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Medical coder jobs in North Carolina

- 141 jobs
  • Risk Adjustment Coder

    Software Guidance & Assistance, Inc. (SGA, Inc. 4.1company rating

    Medical coder job in Greensboro, NC

    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. (Open to remote) 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.
    $40k-52k yearly est. 4d ago
  • Risk Adjustment Coder

    Inspyr Solutions

    Medical coder job in Greensboro, NC

    We are seeking a Risk Adjustment Coder and Educator for an exciting contract-to-hire opportunity! This role will be based in Greensboro, NC and offers a flexible hybrid schedule! The Risk Adjustment Coder and Educator provides coding training and education to physicians, mid-levels, and support staff to help them understand and accurately capture HCCs. Working under general supervision, this role performs prospective and retrospective chart reviews, provider assessments, and delivers both one-on-one and group education. Job Functions: Abstract diagnosis codes from clinical notes to support provider and staff education on the importance of accurate HCC coding. Prepare targeted, practice-specific education for providers and staff. Act as a coding resource for practices and respond to inquiries in a timely manner. Establish and maintain positive, professional working relationships with physicians, clinical staff, administrative staff, and internal team members. Work with leadership to establish EMR access across all assigned practices. Participate in internal meetings with cross-functional teams and complete daily logs and other process forms as directed by the supervisor. Perform other duties as assigned. Job Requirements: High School Diploma or GED Certified Professional Coder (CPC) required CRC certification preferred (with CPC) 2-5 years of Risk Adjustment coding experience Ability to work independently in a fast-paced environment Must own current ICD-10 coding books
    $43k-63k yearly est. 3d ago
  • Medical Coder

    Graystone Ophthalmology Associates Pa 3.6company rating

    Medical coder job in Hickory, NC

    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.
    $59k-71k yearly est. 60d+ ago
  • Hospital Coding Spec II (Observation)

    WVU Medicine 4.1company rating

    Medical coder job in North Carolina

    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
    $50k-64k yearly est. Auto-Apply 60d ago
  • Senior Medical Coder

    Biodata Partners

    Medical coder job in Raleigh, NC

    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)
    $44k-64k yearly est. 60d+ ago
  • Inpatient Facility Coder

    The Nemours Foundation

    Medical coder job in Wilmington, NC

    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.
    $43k-63k yearly est. Auto-Apply 60d+ ago
  • RCM Coder

    Atlantic Medical Management 4.2company rating

    Medical coder job in Jacksonville, NC

    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
    $55k-68k yearly est. 60d+ ago
  • Medical Coder

    French Consulting

    Medical coder job in Butner, NC

    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
    $44k-64k yearly est. 15d ago
  • Coding Specialist

    Deerfield Management Companies 4.4company rating

    Medical coder job in Durham, NC

    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.
    $97k-120k yearly est. Auto-Apply 40d ago
  • EC PreK TA @ Chicod

    Public School of North Carolina 3.9company rating

    Medical coder job in Greenville, NC

    Exceptional Children (EC) / Pre-K Teacher Assistant Reports To: Classroom Teacher and Principal Employment: 10 months, 7.5 hours daily About Chicod School: Chicod School is a vibrant PreK-8 community where staff, students, and families work together to ensure every child grows and succeeds. Our school is known for its strong sense of teamwork, supportive culture, and dedication to helping each student reach their full potential. We take pride in our collaborative approach, caring staff, and commitment to excellence in education. Position Summary: The EC/Pre-K Teacher Assistant plays an essential role in supporting the academic, social, and emotional growth of our youngest learners. Under the direction of a certified teacher, this position assists with classroom instruction, daily routines, and individualized student support within a nurturing, inclusive environment. Key Responsibilities: * Support the classroom teacher in implementing engaging lessons that meet student learning goals and developmental needs. * Work individually or in small groups with students to reinforce concepts, build independence, and encourage positive behavior. * Assist with classroom organization, preparation of materials, and supervision of daily routines such as arrival, meals, rest, and dismissal. * Collect data and provide input on student progress toward learning or IEP goals. * Support students with personal care needs, as outlined in their plans. * Help maintain a safe, caring, and inclusive learning environment for all students. * Collaborate with teachers, specialists, and colleagues to ensure students' needs are met through a team-based approach. * Communicate positively and respectfully with students, staff, and families. * Participate in professional learning and staff development opportunities. * Perform other duties as assigned to support the success of Chicod School's EC and Pre-K programs. Why Join the Chicod School Family? * Supportive leadership and a collaborative staff community. * Opportunities for professional growth and learning. * A welcoming school culture. * The chance to make a lasting impact in a school that feels like family.
    $39k-52k yearly est. 10d ago
  • Medical Coder

