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Medical Coder Auditor - HIM Coding & CDI Quality

This job posting is no longer active.

Job ID: 11186
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. 

This position reports to the HCS Supervisor Coding and CDI Quality and Training. 

Responsibilities: 

  • Trains and audits inpatient and outpatient medical coders across all HCS entities that are owned or managed that have opted into shared services. 
  • Provides mentoring and training of new coding staff and ongoing training for existing staff. 
  • Audits and provides feedback as needed and attends IP and OP huddles to respond to coder questions and provide training and education. 
  • Processes and appeals insurance coding denials. 
  • Analyzes coded records for compliance with federal, state and third party insurer rules and regulations and note trends. 
  • Educates physicians and staff on error trends and how to prevent/reduce errors to maximize reimbursement, accurately reflect expected mortality, and demonstrate compliance. 


Other Information

Other information:
Education Requirements:
● Associate degree in Health Information Management or related field or an equivalent combination of education, training, and experience.
● Successful completion of the UNC HCS IP or OP Coder Proficiency Test as applicable.
Licensure/Certification Requirements:
● Must have one of the following: - AHIMA (American Health Information Management Association) certification and credential - AAPC (American Academy of Professional Coders) certification and credential
Professional Experience Requirements:
● 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.
Knowledge/Skills/and Abilities Requirements:
● 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.


Job Details

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: HIM Coding & CDI Quality 

Work Type: Full Time

Standard Hours Per Week: 40.00

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. This is not a State employed position.
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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.

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