Medical Coder Auditor- Physician Rev Cycle Coding

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

Job summary

Join a forward-thinking organization dedicated to enhancing community health. In this pivotal role, you will lead the auditing of coded records across various specialties, ensuring compliance with regulations while fostering collaborative relationships with stakeholders. Your expertise in medical coding will be crucial as you analyze records for optimal reimbursement and provide valuable training to fellow coders. This position offers a chance to impact healthcare quality positively while working with a diverse team committed to excellence. If you're ready to make a difference in the health sector, this opportunity is for you!

Qualifications

• Must have AAPC CPMA certification for medical coding.
• 5 years experience required with an Associates Degree or 7 years with a High School Diploma.

Responsibilities

• Assigns ICD-10 and CPT codes, ensuring compliance with regulations.
• Provides training and resources to other coders and staff.

Skills

Medical Coding

Compliance Analysis

Communication Skills

Problem Solving

Education

High School Diploma or GED

Associates Degree or Higher

Tools

Coding Software

Job description

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:
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.

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 based on work assignment.
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.

Other Information
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: AAPC (American Academy of Professional Coders) CPMA certification
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.

Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: Physician Rev Cycle Coding
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $28.59 - $41.09 per hour (Hiring Range)
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 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 [e-mail] if you need a reasonable accommodation to search and/or to apply for a career opportunity.