Competitive Compensation & Benefits Package!
Position eligible for -
Annual incentive bonus plan
Medical, dental, and vision insurance with low deductible/low cost health plan
Generous vacation and sick time accrual
12 paid holidays
State Retirement (pension plan)
401(k) Plan with employer match
Company paid life and disability insurance
Wellness Programs
Public Service Loan Forgiveness Qualifying Employer See attachment for additional details.
Office Location: Remote option; Available for any of Partners' NC locations
Closing Date: Open Until Filled
Primary Purpose of Position: This position will oversee Partners' coding to accurately assign standardized codes to ensure compliance with regulatory requirements facilitating proper billing and supporting efficient health care reimbursement processes.
Role and Responsibilities:
Analyze documentation to ensure completeness, accuracy, and compliance with coding guidelines federal regulations and payer requirements.
Adhere to coding standards and regulations to ensure ethical and legal coding practices.
Review submitted claims to ensure codes align with payer policies and procedures.
Participate in audits to ensure accuracy and compliance.
Keep abreast on the changes in coding guidelines, regulations, and pay policies.
Work with staff to resolve coding related issues.
Apply specialized knowledge in areas like inpatient (DRG), outpatient, surgical and specific specialties. Knowledge, Skills and Abilities:
Working knowledge of the Medicaid Waiver requirements, HCPCS, revenue codes, ICD-10, CMS 1500/UB04 coding, compliance and software requirements used to adjudicate claims
General knowledge of office procedures and methods
Strong organizational skills
Excellent oral and written communication skills with the ability to understand oral and written instructions
Excellent computer skills including use of Microsoft Office products
Ability to handle large volume of work and to manage a desk with multiple priorities
Ability to work in a team atmosphere and in cooperation with others and be accountable for results
Ability to read printed words and numbers rapidly and accurately
Ability to enter routine and repetitive batches of data from a variety of source documents within structured time schedules
Ability to manage and uphold integrity and confidentiality of sensitive data
Education and Experience Required: High School graduate or equivalent and three (3) years of experience in claims reimbursement in a healthcare setting; or an equivalent combination of education and experience. Minimum 2 years experience in medical coding.
Must live in NC or within 40 miles of the NC border.
Education and Experience Preferred: N/A
Licensure/Certification Requirements: Inpatient Coding Credential (CCS) preferred.