- CenterWell (Raleigh, NC)
- …respond to inquiries and issues. + May participate in coder education programs on coding compliance . + Follows state and federal regulations as well as internal ... in Payer calls/chart reviews. + May participate in provider education programs on coding compliance . + Exercises independent judgment and decision making on… more
- CenterWell (Raleigh, NC)
- …and help us put health first** The Consultative Coder provides medical coding expertise to support clinical staff (Physicians and Advanced Practice Providers) to ... the documentation within medical records supports diagnostic and procedural coding . **Relationship/Concierge Services:** + Cultivate relationships with clinicians (Physicians… more
- Humana (Beaufort, NC)
- …with other market provider facing role + Utilize data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and ... part of our caring community and help us put health first** The Coding Educator 2 identifies opportunities to improve provider documentation and creates an education… more
- CenterWell (Raleigh, NC)
- …our caring community and help us put health first** The Supervisor, Medical Coding extracts clinical information from a variety of medical records and assigns ... codes (eg, ICD-10-CM, CPT) to patient records. The Supervisor, Medical Coding works within thorough, prescribed guidelines and procedures; uses independent judgment… more
- Humana (Raleigh, NC)
- …a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that ... May apply intermediate mathematical skills. **Where you Come In** The Medical Coding Coordinator extracts clinical information from a variety of medical records and… more
- Humana (Raleigh, NC)
- …audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support ... and interprets medical documentation to ensure capture of all relevant coding . Identifies members with high-risk CMS Hierarchical Condition Categories (HCC) and… more
- Lumen (Raleigh, NC)
- …ensuring alignment with business goals and regulatory requirements. **Location** This is a remote position open to candidates based anywhere in the US **The Main ... initiatives. + Collaborate with cross-functional teams including DevOps, IT, and Compliance to embed security into enterprise architecture. Application Security +… more
- Humana (Raleigh, NC)
- …through collaboration with diverse stakeholders across the enterprise, including legal, compliance , education, and IT. In this role, you will contribute to ... the enterprise, including model risk assessments, fairness evaluations, and compliance with ethical and regulatory standards. Champion transparency, accountability,… more
- Humana (Raleigh, NC)
- …impact** **Required Qualifications:** + At least 8 years of experience in coding and development on cloud-based platforms + Demonstrated experience with IVR systems ... in creating MCP Servers **Additional Information** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service… more
- Manulife (Charlotte, NC)
- …technical insights with internal teams and peer groups. + Ensure compliance with internal policies, fiduciary obligations, and environmental stewardship standards. + ... expertise in geospatial analysis using tools such as ArcGIS, QGIS, and remote sensing platforms. Ability to develop and interpret spatial models for carbon… more