; OR 2) A university certificate in medical coding; OR 3) At least 30 semester hours' university/college credit that includes relevant coursework such as anatomy/physiology, medical terminology, health information management, and/or pharmacology; OR 4) Successful completion of an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) coding certification preparation course for professional services or facility coding that includes medical terminology, anatomy and physiology, health information management concepts, and pharmacology; OR 5) Successful completion of a training course beyond apprentice level for medical technicians, hospital corpsmen, medical service specialists, or hospital training, obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision. Experience and Certification: 2 Years of experience in a healthcare or insurance environment and at a minimum of a certificate in one of the following: Registered Health Information Administrator (RHIA) Registered Health Information Technician (RHIT) Certified Coding Specialist (CCS) Certified Coding Assistant (CCA) Certified Professional Coder (CPC) Have a thorough knowledge of Medicare payment principles including: Medicare Inpatient Prospective Payment System, Medicare Outpatient Prospective Payment System, Medicare Ambulatory Surgical Center Payment Rates, Medicare Part B Physician Fee Schedule, Medicare Anesthesia Physician Services, Medicare Clinical Laboratory Fee Schedule, and Medicare Drugs and Biological Payment Amounts. Proficient in database software. Requires strong analytical, organizational and customer service skills. Strong oral and written communication skills. The individual selected to perform these services must be able to pass a drug screening and law enforcement agency background check to include credit checks. Experience in clinical correctional setting (preferred). Ability to complete FCI credentialing and screening requirements and have a favorable credit report. Why You'll Love It Here 💻 Supportive, collaborative team environment with ongoing professional development. 🌍 Help keep communities safe providing expert support to U.S. correctional facilities. 🤝 A culture that values your skills, expertise, and input. Ready to Join Us? If you're ready to make a real difference supporting your community? We'd love to hear from you. Apply today and bring your expertise, compassion, and dedication to a team that values your contribution. -- French Consulting is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Powered by JazzHR 87tSGKESrN

00097817 Employment Type: Full Time Salary Range: 24.72 - 37.08 Shift: Day Shift Details: Monday-Friday days Standard Hours: 40.00 Department Name: Medical Records Location: Remote, US Location Details: 9401 ArrowPoint Blvd Job Summary Remote role. To support World Class Service Lines, and with Documentation Excellence (DE) as the primary objective, the Clinical Coder IV reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate codes for billing, internal and external reporting, research and regulatory compliance. An option to work as part of the clinical team and perform high level, service line based concurrent coding is also available. This position also enjoys the advantages of free CEUs and one paid professional membership. Essential Functions Reviews medical records of high complexity to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes. Assign and present on Admission, Hospital Acquired Condition and Core Measure Indicators for all diagnosis codes. Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting. Reviews charges and Evaluation and Management levels. Demonstrates proficiency with Microsoft Office Applications and in using required computer systems with minimal assistance. Abstracts coded data and other pertinent fields in the hospital electronic health record. Ensures the accuracy of data input. Meets established quality and productivity standards. Facilitates peer review and training for all Acute Clinical Coders in the coding department. Provides support to management. Stay abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding. Physical Requirements Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment. Education, Experience and Certifications. High school diploma or GED required; Bachelors degree preferred. Advanced knowledge in Medical Terminology, Anatomy and Physiology and Pharmacology required. 4 years coding experience in acute care setting required. Current RHIA, RHIT, CCS, CPC-H, CPC or CIC required plus a passing score on the Atrium Health Coding test. At Atrium Health, formerly Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations. As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve. Posting Notes: Not Applicable Atrium Health is an EOE/AA Employer