    Surry Rural Health Center

    Medical coder job in Mount Airy, NC

    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.
    $43k-62k yearly est. 18d ago
  • Medical Records Coder II-Inpatient

    Duke's Fuqua School of Business

    Medical coder job in North Carolina

    PRMO Established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke Primary Care. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Duke's reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance. *Now offering a $10,000 sign-on bonus that will pay out in 4 equal installments over 24 months - 6-month increments. Occ Summary- The Medical Records Coder II (Inpatient) is a certified Coder. Coordinate/review the work of subordinate employees and assist with the training and continuing education programs. Code medical records utilizing ICD-10-CM, ICD-10-PCS and/or CPT-4 coding conventions. Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges. Abstract information from medical records following established methods and procedures. Duties and Responsibilities of this Level 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, ICD-10-PCS and/or CPT coding conventions. Coordinate/review the work of designated employees. Ensure quality and quantity of work performed through regular audits. Assist with research, development and presentation of continuing education programs on areas of specialization. Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS and/or CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Consult with and educate 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. 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, ICD-10-PCS and/or CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures. Maintain a thorough understanding of medical record practices, standards, regulations, Joint Commission on Accreditation of Health Organizations (JCAHO), Health Care/Finance Administration (HCFA), Medical Review of North Carolina (MRNC), etc. Assist with special projects as required. Perform other related duties incidental to the work described herein. Required Qualifications at this Level Education: High school diploma required. Experience RHIA certification- no experience required RHIT certification- no experience required CCS certification- one year of coding experience required CPC or HCS-D certification- two years of coding experience required Degrees, Licensures, Certifications Must hold one of the following active/current certifications: Registered Health Information Administrator (RHIA) Hospital Coding RegisteredHealth Information Technician (RHIT) Hospital Coding Certified Coding Specialist (CCS) Hospital Coding Certified Professional Coder (CPC) Homecare Coding Specialist-Diagnosis (HCS-D) Homecare Coding Duke is an Affirmative Action/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, sexual orientation, or veteran 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 essentialjob 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.
    $49k-76k yearly est. 41d ago
  • Qualified Professional (QP), I/DD

