#Medicalcodingauditor

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MEDICAL CODING AUDITOR – HEALTH INFORMATION MANAGEMENT with UNC heath care

The position listed below is not with North Carolina Interviews but with UNC heath careNorth Carolina Interviews is a private organization that works in collaboration with government agencies to promote emerging careers. Our goal is to connect you with supportive resources to supplement your skills in order to attain your dream career. NorthCarolina Interviews has also partnered with industry leading consultants & training providers that can assist during your career transition. We look forward to helping you reach your career goals! If you any questions please visit our contact page to connect with us directlyThis position serves the UNC Health Care System but will be employed on the UNC Rex payroll and benefits platform.The Medical Coder Auditor reviews third party coding insurance denials, creates appeals, coordinates reviews by Clinical Documentation Integrity (CDI) Physician Advisors (PA). The medical coder auditor researches the medical record for denied cases to identify documentation to include in appeals and clinical references and coding clinics to support appeals. Appeals are submitted to insurance companies and uploaded in compliance auditing software and tracked and managed on a daily basis. The Medical Coder Auditor may request Peer to Peer discussions on behalf of the CDI PA's and the 3rd party Medical Director. The Medical Coder Auditor shares insurance denial findings that are accepted with the Coding and Quality HCS Manager for education. The medical coder auditor provides ongoing training/education and serves as a general resource to assist coders at all the HCS entities. The medical coder auditor communicates with physicians, physician advisors, HCS coding supervisors, and other health care staff to obtain missing information or to clarify existing information. The medical coder auditor accurately assigns International Classification of Diseases 10-CM (ICD-10) diagnosis codes and ICD-10-PCS procedure codes, have knowledge of Current Procedural Terminology (CPT) codes with modifiers, and other applicable codes. The medical coder auditor analyzes information for optimal and proper reimbursement as well as ensures compliance with all appropriate coding, billing and data collection regulations and procedures. The medical coder auditor provides information to physicians and other health care staff regarding current coding practices and changes in 3rd party, state and federal regulations and guidelines. The medical coder auditor provides training to Physicians, non-physician providers, and their support staff. The Medical Coder Auditor must have sound knowledge of inpatient coding and coding guidelines.Qualified candidates are limited to current employees of UNC Health Care and its affiliate organizations.Education Requirements: Associate s degree in Health Information Management or related field or an equivalent combination of education and experience. Successful completion of the UNCH Coder Proficiency Test.Licensure/Certification Requirements: Must have one of the following: - AHIMA (American Health Information Management Association) certification - AAPC (American Academy of Professional Coders) certification - AAMA (American Association of Medical Assistants) certificationProfessional 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. Associated topics: account, authorization, cbo, clerk, collection, desk, insurance, number, receivable, review  MEDICALCODINGAUDITOR–HEALTHINFORMATIONMANAGEMENTwithUNCheathcare from Job Portal http://www.jobisite.com/extrJobView.htm?id=82546

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MEDICAL CODING AUDITOR – HEALTH INFORMATION MANAGEMENT with UNC heath care

The position listed below is not with North Carolina Interviews but with UNC heath careNorth Carolina Interviews is a private organization that works in collaboration with government agencies to promote emerging careers. Our goal is to connect you with supportive resources to supplement your skills in order to attain your dream career. NorthCarolina Interviews has also partnered with industry leading consultants & training providers that can assist during your career transition. We look forward to helping you reach your career goals! If you any questions please visit our contact page to connect with us directlyThis position serves the UNC Health Care System but will be employed on the UNC Rex payroll and benefits platform.The Medical Coder Auditor reviews third party coding insurance denials, creates appeals, coordinates reviews by Clinical Documentation Integrity (CDI) Physician Advisors (PA). The medical coder auditor researches the medical record for denied cases to identify documentation to include in appeals and clinical references and coding clinics to support appeals. Appeals are submitted to insurance companies and uploaded in compliance auditing software and tracked and managed on a daily basis. The Medical Coder Auditor may request Peer to Peer discussions on behalf of the CDI PA's and the 3rd party Medical Director. The Medical Coder Auditor shares insurance denial findings that are accepted with the Coding and Quality HCS Manager for education. The medical coder auditor provides ongoing training/education and serves as a general resource to assist coders at all the HCS entities. The medical coder auditor communicates with physicians, physician advisors, HCS coding supervisors, and other health care staff to obtain missing information or to clarify existing information. The medical coder auditor accurately assigns International Classification of Diseases 10-CM (ICD-10) diagnosis codes and ICD-10-PCS procedure codes, have knowledge of Current Procedural Terminology (CPT) codes with modifiers, and other applicable codes. The medical coder auditor analyzes information for optimal and proper reimbursement as well as ensures compliance with all appropriate coding, billing and data collection regulations and procedures. The medical coder auditor provides information to physicians and other health care staff regarding current coding practices and changes in 3rd party, state and federal regulations and guidelines. The medical coder auditor provides training to Physicians, non-physician providers, and their support staff. The Medical Coder Auditor must have sound knowledge of inpatient coding and coding guidelines.Qualified candidates are limited to current employees of UNC Health Care and its affiliate organizations.Education Requirements: Associate s degree in Health Information Management or related field or an equivalent combination of education and experience. Successful completion of the UNCH Coder Proficiency Test.Licensure/Certification Requirements: Must have one of the following: - AHIMA (American Health Information Management Association) certification - AAPC (American Academy of Professional Coders) certification - AAMA (American Association of Medical Assistants) certificationProfessional 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. Associated topics: account, authorization, cbo, clerk, collection, desk, insurance, number, receivable, review  MEDICALCODINGAUDITOR–HEALTHINFORMATIONMANAGEMENTwithUNCheathcare from Job Portal http://www.jobisite.com/extrJobView.htm?id=82546

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