Coding Quality Assurance Auditor

NC-Remote

External

Req #: 235417
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Novant Health

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				Overview:

* Comprehensive benefits. 
* Remote work opportunity in North Carolina.
* Flexible work schedule.
* Reimbursement for AAPC or AHIMA membership fee.

Responsibilities:

* Perform coding audit activities for the NHmg RCS Coding Department.
* Conduct audits that include assessments of proper use of ICD-9-CM, ICD-10-CM, CPT and HCPCS codes, modifiers, NCCI usage and all other applicable coding guidelines. 
* Support the coding department by proactively auditing the team according to the RCS audit policy, and documenting/reporting issues identified during auditing processes.

Qualifications:

Required:

* CPC, CCS or RHIT certification.
* High School Diploma or GED.
* 5 or more years of professional coding experience (in all core areas).
* 2 or more years of auditing experience for coding compliance/accuracy.
* Extensive knowledge of ICD-9-CM, ICD-10-CM, CPT and HCPCS coding principles and guidelines.
* Extensive knowledge of reimbursement systems. 
* Extensive knowledge of federal, state, and payer specific regulations and policies pertaining to documentation, coding, and billing. 
* Excellent verbal and written communication skills and the ability to effectively communicate with coding team members, providing positive constructive feedback from audit results. 
* Advance level knowledge of medical terminology. 
* Proven analytical ability and organizational skills necessary to organize/assess quality assurance based on data analysis.
			
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