    Covenant Case Management Services

    Medical coder job in North Carolina

    Job Description Job Title | Qualified Professional, IDD (hybrid) Join Us | Covenant Case Management Services Covenant Case Management Services is seeking an energetic and compassionate Qualified Professional with experience in intellectual and developmental disabilities (I/DD) to lead a team providing support to individuals in the Currie/Wilmington area. You will play a pivotal role in ensuring high-quality service delivery, fostering positive relationships, and advocating for the individuals we serve. What You Will Do | Responsibilities Team Leadership: Oversee and supervise direct care staff, ensuring their effectiveness and adherence to best practices. Staff Management: Manage staffing schedules, provide guidance, and ensure adequate staffing coverage. Service Coordination: Coordinate and provide quality services, ensuring they align with CCMS goals and individual needs. Relationship Building: Establish and maintain positive relationships with MCOs, collaborating agencies, and families. Assessment and Planning: Conduct person-centered assessments, develop functional and measurable goals, and create individualized support plans. Training and Development: Train staff on client-specific needs, ISPs, and related information. Administrative Tasks: Ensure timely submission of authorizations, complete progress reports, participate in audits, and review documentation. Advocacy: Advocate for individuals and their families to ensure they receive necessary services. Data Analysis: Review data and billing to ensure accuracy and compliance. Supervision and Training: Conduct monthly supervision meetings, provide training, and ensure compliance with policies and procedures. On-Call Services: Be available for on-call crisis services as scheduled. Quality Assurance: Implement performance improvement measures and ensure compliance with program standards. Compliance: Ensure staff and contractors adhere to company policies and procedures. Community Engagement: Represent CCMS in community activities and participate in interagency meetings. Consent: Obtain necessary consents from individuals and legally responsible persons. Staff Support: Assist with staff recruitment and training, and provide support during urgent situations. Additional duties and responsibilities as assigned What We Are Looking For | Qualifications Qualified Professional: Meet the North Carolina definition of a Qualified Professional (see qualifications below). Experience: Have at least two years of supervisory and management experience, as well as two years of experience working with individuals with I/DD. Skills: Demonstrate excellent communication, leadership, adaptability, and problem-solving skills. Resources: Have reliable access to internet and cell phone and reliable transportation Knowledge: Have a working knowledge of the behavioral sciences and allied disciplines related to I/DD. Physical Requirements: Be able to lift up to 50 pounds. What We Are Looking For | Education & Licenses Hold a license, provisional license, certificate, registration, or permit issued by a governing board regulating a human service profession, preferred. Have a graduate degree in a human service field with one year of experience. Have a bachelor's degree in a human service field with two years of experience. Have a bachelor's degree in any field with four years of experience. Location | Travel Hybrid Covenant Rewards for You | Benefits Generous Total Rewards Plan - including health insurance, 401k match, and career benefits Diverse and inclusive community focused on growth, compassionate care, and a supportive work environment Powered by JazzHR P6ERnUozoo
    $46k-69k yearly est. 19d ago
  • Medical Coding Auditor (CPC)

