Skip Navigation

MEDICAL CODER AUDITOR - HOSPITAL INPATIENT - REX HIM SHARED SERVICES

Email Job Job ID: HEA00980

Job Description

This position may involve support of various hospitals and health care systems within the UNC Health Care System, but will be employed by Rex Hospital, Inc. (this includes, but is not limited to, for purposes of payroll, health benefits, retirement options, and applicable policies). Employees of an entity managed by UNC Health Care are external candidates and will be employed by Rex Hospital, Inc. if selected for the role. 


100% Remote after training period (Even though this position is 100% remote after initial training, we only employ candidates residing in Florida, Iowa, Mississippi, North Carolina, Oklahoma, Virginia, West Virginia, or Wisconsin. You must currently reside or be willing to relocate to one of these states)

This position trains and audits medical coders, either inpatient or outpatient across all HCS entities that are owned or managed that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position provides mentoring and training of new coding staff and ongoing training for existing staff. The position audits and provides feedback as needed and attends IP and OP huddles to respond to coder questions and provide training and education. This position processes and appeals insurance coding denials. This position analyzes coded records for compliance with federal, state and third party insurer rules and regulations and note trends. This position educates physicians and staff on error trends and how to prevent/reduce errors to maximize reimbursement, accurately reflect expected mortality, and demonstrate compliance.

Qualifications

Associate’s degree in Health Information Management, Nursing or related field or an equivalent combination of education and experience. Successful completion of the UNC HCS IP or OP Coder Proficiency Test as applicable.

 

Must have one of the following: - AHIMA (American Health Information Management Association) certification and credential - AAPC (American Academy of Professional Coders) certification and credential.

 

If Associate’s degree: Five (5) years of experience in medical coding or acute care.

If High School Diploma: Nine (9) years of experience in medical coding or acute care.

 

Strong knowledge of ICD-10/PCS/CPT/HCPCS coding and billing compliance (MS-DRGs/IPPS, APC/OPPS) with excellent analytical and data mining skills. Ability to effectively participate and supervise projects, plan and implement programs, and evaluate outcomes. Ability to effectively work directly with various levels of staff (including on-site and remote) as well as manage vendor relationships and expectations. Must possess strong communication skills, both written and verbal. Exhibits effective organizational skills, time management, and management of multiple priorities. Ability to make effective and persuasive presentations on complex topics to management and physicians. Ability to teach and mentor coders and physicians on complex coding systems. Ability to have an excellent balance of being highly productive and yet produce high quality work. Must be able to create strong argument based on solid coding guidelines in generating appeals. Ability to interpret federal and state regulations as they relate to coding and compliance.

Primary Location: Chapel Hill, North Carolina, United States

Department: REXH-28125-Rex HIM Shared Services

Shift: Day Job

Email Job

Sign Up For Alerts

Join our Talent Network and get UNC Health Care news and job alerts delivered to your inbox.

Sign Up

Area of InterestSelect a job category from the list of options. Select a location from the list of options. Finally, click “Add” to create your job alert.

  • Professional- Clinical, Chapel Hill, North Carolina, United StatesRemove
  • Professional - Non-Clinical, Chapel Hill, North Carolina, United StatesRemove