ECU Health About ECU Health ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations. The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Childrens Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research. Position Summary Reviews medical record documentation, extracts data, and applies appropriate diagnosis and procedure codes for complex outpatient hospital, ambulatory surgery, intermediate level of inpatient accounts and behavior health to support hospital billing, internal and external reporting, research and regulatory compliance. Complies with the ICD-10-CM Official Guidelines for Coding and Reporting as well as other nationally established rules and regulations for coding assignment. Responsibilities * Provide code assignment for all levels of Outpatient Coding and/or Charge Entry services. * Provide code assignment for the following intermediate levels of inpatient accounts: general medicine/ surgery and inpatient rehab/ psych accounts. * Assigning diagnostic and procedural codes to patient records using ICD-10-CM and CPT and any other designated coding classification system in accordance with the UHDDS coding guidelines. * Assigning and sequencing codes accurately based on medical record documentation. * Assigns diagnosis/procedure codes utilizing the 3M Encoder and CAC to arrive at the most accurate code within 5 days of date of service. * Incorporates current regulatory coding requirements and guidelines appropriately. * Maintains weekly coding productivity log and provides feedback to the Manager of HIMS regarding any coding issues/problems. * Maintains coding accuracy of 95% or better. * Average number of records coded per week must meet minimum established quantitative standards per type of patient record. * Responsible for reviewing claims and correcting edits through CAC/ARMS. * Demonstrates effective computer skills for all coding functions. * Maintains confidentiality of patient information. * Participates in In-Service education, updates and conferences to remain current with coding requirements and guidelines. * Maintains AHIMA credentials. Minimum Requirements * High School, equivalent (GED) or higher * Associate's Degree in Health Information Technology or Bachelor's Degree in Health Information Management or higher is preferred * One of the following AHIMA credentials is required: RHIA, RHIT, CCS. * 1 - 2 years relevant coding experience required. Other Information * Remote role * PRN position - working as needed, a few hours each week * Monday - Friday day shift: * Typical hours between 8:00 a.m. - 5:00 p.m. #LI-REMOTE #LI-AH2 General Statement It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position. Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification. We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant's qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint. Share:

Exciting Career Opportunity with Avance Care! Join our rapidly expanding network of 37 practice locations in the Triangle Area (Raleigh-Durham-Chapel Hill), the Charlotte Region, and Wilmington, NC. Avance Care is dedicated to elevating the standard of healthcare. As one of North Carolina's largest networks of independent primary care practices, we offer comprehensive services to support the physical, mental, and emotional health of our patients. As a Coding Specialist, you'll support and maintain coding compliance and patient assessments by applying Certified Professional Coding (CPC) principles to claim documentation process, reducing institutional, legal and financial risk. This is a full-time role involving 8 hours weekday shifts with no weekends schedule. We operate in a busy, fast-paced environment, and we seek a candidate who thrives under such conditions. We offer a comprehensive benefits package available on the first of the month following 30 days of employment. Selected Responsibilities: Actively abstract and code daily patient encounters through chart documentation, billing for all services, and appropriate assignment of E&M coding related to chart documentation, time, and medical decision making Thorough understanding of clinic coding (E/M) documentation requirements and HCC concepts impacting population Health Risk Adjustment reimbursement initiatives Ability to review documentation and abstract all codes with specific emphasis on identifying the most accurate severity of illness according to CMS HCC guidelines Maintains knowledge regarding policies and procedures with Medicare/Medicaid Carriers and third-party payers, including HCC and RAF guidelines Effectively work with and support providers through structured communication as it related to chart documentation and coding practices Understand and apply Correct Coding Initiative (CCI) edits and modifiers, as sometimes specifically required by 3 rd party payers or Medicare Assign missing procedure CPT, or HCPCS from the Current Procedure Manual and Common Procedure Coding System Manual when necessary Candidates should preferably have one of the following certifications: Certified Professional Coder (CPC) required, Certified Professional Coder (CPC-A) preferred, or Certified Risk Adjustment Coder (CRC) highly preferred along with at least one year of E&M Coding experience. Other Priorities: Strong verbal and written communication Knowledge of insurance practices Knowledge of CPT, HCPCs, and ICD-10 coding Time management and workload prioritization skills If you are excited to join a growing organization focused on changing the way healthcare is delivered to patients in North Carolina, please submit your resume. All offers of employment are contingent upon the successful completion of a background check and drug screen. Avance Care provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to religion, race, creed, color, sex, sexual orientation, gender identification, alienage or citizenship status, national origin, age, marital status, pregnancy, disability, veteran or military status, predisposing genetic characteristics or any other characteristic protected by applicable federal, state or local law.

