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Medical Coder Auditor Hospital IP & OP - HIM Coding & CDI Quality
Job ID: 11186
Location: Chapel Hill, NC
Facility/Division: Shared Services
Status: Full Time
Shift: Day Job
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 qualifies for a $10,000 commitment incentive, paid over a three (3) year commitment. The first payment will be made within the first thirty (30) days of employment. The remaining will be paid after each six (6) month period of work completed. Learn more here: https://jobs.unchealthcare.org/pages/revenue-cycle-commitment-incentive-program
**Position is Virtual/Remote**
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 (Remote)
Exempt From Overtime: Exempt: No
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.
