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Job ID: 5269
Location: Raleigh, NC
Facility/Division: Shared Services
Status: Full Time
Shift: Day Job
Become part of an inclusive organization with over 30,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
The Regulatory Compliance analyst is responsible for researching and resolving complex carrier/payor claim edits, including but not limited to Correct Coding Initiative (CCI), Medically Unlikely Edits (MUEs) and Medically Acceptable Units (MAUs) as well as complex payor denials/audits. Assists with appealing coding denials. Works with departments on charging and coding issues. They possess claims coding (including modifiers)/reimbursement/billing and compliance skills to access, review and analyze charges and coding to ensure claims are compliant according to payor specifications prior to claim submission.
Preferred Coding Certification in one of the following:
The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians.
UNC Health is an equal opportunity employer. As such, UNC Health offers equal employment opportunities to applicants and employees without regard to race, color, religion, sex, national origin, age, genetic information, disability, sexual orientation, gender identity or political affiliation.