Top 20 Coding supervisor Jobs in North Carolina

Denials Specialist
ECU Health —Greenville, NC
- $24.69 - $35.99 an hour
- Day shift
- Remote
- Customer service
- 5 years
- Computer literacy
3d
Clinical Coding Specialist III- Full Time Days
Cape Fear Valley Health System —Fayetteville, NC
- Full-time
- Anatomy knowledge
- Hospital
- Inpatient
4d
BILLING DIRECTOR
Opportunities Industrialization Center, Incorporated —Rocky Mount, NC
- $85,000 - $110,000 a year
- Email
- HIPAA
- Office
- Finance
- Paid holidays
- Health insurance
Quick Apply
Billing Director
Opportunities Industrialization Centers —Rocky Mount, NC
- $85,000 - $110,000 a year
- Email
- HIPAA
- Office
- Finance
- Paid holidays
- Health insurance
Quick Apply
RCM Supervisor, Billing
ALLERGY PARTNERS —Asheville, NC
- Remote
- Computer literacy
- Mid-level
- High school diploma or GED
Quick Apply
20h
Billing Director
Opportunities Industrialization Center (OIC, Inc.) —Rocky Mount, NC
- $85,000 - $110,000 a year
- Email
- HIPAA
- Office
- Finance
- Health savings account
- Paid holidays
Quick Apply
Coding Specialist II - Physician Group (Surgery Team)
ECU Health —Greenville, NC
- $23.52 - $34.28 an hour
- Day shift
- Remote
- Surgery
- Mid-level
- High school diploma or GED
Revenue Cycle Liaison
Compassion Health Care —Yanceyville, NC
- From $49,200 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Computer literacy
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
12d
Full-Time Reimbursement Supervisor-Patient Accounting
Ashe Memorial Hospital —Jefferson, NC
- Full-time
- OSHA
- Hospital
- Pass drug screening
5d
Medical Billing/Coding Specialist
Guilford Medical Associates —Greensboro, NC
- $18 - $21 an hour
- Full-time
- Medical office experience
- High school diploma or GED
- Organizational skills
- Health insurance
- Dental insurance
Quick Apply
11d
RCM AR Specialist
ALLERGY PARTNERS —Asheville, NC
- Evenings as needed
- Remote
- Mid-level
- Office
- High school diploma or GED
Quick Apply
6d
Billing Specialist II
HORIZON EYE CARE —Charlotte, NC
- Full-time
- Remote
- Medical office experience
- Research
- Mid-level
- Work from home
Quick Apply
Coding Auditor - 3147 S 17th St - Full Time
Wilmington Health PLLC —Wilmington, NC
- Full-time
- Writing skills
- HIPAA
- Mid-level
Supervisor, Accounts Receivable - CSA QA and Ambulatory Support - Hybrid
Duke Health —Durham, NC
- Full-time
- Hybrid work
- Mid-level
- Analysis skills
- Associate's degree
Patient Account Associate- Duke Homecare and Hospice
Duke Health —Durham, NC
- Full-time
- Computer literacy
- Medical office experience
- HIPAA
6d
Insurance Follow-up Representative
REACH Fertility PLLC —Charlotte, NC
- Weekends as needed
- Microsoft Word
- Microsoft Excel
- Research
- Paid parental leave
- Paid holidays
Quick Apply
Medical Billing Specialist
First Choice Community Health Centers —Lillington, NC
- Full-time
- Research
- Mid-level
- Office
- 403(b) matching
- Paid holidays
Quick Apply
Billing Specialist III (First 6 Months Onsite)
HORIZON EYE CARE —Charlotte, NC
- Full-time
- Medical office experience
- Research
- Mid-level
- Work from home
Quick Apply
6d
Onsite Revenue Cycle Management (RCM) Specialist
Hendersonville Pediatrics Pa —Brevard, NC
- Full-time
- HIPAA
- Mid-level
- Finance
- Disability insurance
- Health insurance
Quick Apply

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Denials Specialist

ECU Health -
Greenville, NC

Apply Now

Job Details

$24.69 - $35.99 an hour
3 days ago

Qualifications

Appeals
Computer operation
Computer literacy
Overseeing healthcare denial management
Writing skills
CMS
Contract interpretation
Research
Payment reconciliation for medical billing
High school diploma or GED
CMS regulatory compliance
Retrospective medical coding audits
Financial records review
Medical insurance appeals management
Data interpretation
Data verification
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medical explanation of benefits reviews
Computer skills
Insurance claims appeal handling
Documentation reviews

