- Elevance Health (Durham, NC)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates working in person or virtually in the… more
- Datavant (Raleigh, NC)
- …professional, educational and life experiences to realize our bold vision for healthcare. CPC Processor I Customer Support to ensure the accurate and timely handling ... of release of information account issues with internal and external customers while maintaining a high level of professionalism. **You will:** + Answer and conduct business on the telephone while maintaining excellent Customer Service. This includes: 100% +… more
- Datavant (Raleigh, NC)
- …skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $15-$18.32 USD To ensure the safety of patients and ... staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and… more
- CVS Health (Raleigh, NC)
- …heart, each and every day. **Position Summary** The Certified Professional Coder ( CPC ) will perform medical claim reviews to ensure compliance with coding practices ... record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate… more
- Datavant (Raleigh, NC)
- …surgery expertise (colon resections, hepatobiliary, gastric bypass, fundoplication, etc.) and CPC credentials are strongly encouraged to apply **What You Will Do:** ... + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or CRC). + Strong written and verbal communication skills,… more
- Baylor Scott & White Health (Raleigh, NC)
- …(CCS) + Certified Coding Specialist Physician-based (CCS-P) + Certified Professional Coder ( CPC ) + Certified Outpatient Coder (COC) + Certified Inpatient Coder (CIC) ... Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder ( CPC ) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT).… more
- Datavant (Raleigh, NC)
- …bring to the table:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC, or CRC). + A minimum of 2 years HCC ... coding experience, while certified. + Full understanding and knowledge of ICD-10, medical terminology, medical abbreviations, pharmacology and disease processes. + Ability to be flexible in the work environment. + Ability to work in a fast paced production… more
- Datavant (Raleigh, NC)
- …Need to Succeed:** + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or CRC). + 2+ years of coding experience ... in a hospital and/or coding consulting role. + Proficiency with most or all of these coding specialties (Same Day Surgery, Observation, Injections/Infusions) + Proficiency with most or all of these coding specialties (Ancillary, Emergency Department,… more
- Datavant (Raleigh, NC)
- …or GED equivalent + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials ( CPC , CPC -H, COC, CIC or CRC). + Proficient in ICD-10 coding. + ... Experienced in HCC coding across Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability to excel in a fast-paced production environment while upholding high-quality… more
- Datavant (Raleigh, NC)
- …bring to the table:** + AHIMA certified credentials (CCS, CCS-P) or AAPC certified credentials ( CPC , CPC -H, COC, CIC, CRC) + Extensive knowledge of ICD -10 + 2 ... years' HCC coding experience + 1+ years' Team Lead experience a plus + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease processes + Ability to work in a fast-paced production environment while maintaining high… more
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