Medical Coder II - Physician Rev Cycle Coding

UNC Health; North Carolina; Remote; USD 32,000 - 46,000; Full time

Job summary

UNC Health seeks a physician coder to review and assign CPT, HCPCS, and ICD-10 codes for professional services. You will ensure proper documentation supports reimbursement while complying with regulations and standards.

The role reports to an administrative superior but handles tasks independently, with a 40-hour workweek and a remote work option from Chapel Hill, NC. Must have 2+ years coding experience and relevant certifications.

Qualifications

• High school diploma or GED; successful completion of UNC HCS SS Rev Cycle Physician Coder Proficiency Test.
• Must have one of the following certifications: AAPC or AHIMA CCSP.
• Minimum 2 years physician medical coding experience.
• Must maintain professional certification.

Responsibilities

• Accurately assigns ICD-10, CPT codes with modifiers and other codes to optimize reimbursement.
• Provides information to physicians and staff regarding coding changes and regulations.
• Reviews and abstracts documentation for diagnoses, procedures, tests and services.
• Manages high volumes of inventory within department standards.
• Adheres to departmental quality and production standards.
• Acquires continuing education through UNC Physicians approved programs and vendors.
• Maintains required professional certification.

Education

High school diploma or GED

Rev Cycle Proficiency Test

AAPC certification

AHIMA CCSP Certification

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

Performs technical and administrative work reviewing, abstracting and assigning accepted medical CPT, HCPCS, and ICD-10 codes for professional services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures. Employees report to an administrative superior but independently handle assigned tasks.

Responsibilities

• 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.
• Provides information to physicians and other health care staff regarding current coding practices and changes in 3rd party, state and federal regulations and guidelines.
• 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.
• Independently manages high volumes of inventory within departmental standards.
• Adheres to departmental quality and production standards.
• Acquires continuing education via UNC Physicians approved programs and vendors.
• Maintains requires professional certification.

Education Requirements

• High school diploma or GED required; higher-level degree may satisfy this requirement. Successful completion of the UNC HCS SS Rev Cycle Physician Coder 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

Professional Experience Requirements

• 2 years of physician medical coding experience

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: $23.24 - $33.41 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.