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Medical Coder Auditor Hospital IP & OP - HIM Coding & CDI Quality

Company: UNC REX Healthcare
Location: Chapel Hill
Posted on: August 6, 2022

Job Description:

**ATTENTION NEW APPLICANTS** - COVID-19 Vaccine Mandatory at UNC Health:At UNC Health, our goal is to protect the health and well-being of North Carolinians and others we serve. As a condition to begin employment, all new hires at UNC Health are required to submit proof of completing a COVID-19 vaccine series (first and second dose of Moderna or Pfizer; or single dose of Johnson and Johnson) before their start date, unless approved for a medical and/or religious exemption. / Job Search / Medical Coder Auditor Hospital IP & OP - HIM Coding & CDI Quality Medical Coder Auditor Hospital IP & OP - HIM Coding & CDI QualityJob 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 DescriptionDescriptionBecome 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. -Employment opportunities available in the following states: Arizona, Florida, Georgia, Iowa, Kentucky, Maryland, Michigan, Mississippi, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Virginia, West Virginia and Wisconsin.
    Other InformationOther 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 DetailsLegal Employer: -NCHEALTHEntity: Shared Services
    Organization Unit: HIM Coding & CDI Quality -Work Type: Full Time
    Standard Hours Per Week: 40.00Work Schedule: Day JobLocation of Job: US:NC:Chapel Hill (Remote)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. 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.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 .

Keywords: UNC REX Healthcare, Chapel Hill , Medical Coder Auditor Hospital IP & OP - HIM Coding & CDI Quality, Healthcare , Chapel Hill, North Carolina

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