Role Description The surgical billing specialists provide a variety of analytical, clinical, coordination, and technical duties for Perioperative Services. The surgical billing specialists are responsible for accurately charging patients in Perioperative Services. Interdepartmental and intradepartmental communication skills are essential. - Verifies schedule for charge reconciliation. - Uses multiple tools to count cases and ensures lapsed case times match. - Investigates any discrepancies. - Verifies documentation and assigns correct level charge to each procedure using clinical knowledge and experience. - Assigns each procedure a charge level based on equipment, personnel required, and supply usage. - Uses guide and experience to ensure most appropriate level is charged. - Reconciles charges using various reports, personal experience, and knowledge of cases. - Communicates in a professional manner with staff, ANM's, vendors, finance, and Materials personnel to gain any additional information needed to charge a case. - Produces and understands reports related to charge generation. - Uses technical and analytical skills while researching in multiple systems (CPM, Compurecord, HealthSpan, Lawson, and any other required) for verification purposes. - Maintains knowledge of technology (supplies, techniques, and procedures) to ensure appropriate charges are applied. - Reviews and verifies vendor contracts. - Verifies and consolidates contracts, receiving reports, and OR documentation. - Ensures all items are approved by appropriate management personnel or in value analysis committee. - Provides education to staff. - Conducts in-service education for OR staff and as required for support personnel. - Participates in orientation of new clinical staff. - Performs other related responsibilities as requested or required. - Performs in accordance with accepted procedure and responds to special requests by management in a timely manner. - Some other responsibilities including answering phone, setting up files and typing. - Demonstrates Service Excellence. - Adheres to policies and procedures. - Attends regularly scheduled staff meetings and in-service classes. - Uses tact and courtesy in all interactions with management, staff, patients, families, and vendors. Qualifications - High School plus 2 years or more of formal training/education. - Completion of approved Surgical Technology or Nursing program, applicable business training preferred. - 3 to 5 years operating room clinical experience required, previous business office or billing experience preferred. - May substitute 1 year of additional education (beyond approved 2 year RN or Surgical Technology) for 1 year of experience, up to 2 years. Requirements - Remote role (based out of Greenville, NC). - Monday - Friday day shift: 8:00 a.m. - 5:00 p.m. Pay Range $18.74 - $27.32/hr Benefits Great Benefits Company Description 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.

Role Description Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems. Qualifications - High School graduate or equivalent. Formal ICD-10-CM, ICD-10-PCS, CPT-4 training. - Associates or Bachelor’s degree. Education will be considered in lieu of experience. - Minimum of two years ICD-10-CM/ICD-10-PCS coding and abstracting experience with a Level 1 Trauma hospital or 4 years of experience with coding inpatient hospital medical records. - 2-3 Years Ambulatory coding experience. - One of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC). Requirements - Must be based in EST or CST hours (cannot recruit from Hawaii, Alaska, or California). - Must have equipment. - Audits complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. - Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient. Benefits - Medical, dental & vision. - Critical Illness, Accident, and Hospital. - 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available. - Life Insurance (Voluntary Life & AD&D for the employee and dependents). - Short and long-term disability. - Health Spending Account (HSA). - Transportation benefits. - Employee Assistance Program. - Time Off/Leave (PTO, Vacation or Sick Leave).

Role Description The primary role of Quality Assurance function is to ensure that management systems are established to enable business compliance, multiple regulatory frameworks and to support the design, development and manufacture of products which meet our customer’s quality requirements. ResMed’s products and our design and manufacturing operations must comply with the regulatory requirements applicable to medical devices for the markets in which they are sold. This includes, but is not limited to: - Food and Drug Administration (FDA) in the United States of America - Relevant competent authorities in Europe - Applicable international standards such as ISO 13485 - Requirements prescribed in the Medical Device Single Audit Program (MDSAP) - European Union Regulations The role will interact with stakeholders including suppliers, external auditors and internal ResMed departmental managers. Responsibilities include: - All aspects of auditing to ensure regulation compliance, quality best practice, process improvements and development of supplier quality systems. - Providing broad business technical support around QA systems and processes to the organization. - Supporting and implementing quality projects across the business. - Creating and improving quality and business processes for compliance and Continuous improvement. Responsibilities - Support preparation of and implement a comprehensive supplier and internal audit program that meets the requirements of the business and applicable external regulatory bodies. - Provide reports to management on the status of the audit and CAPA programs and provide an assessment of the possible resulting business impact. - Project manage the activities resulting from observations and non-conformances raised during internal audits and as part of CAPA investigations. - Liaise with stakeholders and drive these findings to effective and timely closure. - Review and interpret audit observation activities and CAPA evidence for completeness prior to closure. - Support and represent ResMed in external audit situations through audit preparation, facilitation and acting as a direct auditee when required. - Recommend opportunities for the continual improvement of the audit system in accordance with best practice. - Work with corresponding QA teams in other parts of ResMed to ensure that the audit, CAPA and general Quality Systems are aligned. - Support the maintenance of QA supplier management and ongoing monitoring activities. - Undertake other QA project and ad hoc activities as required. - Travel as needed, approximately 10%. Qualifications - Bachelor Degree in Engineering or Science. - Strong listening, verbal and written communication skills. - Experience with Quality Systems within a Medical or similarly regulated industry. - Moderate audit experience. Preferred Qualifications - Minimum 3 years applied professional quality assurance experience ideally including the medical industry or similar regulated industry. - Formal Training in Quality Systems audits. - Formal Six Sigma and analytical problem-solving training and application experience. - Knowledge and coverage of ISO13485 and FDA 21 CFR Part 820 requirements. - Acting as lead or experienced supporting auditor for internal and supplier audits. Benefits - Comprehensive medical, vision, dental, and life insurance. - AD&D, short-term and long-term disability insurance. - Sleep care management. - Health Savings Account (HSA). - Flexible Spending Account (FSA). - Commuter benefits. - 401(k). - Employee Stock Purchase Plan (ESPP). - Employee Assistance Program (EAP). - Tuition assistance. - Three weeks Paid Time Off (PTO) in the first year of employment. - 11 paid holidays plus 3 floating days. - 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members. Salary Range A reasonable estimate of the current salary range for this position is: $68,000 to $102,000. Company Description Joining us is more than saying “yes” to making the world a healthier place. It’s discovering a career that’s challenging, supportive and inspiring. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. If this sounds like the workplace for you, apply now! We commit to respond to every applicant.

