Top 29 Medical billing Jobs in Winston Salem, Nc

Physician Appeals Specialist
Atrium Health —Winston-Salem, NC
- $26.55 - $39.85 an hour
- Full-time
- Anatomy knowledge
- High school
- Computer literacy
- Paid parental leave
- Disability insurance
2d
Medical Biller
MEDIQ Urgent Care —High Point, NC
- Full-time
- Background check
- Urgent Care
- Primary Care
- Health savings account
- Paid holidays
Quick Apply
Medical Biller
Summit Eye Care, PA —Winston-Salem, NC
- From $20 an hour
- Full-time
- Hybrid work
- Private practice
- Customer service
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
3d
Administrative Assistance
Right at Home Winston-Salem, NC —Winston-Salem, NC
- $13 - $15 an hour
- Part-time
- Medical office experience
- Administrative experience
- High school diploma or GED
- Opportunities for advancement
Quick Apply
Certified Professional Coder II
Novant Health —Winston-Salem, NC
- Day shift
- Hybrid work
- Customer service
- Clinic experience
- Mid-level
- Health insurance
- Dental insurance
5d
Medical Billing (Claims) Supervisor
GT Independence —High Point, NC
- $60,000 a year
- Management
- Basic math
- Mid-level
- Paid time off
Quick Apply
Accounting Technician III
County of Davidson —Lexington, NC
- $22.26 - $28.39 an hour
- Full-time
- Writing skills
- Mid-level
- Office
Quick Apply
3d
Accounts Receivable Coordinator
ML Bermuda Village LLC —Advance, NC
- $52,000 - $60,000 a year
- Full-time
- Microsoft Outlook
- HIPAA
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
12d
Medical Claims Examiner
Actuarial Management Resources, Inc. —Winston-Salem, NC
- From $19.58 an hour
- Full-time
- Hybrid work
- 5 years
- HIPAA
- Mid-level
- Health insurance
- 401(k)
Quick Apply
3d
Clinic Patient Accounting Representative
Cone Health —Greensboro, NC
- High school diploma or GED
- Clinic
- Entry level
4d
Revenue Cycle Manager (Senior Living)
Pennybyrn —High Point, NC
- $55,000 - $60,000 a year
- Full-time
- Microsoft Outlook
- Basic math
- Research
- Health insurance
- Dental insurance
Quick Apply
Facility Inpatient Coding Auditor - P
GEBBS HEALTHCARE SOLUTIONS INC —United States
- Part-time
- Mid-level
- 3 years
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Registered Respiratory Therapist - Relocate to Billings, MT! $15K Sign-On/$10k Relocation Allowance
Billings Clinic —United States
- Weekends as needed
- Acute care
- Background check
- Hospital
- Loan repayment program
- Disability insurance
Quick Apply

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Physician Appeals Specialist

Atrium Health -
Winston-Salem, NC

Apply Now

Job Details

Full-time
$26.55 - $39.85 an hour
2 days ago

Benefits

Paid parental leave
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Adoption assistance
Parental leave
Vision insurance
Retirement plan

Qualifications

Anatomy knowledge
Research
Clinical information systems
Health information management
Productivity software
Medical terminology

Full Job Description

Department:

13229 Enterprise Revenue Cycle - Rev Recovery and Audit Mgmt

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

Schedule Details/Additional Information:

Mon-Fri

Pay Range:

$26.55 - $39.85

Major Responsibilities:

Escalated review of medical documentation at an advanced level from clinicians, qualified health professionals and hospitals to validate medical necessity of the service rendered. Ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations and EMR and/or payer guidelines.
Appeal advanced levels of medical appeals with insurance payers to recovery denied payment while validating the integrity of the coded charges and billed claim.
Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes.
Conduct independent research to promote knowledge of coding guidelines, regulatory policies and trends.
Provide education to Providers in denial practices and payer medical policies.
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in reviewing codes for proper insurance reimbursement.
Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer.
Recommend modifications to current policies and procedures as needed to coincide with government regulations.
Responsible for processing medical necessity Claim Denials, when applicable
Responsible for appropriate appeal of denied claims utilizing professional coding oversight.

Certification Required:

Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA)

Education Required:

Advanced training beyond High School in Medical Coding or related field or equivalent knowledge/experience

Work Experience Required:

Typically requires 3 years of experience in professional coding including experiences in either hospital or professional revenue cycle processes and health information workflows.

Knowledge, Skills & Abilities Required:

Advanced knowledge of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology.
Intermediate computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications.
Advanced communication (oral and written) and interpersonal skills.
Advanced organization, prioritization, and reading comprehension skills.
Advanced analytical skills, with a high attention to detail.
Ability to work independently and exercise independent judgment and decision making.
Ability to meet deadlines while working in a fast-paced environment.
Ability to take initiative and work collaboratively with others.

Physical Requirements and Working Conditions:

Exposed to a normal office environment.
Must be able to sit for extended periods of time.
Must be able to continuously concentrate.
Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.
Operates all equipment necessary to perform the job.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Benefits and more

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

The Physician Appeals Specialist is responsible for the validation of coding of physician billed services, including inpatient and outpatient procedures for all billable clinicians, ensuring that claims are submitted to insurance payers in the most compliant, efficient and expeditious manner possible. This position is accountable for accurate review and appeal of clinical and non-clinical information to create a comprehensive database of information for billing purposes, internal data management, and external reporting of data. This position has a direct financial impact.

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Refine Your Search

medical billing jobs in winston salem, nc

Physician Appeals Specialist

Medical Biller

Medical Biller

Administrative Assistance

Certified Professional Coder II

Medical Billing (Claims) Supervisor

Accounting Technician III

Accounts Receivable Coordinator

Medical Claims Examiner

Clinic Patient Accounting Representative

Revenue Cycle Manager (Senior Living)

Facility Inpatient Coding Auditor - P

Registered Respiratory Therapist - Relocate to Billings, MT! $15K Sign-On/$10k Relocation Allowance

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