Rocky Mount, NC, 27803, USA
15 hours ago
Coder I
**Description** Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. UNC Health Nash, an affiliated member of the UNC Health system, invites passionate healthcare professionals to join our esteemed team. Governed locally, we proudly serve a diverse patient base, spanning Nash, Edgecombe, Halifax, Wilson Counties, and beyond. With a steadfast commitment to elevating community health through exceptional care, we prioritize excellence, compassion, and innovation, ensuring every individual receives the highest standard of support. Joining our team means becoming an integral part of our dedication to wellness, where we constantly strive to redefine excellence in healthcare through state-of-the-art facilities and pioneering programs. Join us in this transformative journey, where your contributions will make a lasting impact on our community's health and wellbeing. Summary: Responsible for capturing data from the medical records for the purposes of reimbursement, statistics, research/studies, resource allocation and benchmarking. Responsibilities: 1. Assigns International Classification of Diseases 10-CM diagnostic and ICD-10-PCS procedural codes accurately and productively, and other applicable codes such as MS-DRG on inpatient cases for all Health Care system cases excluding the academic medical center 2. Groups codes and completed product into payment group. 3. Assigns codes that affect Severity of Illness and Risk of Mortality and Hierarchal Condition Categories (HCCs). 4. Participates in DRG Reconciliation with CDS. 5. Queries providers when documentation is conflicting, needs clarification and specificity 6. Analyzes information for optimal and proper reimbursement. 7. Ensures compliance with all appropriate coding, billing and data collection regulations and procedures. 8. Provides information to physicians and other health care staff regarding current coding practices and changes in 3rd party, state and federal regulations and guidelines. 9. Reviews, analyzes and abstracts physician/other documentation for diagnoses, procedures, and other services provided. 10. Obtains missing information and/or to clarifies existing information. 11. Accepts feedback from Auditor and reviews PWC SMART Edits as needed to avoid future errors. 12. Researches appropriate databases for validation of information. 13. Utilizes a variety of software (e.g. Epic, Optum CAC, MS Office, etc.) to compile and validate medical information. Other information: + Associate Degree - Healthcare in Health Information Technology + Graduate from Health Information Technology + Registered Health Information Technician (RHIT). AHIMA approved + 1 year of experience in Healthcare/Medical - Medical Coder + Experience in ICD-9, CPT, and ICD-10 preferred + Newly credentialed applicants are eligible to apply **Job Details** Legal Employer: Nash Hospitals Entity: Nash UNC Health Care Organization Unit: NGH Health Information Management Work Type: Full Time Standard Hours Per Week: 40.00 Work Assignment Type: Onsite Work Schedule: Day Job Location of Job: NASH HC Exempt From Overtime: Exempt: No 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.
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