Hospital Coder Senior - HIM Hospital Coding
Company: UNC Health Care
Location: Chapel Hill
Posted on: November 20, 2023
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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.
Summary:
Performs the same duties as Medical Coder I and II - Hosp IP and
Medical Coder I, II, III - Hosp OP, but also serves as a resource
for Medical Coders (IP and OP) when needed on complex application
of codes. Participates in and mentors coders, provides problem
resolution and feedback to supervisors. Assists and serves as
back-up to the Medical Coder Auditor - Hosp IP &OP as needed on
completing PWC SMART coding edits.
100% remote
This is a remote position eligible for hire from: Arizona, Florida,
Georgia, Iowa, Kentucky, Maryland, Michigan, Mississippi, North
Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Virginia,
West Virginia, and Wisconsin.
Responsibilities:
Assigns and/or audits International Classification of Diseases
10-CM (ICD-10) diagnostic and ICD-10-PCS procedural codes, Current
Procedural Terminology (CPT) codes with modifiers, and other
applicable codes in an accurate and productive manner on inpatient,
outpatient (observation, ambulatory surgery, and ancillary
cases).
Queries providers when documentation is conflicting, needs
clarification and specificity.
Groups codes and completed product into payment group.
Analyzes information for optimal and proper reimbursement.
Ensures compliance with all appropriate coding, billing and data
collection regulations and procedures.
Reviews work of staff as needed. Responds to questions and refers
staff as appropriate to the Medical Coder Auditor.
Researches and resolves problems from coders as needed.
Provides input on performance of coders to supervisor for
performance evaluations.
Performs coding audits at a minimum of two medical coders per month
as needed to back up the Medical Coder Auditors - Hosp IP/OP.
Researches and resolves problems referred by coders in response to
audited charts. Provides information on performance of coders'
audits to supervisors.
Provides information to physicians and other health care staff
regarding current coding practices and changes in 3rd party, state
and federal regulations and guidelines.
Provides training and serves as a general resource to assist other
coders and members of department staff.
Reviews, analyzes and abstracts physician/other documentation for
diagnoses, procedures, ancillary testing, medications, laboratory
and other services provided. Communicates with physicians and other
health care staff to obtain missing information or to clarify
existing information.
Reviews and processes PWC SMART edits.
Utilizes a variety of software (e.g. EPIC, Optum CAC, PWC SMART,
etc.) to compile and validate medical information.
Other Information
Other information:
Education Requirements:
--- Associate's degree in Health Information Management, Nursing or
related field or an equivalent combination of education, training,
and experience.
--- Successful completion of the UNC HCS Inpatient and Outpatient
Coder Proficiency Test.
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: Three (3) years of experience in
Inpatient and Outpatient hospital coding.
--- If High School Diploma: Seven (7) years of experience in
Inpatient and Outpatient hospital coding.
Knowledge/Skills/and Abilities Requirements:
--- Strong knowledge of ICD-10/PCS/CPT/HCPCS coding with excellent
analytical and data mining skills. Ability to effectively manage
projects, plan and implement programs, and evaluate outcomes.
Ability to effectively work with direct various levels of staff
(including on-site and remote) and mentoring colleagues. Must
possess 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 have an excellent
balance of being highly productive and yet produce high quality
work. 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 Hospital Coding
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; except that, if you are currently a UNCHCS
State employee already working in a designated shared services
department, you may remain a UNCHCS State employee if selected for
this job.
Qualified applicants will be considered without regard to their
race, color, religion, sex, sexual orientation, gender identity,
national origin, disability, or status as a protected veteran.
UNC Health makes reasonable accommodations for applicants' and
employees' religious practices and beliefs, as well as applicants
and employees with disabilities. All interested applicants are
invited to apply for career opportunities. Please email
applicant.accommodations@unchealth.unc.edu if you need a reasonable
accommodation to search and/or to apply for a career
opportunity.
Qualified applicants will be considered without regard to their
race, color, religion, sex, sexual orientation, gender identity,
national origin, disability, or status as a protected veteran.
Keywords: UNC Health Care, Chapel Hill , Hospital Coder Senior - HIM Hospital Coding, Healthcare , Chapel Hill, North Carolina
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