Role Description The Durable Medical Equipment Supplies Claims Auditor plays a key role in supporting Cardinal Health’s Ethics and Compliance program by helping ensure claims-related processes are accurate, compliant, and aligned with applicable payer and regulatory requirements. This role performs auditing and monitoring activities for DMEPOS supply claims, identifies trends and potential compliance risks, and partners with cross-functional teams. The ideal candidate is analytical, detail-oriented, collaborative, and comfortable working in a fast-paced healthcare environment where sound judgment, clear communication, and a commitment to continuous improvement are essential. Responsibilities - Perform compliance monitoring and auditing activities for a DMEPOS supplier, including but not limited to post-payment claim reviews for medical supplies such as Ostomy, Urological, Diabetic, Wound Care, Enteral, and Incontinence supplies, as well as monitoring for pharmacy Part D claims. - Perform root cause analysis through review of claims, documentation, payer requirements, workflows, and operational processes to identify trends, compliance risks, and remediation opportunities. - Track results and trends and report findings to manager to support result dashboards. - Clearly document and communicate risks, issues, root causes, customer impacts, and provide remediation recommendations. - Attend in-service, continuing education, or seminar programs to stay current with industry trends. - Collaborate effectively across the organization to assist and advise on process improvements; gather support from colleagues and/or other key partners. - Assist in implementing monitoring procedures for claims-related processes while collaborating cross-functionally with stakeholders to improve operational alignment and process improvement initiatives. - Implement processes to ensure the collection of accurate auditing and monitoring data that will support a data-driven compliance program and help identify areas of risk. - Adapt effectively to evolving priorities, regulatory requirements, and business processes within a fast-paced environment. Qualifications - Bachelor’s degree in related field, or equivalent work experience, preferred. - 3-5 years of related work experience supporting auditing and monitoring programs for DMEPOS suppliers and medical necessity expertise preferred. - Strong knowledge and understanding of healthcare industry regulations and guidelines preferred (Federal Anti-Kickback, False Claims, Stark Law, Beneficiary Inducement Statute). - Strong knowledge of Medicare Local Coverage Policies, Medicaid manuals, and other insurance billing requirements. - Strong organizational skills with the ability to support multiple projects in a fast-paced environment. - Ability to create and communicate data-based findings and information effectively to non-technical audiences. - Related work experience with Brightree, preferred. - Strong communication and presentation skills. - Proficiency in MS Word, Excel, PowerPoint, and Outlook. - Will be working EST business hours. Requirements - Applies principles and technical capabilities to perform varied auditing and monitoring tasks. - Ability to learn different system technologies and support audits of these platforms. - Works on special projects of moderate scope and complexity. - Ability to interpret various payor rules and policies for auditing and monitoring. - Identify possible solutions to a variety of technical findings and take action to recommend remediation strategies. - Applies sound judgement within defined parameters. - Completes work independently with ability to implement action plans based on general guidance. - Receives general guidance and may receive more detailed instructions on new projects. - Work reviewed for sound reasoning and accuracy. - Ability to work collaboratively. - Customer-oriented attitude and seek to understand approach to helping others. - Strong analytical, organizational, written, and verbal communication skills. Benefits - Medical, dental and vision coverage. - Paid time off plan. - Health savings account (HSA). - 401k savings plan. - Access to wages before payday with myFlexPay. - Flexible spending accounts (FSAs). - Short- and long-term disability coverage. - Work-Life resources. - Paid parental leave. - Healthy lifestyle programs.