Medical Coding jobs in Raleigh, NC

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Code Edit Disputes Medical Coder

Humana
Raleigh 27608

Become a part of our caring community and help us put health firstCode Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply...

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5 hours ago

Remote Utility Management Nurses (Insurance Coding & Revenue Management) - AI Trainer ($45-$75 per hour)

Mercor
Raleigh

Role OverviewWe’re seeking experienced Utility Management Nurses to support a client’s healthcare product development by leveraging expertise in insurance coding and hospital revenue management workflows. This role involves collaborating with hospital systems to align medical documentation with insurance policies, ensuring accurate coding and optimal reimbursement outcomes. ### Key...

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9 hours ago
Hybrid

Revenue Integrity Coding Billing Specialist (remote)

Guidehouse
Raleigh 27608

Job Family :General CodingTravel Required :NoneClearance Required :NoneThis position is fully remoteWhat You Will Do :+ Under the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialistprovides revenue cycle support services through efficient review and timely resolution of assigned Medicare and third party payer accounts that are subject to pre-bill claim...

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a day ago
Remote

Outpatient Coding Consultant PRN

Datavant
Raleigh 27601

Overview Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted...

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23 hours ago
No Experience

Coder II - OP Physician Coding (Ortho Surgery)

Baylor Scott & White Health
Raleigh 27601

Specialty Scope for this Coder II Position to Include but Not Limited To:Upper Extremity:Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repairElbows: Cubital tunnel release, Bursectomy, ArthroplastyWrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair,...

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23 hours ago

Senior Coding Associate - Customer Insights

athenahealth
Raleigh 27601

Senior Coding Associate - Customer Insightsathenahealth. Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.Base pay range$66,000.00/yr - $112,000.00/yrJob ResponsibilitiesAnalyze provider documentation and audits to identify areas of opportunity for our customers to improve their documentation and system usageAnalyze...

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a day ago

Hospital Concurrent Coding Analyst

Intermountain Health
Raleigh 27601

Job DescriptionThis position uses extensive knowledge and expertise to work alongside and collaborates with Clinical Documentation Integrity (CDI) Registered Nurses (RN) and Intermountain Physician Advisors to review complex facility encounters and assign International Classification of Diseases ICD-10 and Diagnosis Related Groups (DRG) codes for claims concurrently while a patient is in a...

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2 days ago
Remote

Medical Billing and Coding Tutor (Remote)

Upswing
Durham 27702

Company Description Upswing is an online student success service that provides students of our partner colleges 24/7 access to a marketplace of tutors, mentors, and advisors. We are dedicated in our mission to provide students the resources we believe they need to help them attain the degree or certificate they deserve. Job Description We are looking for professional medical billing and coding...

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4 hours ago

Medical Scribe

CVS Health
Raleigh 27601

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose...

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a day ago
Hybrid

Associate Director, Congress & Medical Education Strategy & Execution - Rare Disease

Otsuka America Pharmaceutical Inc.
Raleigh 27601

The Associate Director, Congress and Medical Education Strategy & Execution is responsible for executing and contributing to the global medical strategy and tactical implementation for congresses and medical education, and supporting Otsuka’s non-promotional scientific communication initiatives across the diverse Rare Disease portfolio. This role leads scientific engagement through impactful...

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a day ago

ROI Medical Records Specialist - Remote (Night Shift)

Sharecare
Raleigh 27601

Job Description: Sharecare is the leading digital health company that helps people -- no matter where they are in their health journey -- unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide...

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a day ago

RN Coordinator Medical Office Nursing - Pediatrics at North Hills

UNC Health Care
Raleigh 27601

Description This position will be based out of our Knightdale office, however for this role the ideal candidate must be able to travel to all 3 of our practices based on office needs. This role also requires the ability to work on a rotation basis at our North Hills office on weekends. *This position is eligible for a commitment incentive ($10,000 paid over a three (3) year commitment; $2,500...

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2 days ago

Transfusion Services Technologist OR Medical Technologist OR MLS Needed

National Coalition of Healthcare Recruiters
Raleigh 27601

(Only QUALIFIED Healthcare Professionals accepted) Medical Technologist - Blood Bank - New Transfusion Services Technologist Opening at an award winning hospital in North Carolina. This hospital is known for its outstanding care and groundbreaking research. This facility is ranked nationally in multiple adult and pediatric specialties. In addition, this hospital is known for its commitment to...

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5 days ago

Medical Director

Highmark
Raleigh 27608

Company :Highmark Inc.Job Description :JOB SUMMARYThis job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of...

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a day ago

Remote Utility Management Nurses (Insurance Coding & Revenue Management) - AI Trainer ($45-$75 per hour)

Mercor
Cary

Role OverviewWe’re seeking experienced Utility Management Nurses to support a client’s healthcare product development by leveraging expertise in insurance coding and hospital revenue management workflows. This role involves collaborating with hospital systems to align medical documentation with insurance policies, ensuring accurate coding and optimal reimbursement outcomes. ### Key...

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9 hours ago
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Remote Senior Medical Coding & Reimbursement Strategist

Humana
Raleigh 27601

A health insurance company seeks a Senior Provider Reimbursement Professional to analyze reimbursement policies and ensure compliance with regulations. The role requires a coding certification and extensive knowledge of medical claims processing. Candidates must exhibit strong attention to detail and the ability to work independently and collaboratively. This position offers a salary range of...

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6 days ago

Coding Team Lead, HCC Risk Adjustment Coding - Full Time - Remote

Datavant
Raleigh 27601

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the...

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23 hours ago

ROI Medical Records Specialist - Remote (Day Shift, Evening Shift)

Sharecare
Raleigh 27601

Job Description: Sharecare is the leading digital health company that helps people -- no matter where they are in their health journey -- unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide...

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a day ago
Remote

Remote Outpatient Coding Audit Specialist

Datavant
Raleigh 27601

A leading health data platform company is seeking an Outpatient Auditing Specialist to perform coding audits and provide educational support. The role requires over 5 years of outpatient coding experience along with certifications like CCS, RHIA or RHIT. This fully remote position offers flexible scheduling and comprehensive benefits including medical, dental, and paid time off. Join a committed...

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6 days ago
Remote

Profee Coding Consultant (General Surgery) - Full Time - Remote

Datavant
Raleigh 27601

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format.Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the...

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23 hours ago
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