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Coding specialist Jobs in Winston-Salem, NC

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Coding specialist • winston salem nc

Last updated: 2 hours ago

Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour)

MercorWinston, North Carolina, US
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools des... Show more

Quality Specialist

Eurofins USA PSS Insourcing SolutionsWinston-Salem, North Carolina, United States
Full-time

Quality Specialist responsibilities include, but are not limited to, the following:.Applies GMP/GLP/ISO 17025 compliance standards in all areas of responsibility, as appropriate .Demonstrates ... Show more

Greensboro Program Specialist

BoosterWinston Salem, NC, United States
$13.00 hourly
Full-time +1

Booster is a mission-driven school fundraising company focused on cultivating virtuous leaders who want to change the world.Booster partners with over 6,000 schools each year and impacts over 3 mil... Show more

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Medical Janitorial Specialist

Veritas Environmental Services LlcWinston Salem, NC, US
$15.00 hourly
Full-time

Looking for 3-5 years experience cleaner for facility in Winston Salem NC.Must have proof of transportation and valid ID.Must have strong communication skills and ability to work independently.You ... Show more

Human Resources Specialist

Assa Abloy GroupWinston Salem, NC, United States
Full-time

Amarr, a part of ASSA ABLOY the global leader in opening solutions, is seeking a detail-oriented and tech-savvy Human Resources Specialist to join our team at our corporate office in Winston Salem... Show more

HR Specialist

LHHWinston Salem, NC, United States
$24.00 hourly
Full-time

Hour location_on Winston-Salem, North Carolina.We are recruiting for an HR Specialist job in Winston Salem, NC! We are seeking an organized and detail-oriented Human Resources Specialist to support... Show more

Regulatory Affairs Specialist

Sangamo Therapeutics, Inc.Winston Salem, NC, United States
Full-time

Plans, organizes and implements strategies and activities required to procure regulatory approval for new and revised product lines.Coordinates and prepares regulatory submissions, including 510(k)... Show more

Remote Coding Manager / HIM Coding Leader - AI Trainer ($80-$80 per hour)

MercorWinston, North Carolina, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Coding Managers and HIM Coding leaders to evaluate AI-powered c... Show more

Marketing Specialist

Aya HealthcareWinston Salem, NC, United States
Full-time +1

Clinical Rehab Liaison Career Opportunity.Appreciated for your Clinical Rehab Liaison Skills - Clinical License Required.Ever heard of a clinical rehab liaison? Are you looking to embark on a caree... Show more

Digital Marketing Specialist

Hayward IndustriesClemmons, NC, United States
Full-time

Marketing And Communications Specialist.NYSE "HAYW") is the largest manufacturer of residential swimming pool equipment in the world, with a significant presence in the commercial pool market that ... Show more

Digital Fulfillment Specialist

The Fresh MarketWinston Salem, NC, United States
Full-time

Our mission is to make everyday eating extraordinary for our guests.We create a warm, welcoming, and memorable experience through exceptional, personal service.We're looking for a leader who brings... Show more

Human Resources Specialist

AmarrWinston Salem, NC, United States
Full-time

Amarr, a part of ASSA ABLOY the global leader in opening solutions, is seeking a detail-oriented and tech-savvy Human Resources Specialist to join our team at our corporate office in Winston Salem... Show more

Inventory Specialist

PF PlumbingWinston-Salem, North Carolina, United States, 27103
Full-time
Quick Apply

Job Title: Inventory Specialist.The Inventory Specialist is responsible for overseeing all inventory operations for a plumbing service operation.This role ensures accurate tracking, purchasing, rec... Show more

Engineering Specialist

CorningWinston-Salem, NC, US
$35.00 hourly
Full-time

Provides 2nd level mechanical, electrical, & controls troubleshooting support for all equipment in assigned area.Supports continuous improvement in cost reduction, equipment improvement and mean ti... Show more

To Go Specialist

Olive GardenWinston-Salem, NC, US
Full-time

For this position, pay will be variable by location.Our Winning Family Starts With You! .Check out these great benefits!.Flexible schedules to help you balance other life commitments (school, child... Show more

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.Winston-Salem, North Carolina, United States
Full-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more

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Support Services Specialist

US Government JobsWinston Salem, NC, United States
Full-time

Facilities Management Position.This position is located in the Support Services Division (SSD) at a VA Regional Office (RO).The incumbent performs facilities management, property management, govern... Show more

Accounts Payable Specialist

Goodwill Industries of Northwest NCWinston Salem, NC, United States
Full-time

Use your skills to transform your local community.Goodwill Industries of Northwest North Carolina offers numerous career opportunities with competitive pay, excellent benefits, and the reward of kn... Show more

Accounts Payable Specialist

Graham Personnel ServicesWinston-Salem, NC, US
$24.00 hourly
Full-time
Quick Apply

We are seeking a highly motivated, detail-oriented Accounts Payable Specialist to support financial operations for a client in Winston-Salem.This role is responsible for processing expenses, managi... Show more

Remote Legal Specialist

Micro1Winston-Salem, North Carolina, US
Remote
Full-time

Contract Review & Negotiation.AI data lab for training frontier models and evaluating AI agents.Experts contribute their diverse subject matter knowledge across domains such as finance, healthc... Show more

 • Promoted
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Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour)

Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour)

MercorWinston, North Carolina, US
19 days ago
Job type
  • Full-time
  • Remote
Job description
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools designed to improve risk score accuracy and coding completeness in Medicare Advantage, Medicaid managed care, and ACA markets. Your expertise in hierarchical condition category (HCC) methodology, RADV audit preparation, and risk adjustment coding will directly shape AI systems that enhance documentation capture and risk score integrity. **Responsibilities** - Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and/or ACA risk adjustment programs. - Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance. - Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation. - Conduct and oversee retrospective and prospective chart reviews for risk score optimisation. - Manage RADV (Risk Adjustment Data Validation) audit preparation and response processes. - Monitor risk adjustment KPIs including HCC capture rates, risk score accuracy, and chart retrieval rates. - Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes. - Ensure compliance with CMS risk adjustment guidelines (RAPS, EDGE submissions) and Official Coding Guidelines. - Annotate AI outputs and provide structured coding feedback to support AI training datasets. **Requirements** - 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role. - Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies. - Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment. - Experience with RADV audit preparation and CMS compliance requirements. - Familiarity with RAPS and EDGE submission processes. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs. **Preferred Qualifications** - CRC (Certified Risk Coder), CCS, CPC, or RHIA credential. - Experience with risk adjustment analytics platforms and chart retrieval systems. - Background in health plan, Medicare Advantage organisation, or value-based care setting. - Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content. - Experience presenting risk adjustment performance to actuarial or executive teams. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in risk adjustment and value-based care. - Opportunity to work on high-impact projects shaping the future of healthcare AI.