- Parexel (Raleigh, NC)
- …matters with particular attention to those relating to patient safety + Review coding of adverse events, medical history and concomitant medications for accuracy ... team as a **Senior Physician** where you'll leverage your medical expertise to ensure the safety of patients in...and discussing issues related to review process with Line Manager / Project Leader/Designee + Interacting with internal and external… more
- Oracle (Raleigh, NC)
- …degrees or partial medical training a plus. + Familiarity of Healthcare coding systems (SnomedCT, ICD 9/10/11) and Health care compliance standards (eg HIPAA). + ... documentation role ( medical scribe, clinical documentation specialist, lead/trainer, medical office manager /lead, etc ) Disclaimer: **Certain US customer… more
- CVS Health (Raleigh, NC)
- …each and every day. **Position Summary** Under supervision of the Billing Manager , the Senior Billing Administrator is responsible for the processing and ... to an accurate and timely resolution. + Support Billing Manager by being first point of escalation and support...monthly billing variances + Load new rates and specific coding relevant to the group plan and products sold.… more
- Sedgwick (Charlotte, NC)
- …from some of the world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey. + Career development and promotional ... Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only claims. + Adjusting low and mid-level liability and/or physical… more
- CenterWell (Greenville, NC)
- …normality, fax a copy of lab to doctor, make a copy for the Case Manager , and route to Medical Records Department. Initiate Employee / Patient Infection Reports ... + Prior packet review / QI experience preferred. + Coding certification is preferred. + Must possess a valid...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Oracle (Raleigh, NC)
- …lead, coordinating effort of two or three engineers. Advises project/program manager and coordinates with immediate and skip-level leadership. Collaborates across ... and automation systems. Collaborates with vendor engineering and account manager to address current business or operational issues. Participates...Testing and Qualification background also a plus + Python coding and scripting is a also a big plus… more
- CenterWell (Gastonia, NC)
- …doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...manner working with a quality- based coder to optimize coding specificity. . Follows policy and protocol defined by… more
- CenterWell (Charlotte, NC)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...manner working with a quality- based coder to optimize coding specificity. + Follows policy and protocol defined by… more
- Vatica Health (Charlotte, NC)
- …providers and medical office personnel such as Practice and Billing Manager , both verbally and written + Understanding of health insurance benefit structure; ... patient data to improve care coordination, quality metrics, and medical cost savings. The ideal candidate has a track...ED) + Proficiency with Diagnosis, Billing, and Quality Measures Coding a plus + Excellent interpersonal skills that include… more
- Elevance Health (Winston Salem, NC)
- …by verifying various aspects of the claim including eligibility, pre-authorization, and medical necessity. + Contacts others to obtain any necessary information. + ... identifies quality improvement opportunities and initiates basic requests related to coding or system issues, where applicable. + Refers overpayment opportunities to… more
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