    McDermottplus

    Medical coder job in Wilmington, NC

    Farragut Square Group provides clients with research and policy advisory services on a range of healthcare topics, including Billing and Coding Claims reviews of physician office practices and in and out-patient facilities. As part of our ongoing commitment to be #AlwaysBetter for our people, clients, and communities, we have created a culture of belonging that champions your individuality and authenticity as both a person and a professional. From our competitive compensation, top benefits and award-winning professional development programs to industry-leading wellness initiatives, we support you through every stage of your life and career so you can live a life you love both in and outside of the office. With us, you'll find: A Firm where everyone belongs: Our award-winning culture prioritizes warmth and authenticity - we encourage you to be yourself! Enthusiasm for diverse perspectives: We're smarter and stronger when everyone has a voice and a seat at the table. We welcome unique viewpoints and ideas, and we make opportunities for you and your career to thrive. Support to feel your best and do your best: Wellness is integral to building a successful career and a rich life. That's why our benefits program supports your physical, emotional, mental and financial health, with an emphasis on work/life balance. Real rewards for real work: We offer generous compensation packages that recognize hard work and excellence. Job Description: About Farragut Square Group Farragut Square Group is a healthcare research and advisory firm serving private equity sponsors, institutional investors, and healthcare corporates. We help our clients move fast, scale smart, and stay compliant. Farragut Square is looking to expand by hiring a Medical Coding Auditor. This role is perfect for a CPC certified Auditor who thrives in a fast-paced yet thoughtful team environment. This position will report to the VP of Billing & Coding within the group. As a Medical Coding Auditor you will: Perform accurate and compliant auditing reviews of pertinent medical records and physician services to identify and report audit outcomes and need for coding education. Coding reviews include practice and ASC based services, ensuring compliance with ICD-10 CM, ICD-10 PCS, CPT, CDT, HCPCS coding and Modifier guidelines. Explain findings in a clear and concise manner to internal team members. Communicate in a way that demonstrates knowledge of regulations and requirements of CMS, payors, and Federal and state laws. Interact in a professional and courteous way with client practices to help them locate missing documents and provide necessary chart information. Qualifications: CPC designation is a must. The candidate must have audit experience, and have experience performing billing and coding reviews in the medical field CPMA and/or Inpatient Coding and Coding Instructor Credentials a plus but not required. 5+ years of current audit work within a physician practice or hospital system. Excellent communication and time management abilities, as this position is remote. Familiarity with medical and experience with outpatient medical coding guidelines and willingness to learn about the various sub-specialty coding guidelines in the outpatient setting. Examples of sub-specialties include: ophthalmology, urgent care, gastrointestinal, pain management and autism/ABA, as well as willingness to learn others specialties. Ability to use Microsoft Excel and Word. Demonstrated ability to perform in high productivity, fast-paced environment. When submitting for this position, please include an explanation of your relevant experience within the medical audit space. (250 words max) Successful candidates will be provided with outstanding career opportunities and will receive a competitive total rewards package with the opportunity to earn performance-based bonuses. Target Hiring Range $65,000 - $80,000 Please note that quoted salary ranges are not guarantees of what final salary offers may be. Base pay is based on market location and may vary depending on job-related knowledge, skills, experience, and geographic location. Base pay is only one part of the Total Rewards that MWE provides to compensate and recognize our staff professionals for their work. Full time positions are eligible for a discretionary bonus and a comprehensive benefits package. #LI - Hybrid #LI - JL1 #MedicalAudit #CPC #CPMA #AAPC As part of our ongoing commitment to be #AlwaysBetter for our people, clients and communities, we have created a culture of belonging that champions your individuality as both a person and a professional. From our competitive compensation, top benefits and award-winning professional development programs to industry-leading wellness initiatives, we support you through every stage of your life and career. With McDermott, you can live a life you love both in and outside of the office. Physical Demands and Work Environment: The physical demands and work environment characteristics 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. Physical Demands: While performing the duties of this job, the employee is required to sit, use hands, reach with hands and arms, stoop, talk and hear Employee must occasionally lift up to twenty (20) pounds Work Environment: Typical indoor office environment Disclaimer: The above statements are intended to describe the general nature and level of the work being performed by people within this classification. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of employees assigned to this job.
    $65k-80k yearly Auto-Apply 60d+ ago
  • Coder

    J Arthur Dosher Memorial Hospital

    Medical coder job in Southport, NC

    Job DescriptionDescription: Performs the coding of outpatient and/or inpatient and ancillary medical records as well as various Health Information Management duties. (not an exhaustive list): Review medical records classified as inpatient, observation, treatment room, Emergency Department and ancillary Assign appropriate diagnosis/procedure codes using the ICD-10 and CPT-4 classification systems. Assign codes using coding books or by using the 3M/code finder computer system Follow established coding guidelines when assigning diagnosis/procedure codes to records Request diagnosis/procedural information from physician when information is not available at the time of coding Utilize approved resources for coding purposes, i.e. CMS.gov website Requirements: Education: High School diploma or equivalent Knowledge of Medical Terminology, Anatomy and Physiology, CPT and/or ICD-10 PCS, and ICD10-CM coding systems RHIT, RHIA, or professional coding credential required Experience Two years coding experience preferred
    $43k-62k yearly est. 1d ago
  • Certified Medical Coder (CPC)

