Medical Coder II - Physician Revenue Cycle Coding

Job Description

Description

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve. With the potential for remote work after initial training, please note that we only employ candidates who currently reside in, or are willing to relocate to one of the following states: Arizona, Arkansas, Florida, Iowa, Kentucky, Maryland, Mississippi, North Carolina, North Carolina, South Carolina, Virginia, Wisconsin 

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. After successful completion of training program and consistently achieving productivity/quality measures, employee may be eligible for remote coding assignments.

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. Independently manages high volumes of inventory within departmental standards.
5. Adheres to departmental quality and production standards.
6. Acquires continuing education via UNC Physicians approved programs and vendors.
7. Maintains requires professional certification.

Other Information

Education Requirements:
● High School diploma or GED and 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-If AAPC certification other than CPC or CCSP, candidate will have up to 1 year to obtain CPC or CCSP certification
Professional Experience Requirements:
● 6 Months of professional work history

Job Details

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Physician Rev Cycle Coding 

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Schedule: Day Job

Location of Job: US:NC:Goldsboro

Exempt From Overtime: Exempt: No