Full Job Description

Position Summary
The Denials Specialist will be responsible for researching, analyzing, resolving and trending rejections and/or denials specific to the revenue cycle. This includes, but is not limited to, analyzing specific denial categories and codes, researching the underlying reason for the denial, rectifying the issue in the patient management system and ensuring that the claim is adjudicated.The Denials Specialist should be able to identify potential process improvement opportunities and offer recommendations for correcting these issues. The Denials Specialist will be responsible for understanding how all of the various components of the revenue cycle can potentially cause a denial and possible solutions that may result from the interaction of these components. The Denials Specialist will have to be a problem solver and possess the ability to use the resources available to rectify a denial. The Denials Specialist should be able to analyze Managed Care contracts and reconcile payments received. Contact insurance companies to have adjustments processed and/or file appeals if payments are not in accordance with the contract. The Denials Specialist will have direct interaction with all Managers and/or Department Heads regarding administrative issues related to rejections and/or denials.
Responsibilities

Essential Functions of Role:

Focus on working complex denials across multiple payers and/or regions.
Conduct account history research as required, including navigating patient encounters and charts, researching charge and payment histories, determining historic account and claim status changes, and researching the payer remittance advice.
Conduct follow up research on claims to review contract discrepancy and account balances. This may include attaching documentation, amending coverage/patient/encounter/provider/facility data, gathering additional information requests, and resubmitting corrected claims to ensure accurate and timely claim adjudication.
Defend and appeal denied claims, including researching underlying root cause, collecting required information or documents, adjusting the account as necessary, resubmitting claims, and all appropriate follow up activities thereafter to ensure adjudication of the claim.
Must also be comfortable communicating denial root cause and resolution to leadership as needed.
Responsible for aggregating the data that is required and then sending complete appeal packets for every level of appeal either by mail, fax or secured email.
Identify system loading discrepancies within the contract management system and refer to the Supervisor and/or Contract Associate Director for correction.
Adhere to Compliance Plan and to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies.
Actively participate in outstanding customer service and accept responsibility in maintaining relationships that are equally respectful to all.
Review and resolve accounts assigned via work lists daily as directed by management.
Tracking and trending of rejection/denial issues.
Recommendation of alternative contracting rates/terms with the goal to improve net revenue and/or ease the administrative burden associated with the contract terms.
Meeting with payers to review methodology and assist in the determination of counter-proposals or settlement resolution.
Supporting the Manager and Director as needed.

Minimum Requirements

High school diploma, equivalent or higher
5 or more years of experience in billing, A/R follow up, denials management& appeal writing

Skill Set Requirement:

Proficient in payment review systems, hospital information systems and coding methodologies.
Strong quantitative, analytical and organizational skills.
Advanced understanding of an Explanation of Benefits (EOB).
Intermediate knowledge of CPT, ICD-10, and HCPCS coding standards.
Understand CMS Memos and Transmittals.
Understand medical records, professional claims, and the Charge master.
Utilize and understand computer technology.
Understand all ancillary charges and multi-specialty departmental functions.
Communicate orally and in written form.
Understand insurance terms and payment methodologies.
Work with physicians, administrative staff, and department managers effectively.
Identify accurate Revenue code(s), CPT codes, and HCPCS codes for services/items.
Identify clerical error, mistakes in interpretation, imprecise records, and inaccurate service code assignment.
Perform reviews for appropriateness of coding and charging, including business office activities, systems function, and charging methodologies.

Additional Skill Set Requirement:

Strong Understanding of the inter-relationships of the Revenue Cycle Departments.
Strong Understanding of Patient Financial Information System and Billing System.

Pay Range
$24.69 - $35.99/hr
Other Information

Remote role (based out of Greenville, NC)
Monday - Friday day shift:
8:00 a.m. - 5:00 p.m. ET
Great Benefits

#LI-REMOTE

#LI-AH2
ECU Health
About ECU Health

ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.

The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children¿s Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.
General Statement
It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant¿s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

Apply Now

Refine Your Search

coding supervisor jobs in north carolina

Denials Specialist

Clinical Coding Specialist III- Full Time Days

BILLING DIRECTOR

Billing Director

RCM Supervisor, Billing

Billing Director

Coding Specialist II - Physician Group (Surgery Team)

Revenue Cycle Liaison

Full-Time Reimbursement Supervisor-Patient Accounting

Medical Billing/Coding Specialist

RCM AR Specialist

Billing Specialist II

Coding Auditor - 3147 S 17th St - Full Time

Supervisor, Accounts Receivable - CSA QA and Ambulatory Support - Hybrid

Patient Account Associate- Duke Homecare and Hospice

Insurance Follow-up Representative

Medical Billing Specialist

Billing Specialist III (First 6 Months Onsite)

Onsite Revenue Cycle Management (RCM) Specialist

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