    Western North Carolina Community Health Services

    Medical coder job in Asheville, NC

    > Position: Certified Medical Coder (CPC) Location: Minnie Jones Health Center 257 Biltmore Avenue Asheville, NC Job Id: 770 # of Openings: 1 CERTIFIED MEDICAL CODER Medical, Dental and Behavioral Health Outpatient Billing Western NC Community Health Services (WNCCHS) is a Federally Qualified Health Center (FQHC). We are committed to caring for our patients with purpose and integrity and providing our team members with the support they need. Are you organized, detail-oriented, and good at time management, this could be a great position for you! We are seeking a Medical Coder to join our growing team. This position is based at our Minnie Jones Health Center, 257 Biltmore Avenue, Asheville, NC 28801. All Billing employees are eligible for a hybrid work arrangement after 90 days of successful performance. The hybrid arrangement is currently the same for all members of the Billing team: 4 days remote, 5 days on-site. All team members are on-site Tuesday. RESPONSIBILITIES- Includes but not limited to the following: * Daily contact with patients and /or insurance companies to research, resolve, and respond to billing or claim related inquires * Work on patient account balances in the practice management software as sliding scale fees are updated and develop payment plans as needed * Send delinquent patient accounts to collection agencies * Resolve incomplete/inaccurate Routing Slips/Billing Sheets problems prior to claim submission by obtaining information and correcting data * Verify and correct coding issues, providing coding support to providers/billing staff; sequence and assign modifiers, ICD 10-CM and CPT codes correctly on charges * Ensure billing denials and rejections are investigated, followed up on and resolved in a timely manner * Resolves coding and medical necessity claim denials, ensures provider collaboration with implementing corrective action plan and education * Conduct chart coding audits, providing guidance and educational opportunities to providers * Proactively helps provide action plans for improving coding compliance, reviewing and follow-up external audit results * Ensure that all entries in the practice management database are logical and internally consistent during daily journal close * Close accounting periods on a timely basis * Transmit all claims (secondary or manual) to the appropriate carrier on a timely basis. * Review electronic transmission reports for errors. * Correct all electronic transmission errors until a "clean" transmission is achieved. * Assist in the development and ongoing maintenance of processes and procedures revolving around system use, billing/coding rules, specific guidelines/manuals, and payer bulletins/websites * Review Explanation of Benefits (EOB) reports. * Enter payments timely from RAs/EOBs in the practice management database to maintain insurance AR and patient statement production current and accurate * Reconcile EOBs to information entered in the patient's account by balancing insurance claims from payers with receipts from patient payments provided by Patient Services staff (front desk) * Conduct clinical coding audits of provider charts to review appropriate code selection * As requested, maintain special electronic spreadsheets and compile reports for management. * Participate in quality management activities * Occasionally, other appropriate duties and responsibilities may be assigned by the supervisor. QUALIFICATIONS: Required: * Experience- One year full-time in a similar position required. * Knowledge- Medical billing procedures, coding, and payer guidelines. * Education- High school diploma or equivalent, Medical Coding, preferred. * Certification(s)/Licensure- AAPC Certified Professional Coder (CPC); or willing to train and test for certification within 1 year of employment. Preferred: * Interact in a friendly and professional manner with a wide range of staff, physicians and public. * Plan, prioritize and complete delegated tasks with attention to detail. * Ability to multitask and work well under pressure is essential. * Expert knowledge of medical office operations. * Proficient in the use of Microsoft Office programs to produce correspondence, documents, presentations, records, and spreadsheets. * Excellent verbal and written communication skills. * Familiarity with role of FQHCs in the community preferred. * Bilingual candidates (English/Spanish/Russian) preferred WORK/LIFE BENEFITS: * Competitive health plans for employees and dependents including medical, dental, vision, and telehealth * Eleven (11) Paid Holidays * Two (2) Floating Holidays * Accrued PTO (total of 156 hours in the 1st year) * No weekends or holiday work required * Employee Assistance Network * Free parking FINANCIAL WELL-BEING BENEFITS: * 403(b) Retirements Savings with Match * Employer-Paid Short /Long-Term Disability Insurance and Life Insurance * HRSA and Public Non-Profit Student Loan Forgiveness Program CAREER GROWTH: * Monthly staff meetings and trainings * Leadership Academy * EPIC EHR platform * Relias Learning Management System (LMS) Western North Carolina Community Health Services is an equal opportunity employer, and all qualified applicants will receive consideration for employment, services, programs, or activities without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law. Hourly range based on certification and experience $18.50 to $23.00
    $18.5-23 hourly 5d ago
  • Certified Peer Specialist

