Coding Specialist Since 1971, Wilmington Health has been committed to providing TRUE Care to our community in Wilmington and Southeastern North Carolina. Physician-owned primary care and multi-specialty medical practice, Wilmington Health provides a comprehensive, coordinated, and collaborative
Coding Specialist Since 1971, Wilmington Health has been committed to providing true care to our community in Wilmington and Southeastern North Carolina. Physician-owned primary care and multi-specialty medical practice, Wilmington Health provides a comprehensive, coordinated, and collaborative
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Become a part of our caring community The Risk Adjustment Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other
Job DescriptionAs a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial and analytical services for our organization. Responsibilities include leading pricing strategies and actuarial initiatives for
Job Description: The RNCM manages a panel of rising and high intensity members to support integrated chronic disease and behavioral health care for the members. The RNCM collaborates with members to create a care plan and
Advanced Imaging Authorization Specialist – Full-Time Position – Raleigh Location-Hybrid Schedule We’re seeking an experienced and detail-oriented Advanced Imaging Authorization Specialist to join our team. This key role ensures timely insurance authorization and coordination of MRI
Sr. Payer Policy Analyst At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. Youll be inspired to discover more, develop new skills and pursue
Patient Revenue Management Organization At Duke Health, were 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
Billing Specialist POSITION SUMMARY : The Billing Specialist III is responsible for obtaining, reconciling and uploading daily bank deposits. This employee will also maintain assigned payer accounts receivables, including but not limited to working missing ERA
Facility Revenue Manager, Ambulatory Surgery Centers - Remote, M-F Reporting to the PRMO Senior Revenue Manager, the revenue manager coordinates activities performed by the staff responsible for charge capture, coding, charge entry, insurance follow-up, reimbursement analysis, or
RN Care Manager The RNCM manages a panel of rising and high intensity members to support integrated chronic disease and behavioral health care for the members. The RNCM collaborates with members to create a care plan
RN Care Manager This role is up to 85% remote, with occasional in-person field visits to members as needed. This structure is subject to change based on business and operational requirements. The RN Care Manager (RNCM)
Clinical Documentation Integrity Specialist At Duke Health, were 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
Clinical Document Integrity Specialist - Part Time - Remote Work Arrangement: Remote Location: Mooresville, NC, US, 28117 At Duke Health, were driven by a commitment to compassionate care that changes the lives of patients, their loved
Essential Duties and Responsibilities: - Audit medical records to ensure compliance with the Medicare Advantage Risk Adjustment standards including abstraction and assignment of appropriate codes based on clinical data. - Enter coded data into a system