The Coder Credentialed accurately codes and abstracts medical information for billing and statistical purposes, and entering the information into a computerized database. Working independently under general supervision, this role ensures timely coding and completion of patient accounts to meet established department standards and/or goals. Responsibilities Maintains timely coding and completion of patient accounts to meet established department and regulatory standards and goals. Maintains accuracy in accordance with department and regulatory standards. Monitors uncoded accounts and performing other workflow processes to ensure optimal revenue cycle performance. Interacts with clinical staff and providers to improve documentation in order to accurately reflect severity of illness and appropriately support medical necessity and claims submission. Completes all mandated education prior to deadline. Collaborates with other team members to assist in the continuing education of the coding profession and ensure optimal performance. Performs other duties as assigned. Qualifications EDUCATION: Required: High School Diploma or equivalent EXPERIENCE: Required: 3 years LICENSURE/CERTIFICATION/REGISTRY/LISTING: Required: American Health Information Management Association (AHIMA) - Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician's based (CCS-P) OR from the American Academy of Professional Coders (AAPC) - Certified Profession Coder (CPC), or Certified Outpatient Coder (COC), or Certified Inpatient Coder (CIC)

A client of Insight Global is looking for an outpatient surgical coder. This position will be remote and a 6-month contract with potential to extend and/or convert into a permanent role. Daily responsibilities for this coder will be to review the coding denials (understand if it was coded correctly, if they could add additional codes, etc.) There will no appeal writing just correcting the denials. This coder will primarily be working within the outpatient facility but will be focused on surgical coding as well. This coder will be required to have 3-5 reviews per hour in order to be performing to their standards. This position is remote but this coder must sit in AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, or WY. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: **************************************************** Skills and Requirements - 2-5 years hospital surgical coding - Experience with outpatient coding - CCS, CPC, RHIA, RHIT certifications - Experience working with denials - Advanced knowledge in medical terminology, anatomy, physiology, pharmacology, and coding guidelines - Epic experience

Job Description Surry Rural Health Center is looking for a medical coder who will receive written reports from the physician(s) and accurately document the information into the electronic health record (EHR) system. This position involves editing notes electronically and getting them ready for review and signing. The Medical Coder will be responsible for accurately assigning codes to diagnoses, procedures, and services provided to patients. A busy physician practice seeking an experienced medical coder. Compensation is commensurate with experience and certification. The practice offers employees a generous benefits package. Responsibilities Review all clinical supporting documentation and assign appropriate ICD-10, CPT, and HCPCS codes for diagnoses and procedures. Directly interact with all providers as well as other key staff, along with the practice's professional billing service, to resolve coding-related issues and denials. Ensure documentation is complete and meets coding requirements. Ensure coding is processed timely and accurately. Enter patient data into the electronic health record (EHR) system. Experience with NextGen is preferred. Meet daily requirements and strict quality standards. Maintain knowledge of new procedures, treatments, medications, etc. Analyzes medical records and identifies documentation deficiencies. Stay current with coding guidelines, payer requirements, and regulatory changes to ensure compliance and accuracy. Identify inconsistencies, errors, and missing information that could impact patient care and compliance. Researches, analyzes, recommends, and facilitates a plan of action to correct discrepancies and prevent future coding errors. The successful candidate will serve as a Subject Matter Expert for the providers/staff offering education and coaching in areas of appropriate DX and procedure coding and clinical documentation to optimize practice performance and reimbursement. Handles other duties as assigned. Qualifications and Requirements High school diploma or equivalent Knowledge of modern office equipment Ability to operate personal computer Excellent communication and organizational skill Familiarity with electronic health record (EHR) systems Certification as a medical coder (e.g., AAPC) is highly preferred Understanding medical terminology, anatomy, and coding guidelines Strong attention to detail and analytical skills Benefits Health, dental, and vision insurance Paid time off 401K Short-term and long-term disability Life insurance Job Type: Full-time Location: In-Office Hours per Week: 30-40 Schedule: Mon-Fri, 8 hr shifts We are looking forward to reading your application. By applying to this job, you agree to receive periodic text messages from this employer and Homebase about your pending job application. Opt out anytime. Msg & data rates may apply. Powered by Homebase. Free employee scheduling, time clock and hiring tools.