    RHD

    Medical coder job in Charlotte, NC

    Job DescriptionCertified Peer Specialist Job Details Job Type Full-time Charlotte, NCDescription Certified Peer Specialist (CPS) services consist of peer support services; advocacy for Persons in Recovery (PIRs); sharing of coping skills and providing recovery information for PIRs. The CPS performs a wide range of tasks to assist PIRs in regaining control over their own recovery process. This includes but is not limited to the development of natural supports, development of social interactions in the community and management of symptoms that challenge wellness in an individual. A commitment to the RHD values should be demonstrated as job duties are performed. Reports to: Program Director/Site Supervisor Essential Duties and Functions Direct Care Delivers peer support services such as education, advocacy, and to foster engagement in treatment process Provide recovery support education for persons enrolled, staff, and family members. This may include but is not limited to: Wellness Recovery Action Plans (WRAP) for enrollees, Self-help/mutual peer support groups, training and orientation of new enrollees, training and orientation for staff and Team members. Supporting person centered interventions as identified in service plans for everyone served As appropriate, may facilitate group therapy sessions such as: WRAP Recovery Support Groups Community Meetings Symptom and Coping Skills Assist individuals with independent living preparation. Administrative Complete required documentation of services in a timely manner according to agency policy. Other Maintain one's own physical, mental, and emotional well-being so that the CPS can function appropriately in the job and can model healthy functioning to those we serve. Performs other tasks as assigned by leadership team, to support individuals' recovery. Requirements Certified Peer Specialist Certification HS Diploma/GED At least 2 years working with others in Mental Health Recovery Maintain 18 credit hours of additional training each year. Physical requirements Lifting Requirements Medium: exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds constantly to move objects. Physical requirements Stand or Sit (stationary position) Walk Use hands or fingers to handle or feel (operate, activate, prepare, inspect, position) Climb (stairs/ladders) Talk/Hear (communicate, converse, convey, express/exchange information) See (detect, identify, recognize, inspect, assess) Pushing or Pulling Repetitive Motion Reaching (high or low) Kneel, Stoop, Crouch or Crawl (position self, move) About Company:Apis Services, Inc. (a wholly owned subsidiary of Inperium, Inc.) provides a progressive platform for delivering Shared Services to Inperium and its Constellation of affiliate companies. Allowing these entities to advance their mission and vision. By exploring geographical program expansion and focusing on quality outcome measures to create cost savings that result in reinvestment into the organizations stakeholders through capacity creation and employee compensation betterment. Apis Services, Inc. and affiliate's provide equal employment opportunities for all employees and applicants for employment in compliance with all federal and all applicable state and local laws and regulations, including nondiscrimination in hiring and employment. All employment decisions are made without regard to race, color, religion, gender, national origin, ancestry, age, sexual orientation, gender identity and expression, disability, genetic information, marital status, pregnancy/childbirth, veteran status or any other basis protected by law. This policy of non-discrimination and equal employment opportunities extends to every phase and aspect of hiring and employment.
    $46k-68k yearly est. 25d ago
  • Medical Record Clerk

    Us Tech Solutions 4.4company rating

    Medical coder job in Durham, NC

    USTECH is a global firm providing a wide-range of talent on-demand and total workforce solutions. Through the USTECH Talent Network of 100% company-owned and managed offices, we provide highly-skilled professionals whose education, skills and experience are vetted and matched to your unique hiring needs, work environment and company requirements. Our 24x7 global service delivery drives time and cost out of any recruiting and staffing process (15-30% cost reduction in most cases) across all of our services and solutions, providing you with the talent you need on-demand when, where and how you need it. Job Description Job Title : Medical Record Clerk JOB ID- : (14809) Location : Durham, NC 27713 Duration : (at first 1+ month contract) Qualifications: Candidate will need to have experience indexing medical records and scanning. This is a special short term project. Must be able to stand long periods of time and able to lift up to 50 lbs. Thanks , Asma. Additional Information All your information will be kept confidential according to EEO guidelines.
    $29k-36k yearly est. 21h ago
  • Medical Records and Referrals Coordinator

