Hospital Coder Senior - Rex HIM Shared Services

National Medical Association; Chapel Hill (NC); Remote; USD 10,000 - 60,000; Full time

Job summary

A healthcare organization in Chapel Hill is seeking a skilled Medical Coder to accurately assign ICD-10 and CPT codes. The ideal candidate will have strong analytical skills and experience with hospital coding. This full-time remote position offers a competitive salary ranging from $26.59 to $38.23 per hour and requires proper certifications in coding. Join a diverse team dedicated to improving community health.

Qualifications

• 3+ years of experience in Inpatient and Outpatient hospital coding.
• AHIMA or AAPC certification required.
• Proficient in coding and compliance regulations.

Responsibilities

• Assign and audit ICD-10 and CPT codes accurately.
• Query providers for documentation clarification.
• Analyze information for reimbursement optimization.

Skills

ICD-10 knowledge

CPT coding

Attention to detail

Analytical skills

Communication skills

Education

Associate’s degree in Health Information Management or Nursing

Tools

EPIC

Optum CAC

PWC SMART

Job description

Overview

Description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:

Performs the same duties as Medical Coder I and II - Hosp IP and Medical Coder I, II, III - Hosp OP, but also serves as a resource for Medical Coders (IP and OP) when needed on complex application of codes. Participates in and mentors coders, provides problem resolution and feedback to supervisors. Assists and serves as back-up to the Medical Coder Auditor - Hosp IP &OP as needed on completing PWC SMART coding edits.

Responsibilities

1. Assigns and/or audits International Classification of Diseases 10-CM (ICD-10) diagnostic and ICD-10-PCS procedural codes, Current Procedural Terminology (CPT) codes with modifiers, and other applicable codes in an accurate and productive manner on inpatient, outpatient (observation, ambulatory surgery, and ancillary cases).
2. Queries providers when documentation is conflicting, needs clarification and specificity.
3. Groups codes and completed product into payment group.
4. Analyzes information for optimal and proper reimbursement.
5. Ensures compliance with all appropriate coding, billing and data collection regulations and procedures.
6. Reviews work of staff as needed. Responds to questions and refers staff as appropriate to the Medical Coder Auditor.
7. Researches and resolves problems from coders as needed.
8. Provides input on performance of coders to supervisor for performance evaluations.
9. Performs coding audits at a minimum of two medical coders per month as needed to back up the Medical Coder Auditors - Hosp IP/OP.
10. Researches and resolves problems referred by coders in response to audited charts. Provides information on performance of coders’ audits to supervisors.
11. Provides information to physicians and other health care staff regarding current coding practices and changes in 3rd party, state and federal regulations and guidelines.
12. Provides training and serves as a general resource to assist other coders and members of department staff.
13. 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.
14. Reviews and processes PWC SMART edits.
15. Utilizes a variety of software (e.g. EPIC, Optum CAC, PWC SMART, etc.) to compile and validate medical information.

Other Information

Education Requirements:

• Associate’s degree in Health Information Management, Nursing or related field or an equivalent combination of education, training, and experience.
• Successful completion of the UNC HCS Inpatient and Outpatient Coder Proficiency Test.

Licensure/Certification Requirements:

• Must have one of the following: AHIMA certification and credential or AAPC certification and credential.

Professional Experience Requirements:

• If Associate’s degree: Three (3) years of experience in Inpatient and Outpatient hospital coding.
• If High School Diploma: Seven (7) years of experience in Inpatient and Outpatient hospital coding.

Knowledge/Skills/and Abilities Requirements:

• Strong knowledge of ICD-10/PCS/CPT/HCPCS coding with excellent analytical and data mining skills.
• Ability to effectively manage projects, plan and implement programs, and evaluate outcomes.
• Ability to work with direct various levels of staff (including on-site and remote) and mentoring colleagues.
• Strong communication skills, both written and verbal, and extensive attention to detail.
• Exhibits effective organizational skills, time management, and ability to manage multiple priorities.
• Ability to interpret complex medical conditions and work with complex coding applications.
• Ability to balance high productivity with high-quality work.
• Ability to interpret federal and state regulations as they relate to coding and compliance.

Job Details

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Rex HIM Shared Services

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range: $26.59 - $38.23 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Remote

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 race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

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 [e-mail] if you need a reasonable accommodation to search and/or to apply for a career opportunity.