Medical Claims Examiner Jobs in North Carolina
Medical Claims Examiner jobs in North Carolina concentrate in health insurance operations, managed care, and large hospital billing departments, with steady demand at both entry and senior levels across the state. The highest volume of openings is in Charlotte, Raleigh, and Greensboro, where employers such as Blue Cross NC, Atrium Health, and Aetna maintain significant operations. The most sought-after specialties are Medicare and Medicaid claim adjudication, ICD-10 coding review, and denial management. Scan the live roles below and apply to whichever ones fit.
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INTRODUCTION
The Forensic Nurse Examiner conducts forensic examinations and provides specialized healthcare to survivors of violence or abuse. Working under moderate or general supervision, this position analyzes forensic evidence, prepares processes for evidence collection, and reviews case outcomes. The Forensic Nurse Examiner seeks advice from senior management when facing challenging circumstances and other problems that require a deeper understanding of forensic healthcare.
ESSENTIAL JOB FUNCTION:
- Analyzes evidence collected in legal or criminal cases to aid in the investigative process and enhance the accuracy of the outcome.
- Prepares and processes comprehensive reports based on evidence, to contribute to the establishment of truth and aiding in judicial proceedings.
- Participates actively in multidisciplinary team meetings, contributing unique forensic insights to support decision-making and problem-solving processes.
- Researches and reconciles data related to forensic cases to enhance the thoroughness and accuracy of information used in investigations.
- Reviews the latest developments and practices in forensic nursing to integrate this knowledge into practice to improve service quality.
- Documents forensic procedures to maintain the integrity of the investigation and evidence collected.
- Performs other duties as assigned.
Education:
- Required: Associates Degree.
- Preferred: Bachelors Degree.
Experience:
- Required: 3 years as a Registered Nurse and 1 year in a clinical specialty as defined by ANCC or national nursing organizations.
LICENSURE/CERTIFICATION/LISTING:
- Required: Registered Nurse license in North Carolina or a Compact state BLS (CPR)-American Red Cross or AHA Healthcare Provider.
INTRODUCTION
The Forensic Nurse Examiner conducts forensic examinations and provides specialized healthcare to survivors of violence or abuse. Working under moderate or general supervision, this position analyzes forensic evidence, prepares processes for evidence collection, and reviews case outcomes. The Forensic Nurse Examiner seeks advice from senior management when facing challenging circumstances and other problems that require a deeper understanding of forensic healthcare.
ESSENTIAL JOB FUNCTION:
- Analyzes evidence collected in legal or criminal cases to aid in the investigative process and enhance the accuracy of the outcome.
- Prepares and processes comprehensive reports based on evidence, to contribute to the establishment of truth and aiding in judicial proceedings.
- Participates actively in multidisciplinary team meetings, contributing unique forensic insights to support decision-making and problem-solving processes.
- Researches and reconciles data related to forensic cases to enhance the thoroughness and accuracy of information used in investigations.
- Reviews the latest developments and practices in forensic nursing to integrate this knowledge into practice to improve service quality.
- Documents forensic procedures to maintain the integrity of the investigation and evidence collected.
- Performs other duties as assigned.
Education:
- Required: Associates Degree.
- Preferred: Bachelors Degree.
Experience:
- Required: 3 years as a Registered Nurse and 1 year in a clinical specialty as defined by ANCC or national nursing organizations.
LICENSURE/CERTIFICATION/LISTING:
- Required: Registered Nurse license in North Carolina or a Compact state BLS (CPR)-American Red Cross or AHA Healthcare Provider.
See All 8 Medical Claims Examiner Jobs in North Carolina
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Find Medical Claims Examiner JobsMedical Claims Examiner Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Medical Claims Examiner Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What North Carolina Employers Look For
The qualifications that appear most often in medical claims examiner jobs across North Carolina.
- High school diploma or associate degree in healthcare administration or a related field
- Working knowledge of ICD-10 and CPT coding standards used in North Carolina payer systems
- Experience reviewing medical claims for accuracy, completeness, and compliance
- Familiarity with North Carolina Medicaid policies and Blue Cross NC plan guidelines
- Proficiency in claims processing software such as Facets, TriZetto, or comparable platforms
- Strong attention to detail with ability to meet production and accuracy benchmarks
Medical Claims Examiner Jobs in North Carolina: Frequently Asked Questions
How do you become a medical claims examiner in North Carolina?
North Carolina does not require a state-issued license to work as a medical claims examiner, so the path typically starts with a high school diploma or associate degree in healthcare administration, medical billing, or a related field. Most employers also look for a nationally recognized credential such as the Certified Professional Biller from the AAPC or the Certified Medical Reimbursement Specialist from AMBA. Completing a medical billing and coding program at a North Carolina community college strengthens a candidate's profile considerably.
Which companies hire medical claims examiners in North Carolina?
North Carolina medical claims examiner roles are posted by Quest Diagnostics, apps paramedical, and Cone Health and others right now, based on current listings on Migrate Mate as of July 2026. North Carolina's large self-insured hospital systems and regional managed care organizations also post frequently, reflecting the state's broad payer and provider base.
Which North Carolina cities have the most medical claims examiner jobs?
Charlotte, Jacksonville, and Asheville lead North Carolina for medical claims examiner openings. Charlotte's concentration of major insurance carriers and Atrium Health's expansive network drive volume there, while Raleigh benefits from UNC Health and state government health plan operations, and Greensboro anchors demand through regional hospital systems and Cone Health's administrative offices.
Are there remote medical claims examiner jobs in North Carolina?
Yes, and more than most fields, because claims examination is fundamentally desk-based and document-driven. About 0% of medical claims examiner openings tied to North Carolina are remote or hybrid as of July 2026, reflecting how well the role translates to distributed work. Denial management, Medicare claims review, and payer audit functions tend to be the most consistently remote sub-specialties.
How can I get hired as a medical claims examiner in North Carolina with little or no experience?
The most realistic entry path is a medical billing and coding certificate from a North Carolina community college, such as those offered through the NC Community College System, followed by applying to entry-level claims processor or billing specialist roles at large health systems like UNC Health or Novant Health, which regularly bring in candidates from adjacent positions in patient registration, medical receptionist work, or insurance verification. Earning the Certified Professional Biller credential before your first application meaningfully improves your competitiveness with North Carolina payers and third-party administrators.
Where can I find and apply to medical claims examiner jobs in North Carolina?
You can find and apply to medical claims examiner jobs in North Carolina on Migrate Mate, which lists current openings across the state. Search the available roles, identify the ones that match your experience and location preferences, and apply directly to the ones that fit.
See All 8 Medical Claims Examiner Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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