    Piedmont Health Services 4.3company rating

    Medical coder job in Burlington, NC

    Job Description What is PACE? At Piedmont Health Senior Care, we are dedicated to enhancing the lives of seniors in our community through our Program of All-inclusive Care for the Elderly (PACE). We help seniors maintain their independence and continue living at home for as long as possible. We achieve this by offering comprehensive, personalized healthcare and related services, all tailored to the unique needs and aspirations of each senior we serve. Our approach is unlike any other healthcare plan! PACE emphasizes a participant-centered strategy, focusing on providing the right care and services that best support each participant's unique needs and goals. We integrate and coordinate all aspects of care, leveraging a team of dedicated doctors, nurses, therapists, dieticians, and other specialized professionals who work together as a care team to manage and address the complete health needs of each. Job Title - Medical Records and Referral Coordinator Department - PACE Reports to - Site Director Benefits - Medical, Dental, Vision, Life Insurance (Short & Long Term Disability) 403(b) Plan Paid Holidays CME (Continuing Medical Education) About Position: The Medical Records and Referral Coordinator is responsible for maintaining an accurate and complete medical record per PHSC policy and procedure and for coordination of authorized participant appointments per PHSC policy and procedure. Work Location: 1214 Vaughn Road Burlington, NC 27217 & 163 Chatham Business Dr, Pittsboro, NC 27312 Schedule: Monday through Friday, 8:00am - 5:00pm This position will work 3 days per week at PACE Burlington on Monday/Wednesday/Friday and at PACE Pittsboro on Tuesday/Thursday. Duties/ Responsibilities - Complete referral documents in the electronic medical record. Schedule appointments for referrals, contact families and participants with referral times to include mailing an appointment reminder card as well as a courtesy reminder call prior to the scheduled appointment; coordinate referral times with the participant's family first - if family is unavailable, arrange via PHSC Transportation Manager. Match consultation documents with referral orders and close referrals out via the appointment database. Work closely with Medical Records Coordinator to ensure consultation documents are processed efficiently and relevant goals are being met. Schedule and coordinate outside appointments for participants based on days of attendance/time/availability of transportation services to include the coordination with clinical staff when an aide/family escort is needed. Work with the Medical Providers to reschedule appointments as needed per our PHSC appointment guideline as well as based on transportation services availability. Document appointments within Centricity and appointment database. Notify Nurse Care Manager of any scheduled procedures and give forms to be filled out; need to go over with participant prior to the scheduled appointment. Make weekly schedule for authorized appointments and distribute. Complete appointment paperwork (chart note/rationale for visit/etc.) Consistently follows authorization and referral policies and procedures to include maximum number of appointments that can be approved and arranged per day. Audit medical records for being up-to-date and complete. Ensure referrals are completed according to determined goals, and referrals reports for open, held, and closed appointments are reviewed on at least a weekly basis with supervisor, providers, and Site Director. Provides administrative support to the PACE Center as needed. Ensures that Piedmont Health SeniorCare maintains an accurate and complete medical record as well as ensures the safety of participant confidential information, security of the facility and all data according to Federal and State Regulations. Contacts outside offices for medical records, notes, images, follow-up and cancellations. Ensures medical notes from specialty appointments, hospitalizations, etc are received and uploaded to the chart on a timely basis (no later than a week after appointment. Close out the medical record of deceased and/or disenrolled participants. Establishes and maintains medical records for each participant, including: requesting, scanning, uploading records, notes, images, follow-up and cancellations from external sources to include, labeling information once scanned into computer system as well as closes out referrals. Achieves quality goals for medical records of a complete and accurate current medical record for every participant. Abides by all established SeniorCare policies, rules and regulations, including patient, staff and SeniorCare information. Perform all other duties as assigned. Qualifications - Education: Associates Degree in relevant field required or 2-3 years of relevant experience, education, or certification. Required: Must be able to work effectively in a team environment. Strong oral and written communication skills. Must meet a standardized set of competencies established by Piedmont Health SeniorCare and approved by CMS before working independently. Preferred: One year of work experience with the frail or elderly preferred. Immunizations: Be medically cleared for communicable diseases and have all immunizations up-to-date prior to beginning employment. Pay Range : $17.66/Hourly - $23.74/Hourly EEO Statement Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Powered by ExactHire:185986
    $17.7-23.7 hourly 20d ago
  • Health Information Management Clerk

