Medical Coder II
Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. 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. 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 required; higher-level degree may satisfy this requirement. 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 Professional Experience Requirements: - 2 years of physician medical coding experience Knowledge/Skills/and Abilities Requirements: Job Details - Legal Employer: NCHEALTH - Entity: Shared Services - Organization Unit