Ambulatory Coding Specialist II: Elevate Claims & Revenue

Cape-Fear-Valley-Medical-Center-; Fayetteville (NC); On-site; USD 65,000 - 90,000; Full time

Job summary

Cape Fear Valley Medical Center in Fayetteville, NC is seeking a professional medical coder to thoroughly review medical records and assign CPT, HCPCS, modifiers and ICD-10 codes accurately, ensuring documentation justifies charges. You will collaborate with the Physician Billing Office to improve code assignments and reduce edits.

The role requires the ability to educate and develop coding staff, analyze coding patterns, and support revenue integrity across the CFV Medical Group and Business

Qualifications

• Bachelor’s degree in health information management or 8 years of coding experience in lieu of degree required.
• CPC, CPMA, RHIA, RHIT, CCS or CCS-P or equivalent credentials required.
• Understanding of medical terminology, anatomy and physiology and familiarity with medical record content.
• In-depth knowledge of ICD-CM coding principles, LCDs/NCDs, and other coding conventions for professional documentation and claim submission.

Responsibilities

• Review CPT, ICD-10 and modifier usage on claims to ensure accuracy.
• Assist in reducing coding related denials and improve editing.
• Advise Business Office on coding denials by reviewing documentation and adjusting claims as needed.
• Assess edits and apply appropriate modifiers in collaboration with the front-end editing team.
• Create job aids and educational materials to identify revenue opportunities.
• Provide education to providers and staff to ensure proper documentation and optimized revenue.
• Analyze providers' coding profiles and documentation patterns to support accurate code selection.

Skills

Medical terminology

Anatomy & physiology

ICD-CM coding principles

Documentation analysis

Communication skills

Education

Bachelor’s degree in health information management

8 years coding experience in lieu of degree

Job description

Cape Fear Valley Medical Center in Fayetteville, NC is seeking a professional medical coder to thoroughly review medical records and assign CPT, HCPCS, modifiers and ICD-10 codes accurately, ensuring documentation justifies charges. You will collaborate with the Physician Billing Office to improve code assignments and reduce edits.

The role requires the ability to educate and develop coding staff, analyze coding patterns, and support revenue integrity across the CFV Medical Group and Business