Join our Talent Network
Skip to main content

*Important Notice:

Thank you for your continued interest in career opportunities with UNC Health! Please note the following:

  • Positions are only open current UNC Health employees.
  • Please be sure to have your employee ID number and UNC Health email address available.

Current UNC Health employees, please log-in to Employee Self Service to view open jobs, apply for open jobs, and set up your Talent Profile. Creating your Talent Profile will allow you to add credentials, education, and employment history. Once created, your Talent Profile can be used to quickly and efficiently move through the job application process for current and future job applications.

Current UNC Health employees also now have access to our myCareer - Career Development Resources, which provide tools and guidance to employees to create a career plan.

** Please note: Due to the recent switch in our HR and application systems, our HR team is working hard towards implementing a new and improved, mobile friendly Employee Referral solution expected to launch this Summer. In the interim, we ask that you submit your employee referral by filling out this form. Please ensure that you submit your referral before your referral has applied. For applicable positions, learn more here. Thank you for your patience during this transition.

Need further assistance? Please submit a request through the myHR Portal.

Hospital Outpatient Medical Coder III - HIM Hospital Coding

Job ID: 6377
Location: Chapel Hill, NC
Facility/Division: Shared Services
Status: Full Time
Shift: Day Job

Did you know UNC Health has Ranked #2 Most Trusted Healthcare Brand in the U.S.? The UNC Health brand was ranked as the #4 healthcare brand in the United States overall and the #2 most trusted healthcare brand, just after Johns Hopkins and before Mass General. Join our One-Great-Team!

Job Description

Description

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.

Summary:

Performs technical and administrative work reviewing, abstracting and assigning accepted medical codes for outpatient (Hospital Billing – Health Information Management) diagnoses and procedures for ambulatory surgery and observation services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures.

Responsibilities:

1. Assigns International Classification of Diseases (ICD-10-CM) diagnosis codes in an accurate and productive manner.
2. Assigns all codes to chronic conditions documented that may impact Hierarchal Condition Categories (HCCs) or expected mortality.
3. Assigns Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) codes in an accurate and productive manner.
4. Groups codes and completed product into payment groups. Analyzes information for optimal and proper reimbursement.
5. Reviews National Coverage Determination (NCD), Local Coverage Determination (LCD), and Correct Coding Initiative (CCI) edits and any other coding edits and applies changes to code assignments appropriately, and/or adds modifiers appropriately.
6. Recognizes and has knowledge of Medical Necessity requirements and resolves edits during code assignments.
7. Ensures compliance with all appropriate coding, billing and data collection regulations and procedures.
8. Provides information to physicians and other health care staff regarding current coding practices and changes in 3rd party, state and federal regulations and guidelines.
9. Reviews, analyzes and abstracts physician/other documentation for diagnoses and other services provided.
10. Obtains missing information and/or clarifies existing information.
11. Accepts feedback from Auditor as needed to avoid future errors.
12. Accepts feedback from PWC Smart reviews and makes edits as needed to avoid future errors.
13. Reviews and processes PWC SMART edits.
14. Researches appropriate databases for validation of information.
15. Utilizes a variety of software (e.g. Epic, Optum CAC, MS Office, etc.) to compile and validate medical information.

Requirements:

  • High School diploma or GED
  • Successful completion of the UNC HCS Hospital OP Coder Proficiency Test.
  • Must have one of the following: AHIMA (American Health Information Management Association) certification and credential or AAPC (American Academy of Professional Coders) certification and credential
  • Two (2) years of experience in hospital coding.

Knowledge/Skills/and Abilities Requirements:

  • Strong knowledge of ICD-10-CM and HCPCS/CPT coding with excellent analytical and data mining skills. 
  • Strong knowledge of Ambulatory Payment Classification (APC) system for outpatient cases. 
  • Ability to effectively work with various levels of staff (including on-site and remote). 
  • Strong communication skills; both written and verbal and have extensive attention to detail. 
  • Exhibits effective organizational skills, time management, and management of multiple priorities. 
  • Ability to interpret complex medical conditions and work with complex coding applications. 
  • Ability to interpret federal and state regulations as they relate to coding and compliance.

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. This is not a State employed position.
Share: mail
Testimonial: Alan Ulrich image
Testimonial: Alicia Crutchfield image
Testimonial: Erik Hernandez image
Testimonial: Melissa Veg image
Testimonial: Ray Olivo image
Testimonial: Trent Abraham image
Testimonial: Yessenia Rodriguez image
Recent Job Searches
Recently Viewed Jobs

Diversity Statement

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.

Equal Employment Opportunity

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.

To verify employment eligibility, UNC Health is committed to Form I-9 and the E-Verify process. Learn further E-Verify details in English or Spanish.

UNC Health supports your right to work. View the Right to Work Statement in English or Spanish.