Medical Coder Auditor - Physician Revenue Cycle Coding

Summary:
Serves as a lead employee who audits coded records for multiple specialties. Analyzes coded records for compliance with federal, state and third party insurer rules and regulations. Establishes a collaborative relationship with stakeholders to ensure quality standards are met.

This position is 100% Remote.

Responsibilities:
1. Accurately assigns International Classification of Diseases 10-CM (ICD-10) diagnostic and Current Procedural Terminology (CPT) codes with modifiers, and other applicable codes. Analyzes information for optimal and proper reimbursement, including coding denial resolution. Ensures compliance with all appropriate coding, billing and data collection regulations and procedures. Uses appropriate software to validate information.
2. Provides information to physicians and other health care staff regarding current coding practices and changes in 3rd party, state and federal regulations and guidelines.
3. Reviews, analyzes and abstracts provider documentation for diagnoses, procedures, ancillary testing, medications, laboratory and other services provided. Obtains missing information and/or clarifies existing documentation.
4. Performs pre-bill and/or post-bill audits for assigned coding teams.
5. Adheres to departmental quality and production standards.
6. Reviews work of staff, researches and resolves problems referred by coders or departmental leadership. Provides information on performance of coders to supervisor regarding performance.
7. Provides training and serves as a general resource to assist other coders and members of department staff.
8. Collaborates with team leadership to address coding trends.
9. Acquires continuing education via UNC Physicians approved programs and vendors.
10. Maintains required professional certification.

Education Requirements:
● High School diploma or GED
● Successful completion of the UNC HCS SS Rev Cycle Physician Coder Auditor Proficiency Test.
Licensure/Certification Requirements:
● Must have one of the following: - AAPC (American Academy of Professional Coders) certification-AHIMA (American Health Information Management Association) CCSP Certification-Must obtain CPMA certification within 1 year of hire date.
Professional Experience Requirements:
● If Associates Degree or Higher: Five (5) years of experience in physician medical coding.
● If High School Diploma: Seven (7) years of experience in physician medical coding.
Knowledge/Skills/and Abilities Requirements:

• extensive surgical coding experience preferred

Job Details

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Physician Rev Cycle Coding

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Schedule: Day Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: No

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.

Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

Job Type: Full-time

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift

Application Question(s):

• Have you successfully completed the UNC HCS SS Rev Cycle Physician Coder Auditor Proficiency Test?
• What is the best email address to contact you?

Education:

• High school or equivalent (Required)

Experience:

• physician medical coding: 5 years (Required)

License/Certification:

• AAPC, AHIMA or CCSP certification (Required)

Work Location: Remote