    Kintegra Health

    Medical coder job in Gastonia, NC

    We are looking for a Health Information Management Clerk to join our family. Under the direct supervision of the Health Information Management Manager, this position is responsible for timely and accurate administrative support functions including medical records management, scanning, PHI request, and messaging to both clinical and non-clinical staff. Benefits: • Health Insurance • Dental Benefits • 403B Retirement Plan • 403B Retirement Matching • Paid Time Off • Holiday Pay • Long Term Disability • Life Insurance • Optional Benefits • Employee Assistance Program • Flexible Spending Accounts Health Information Management Clerk Qualifications Minimum: The following minimum qualifications are the minimum and necessary to perform this job adequately. However, any equivalent combination of experience, education, and training that provides the necessary knowledge, skills, and abilities would be acceptable, subject to any legal and/or regulatory requirements: Must be able to sit, stand and walk for long periods Ability to read and understand the English language Ability to effectively maintain confidentiality of records and communicate with all levels of personnel Experience: One year of clerical experience in a medical office setting required. Previous experience working in Medical Records with basic to advanced working knowledge of Privacy laws, HIPAA laws, and Release of Information laws. Education: High School Diploma or GED certificate required Certification(s): None Language: Bilingual is preferred Additional required skills: Knowledge of medical office operations. Requires excellent verbal communication skills. Must be able to work with changing priorities. Requires excellent organizational, problem solving and critical thinking skills. Must be able to interact with individuals of all cultures and levels of authority. Requires the ability to maintain confidentiality. Must be able to function as part of a team. Must possess initiative. Basic medical terminology required, knowledge can be obtained through formal classes or work experience. Proficient in use of all computer software utilized in practice, coding experience a plus. Health Information Management Clerk Key Responsibilities 1. Must be able to interact with individuals of all cultures and levels of authority through telephonic and in-person encounters. 2. Must be able to explain policy and procedures to external organizations, patients, and staff 3. Must be able to understand and maintain patient confidentiality 4. Perform a variety of complex and routine administrative duties, which include, but not limited to, data entry, accounting for medical information disclosures, filing, copying and distributing information. 5. In-Depth knowledge of the laws and regulations related to the authorization and disclosure of health information and ability to apply said laws and regulations related to the disclosure of health information such as Privacy Act, Freedom of Information Act (FOIA), Health Insurance Portability and Accountability Act (HIPAA) 6. Ability to manage priorities and coordinate work in order to complete duties in an accurate and timely fashion 7. Ability to follow-up on pending issues in order to meet required response times 8. Ability to research and solve difficult questions related to release of health information in an accurate and timely manner 8. Utilize EMR System: 9. Update patient records 10. Scan documents into patient charts in a timely manner 11. Query patient information 12. Extract Medical records for PHI request 13. Patient Message provider/staff 14. Perform other duties as assigned Kintegra Health Core Requirements 1. Patient First - An approach to care that holds primary, the well-being and desires of the patient 2. Build not Blame - Focusing first on finding fault with the process rather than the person 3. Integrity and Honesty - Fostering an acceptance of openness, honesty, and fairness in words, deeds and the use of organizational resources judiciously for both internal and external customers 4. Cooperation and Flexibility - Related to an internal believe that we function as part of an interdependent team with only shared gains or losses thereby committed to assisting whenever possible beyond the prerequisite job description 5. Culturally Sensitive - Always working toward increasing one's ability to understand, communicate with, effectively interact and care for people across cultures, while having an acute awareness of one's own culture. We are an equal opportunity employer and value diversity.
    $27k-36k yearly est. 8d ago

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Top 10 Medical Coder companies in NC

  1. BayCare Health System

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  3. Humana

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  6. Atrium Health Floyd

  7. The Moses H Cone Memorial Hospital

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