Coding Specialist, Credentialed

UNC Health; Hendersonville (NC); On-site; USD 50,000 - 70,000; Full time

Job summary

Pardee UNC Health Care in North Carolina seeks a Credentialed Coding Specialist to code all patient charts in accordance with AHIMA/AAPC/CMS guidelines and to support accurate reimbursement and data integrity.

The role requires proficiency in ICD-10-CM and CPT coding, collaboration with physicians and staff, and participation in audits and ongoing education. This is an onsite position within the Health Information Management team at Pardee UNC Health Care.

Qualifications

• Associate's Degree or a combination of experience and education.
• Current certification in medical coding (RHIT/RHIA/CCS/CPC).
• One year of work experience performing medical coding.
• Bachelor's Degree is preferred.

Responsibilities

• Reviews and abstracts documentation for diagnoses, procedures, medications, and services.
• Assigns and audits ICD-10-CM, CPT codes with modifiers for proper reimbursement.
• Performs audits and resolves claims issues; researches coding problems.
• Provides training and acts as a resource for other coders and staff.
• Uses software (WebCIS, MRE Optum, MS Office) to validate information.

Skills

Medical coding

Attention to detail

Education

Associate's Degree

Bachelor's Degree (preferred)

Tools

WebCIS

MRE Optum

MS Office

Job description

Description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Summary

The Credentialed Coding Specialist codes all patient charts, in adherence to guidelines provided by AHIMA/AAPC/CMS and other governmental agencies.

Responsibilities

• Reviews, analyzes and abstracts physician/other documentation for diagnoses, procedures, ancillary testing, medications, laboratory and other services provided. Communicates with physicians and other health care staff to obtain missing information or to clarify existing information.
• Assigns and/or audits International Classification of Diseases 10-CM (ICD-10) diagnostic and procedural codes, Current Procedural Terminology (CPT) codes with modifiers, and other applicable codes. Groups codes and completed product into payment group. Analyzes information for optimal and proper reimbursement. Ensures compliance with all appropriate coding, billing and data collection regulations and procedures. Uses appropriate software to validate information.
• Performs daily and weekly account audits from claim edit WQs, entering ICD-10-CM, CPT or HCPCS codes as needed to complete accounts into billing status. Researches and resolves problems referred by coders.
• Provides training and serves as a general resource to assist other coders and members of department staff. Participates in continuing education opportunities to maintain credentials, as necessary. Provides information to physicians and other healthcare staff regarding current coding practices and changes in 3rd party, state and federal regulations and guidelines.
• Utilizes a variety of software (e.g. WebCIS, MRE Optum, MS Office, etc.) to compile and validate medical information. Reviews updated Medicare, AHA coding clinics, CPT Assistants and ensures that all changes and/or updates are understood.

Other Information

JOB SPECIFICATIONS

Required

• Associate's Degree or a combination of experience and education.
• Must hold a current certification or registration in medical coding as issued by the American Health Information Management Association or the American Academy of Professional Coders. Accepted credentials are: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC).
• One year of work experience performing medical coding

Preferred

• Bachelor's Degree

Job Details

• Legal Employer: Pardee - HCHC
• Entity: Pardee UNC Health Care
• Organization Unit: Health Information Management
• Work Type: Full Time
• Standard Hours Per Week: 40.00
• Work Assignment Type: Onsite
• Work Schedule: Day Job
• Location of Job: PARDEEHOSP
• Exempt From Overtime: Exempt: No

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