Novant Health

Integrated health network with care facilities

Coding Quality Assurance Auditor

Clinical Support & Patient AdministrationUpdated on Nov 11

Full-timeNorth Carolina, USANo salary listed

About the Job

Requirements

CPC, CCS, or RHIT certification is required.
A high school diploma or GED is required.
At least 5 years of professional coding experience across all core areas is required.
At least 2 years of coding compliance or accuracy auditing experience is required.
Extensive knowledge of ICD-9-CM, ICD-10-CM, CPT, and HCPCS coding principles and guidelines is required.
Extensive knowledge of reimbursement systems is required.
Extensive knowledge of federal, state, and payer-specific regulations and policies related to documentation, coding, and billing is required.
Advanced knowledge of medical terminology is required.
Analytical ability and organizational skills to organize and assess quality assurance based on data analysis are required.
Verbal and written communication skills to communicate effectively with coding team members and provide constructive feedback on audit results are required.

Responsibilities

Perform coding audit activities for the NHmg RCS Coding Department.
Conduct audits assessing proper use of ICD-9-CM, ICD-10-CM, CPT, and HCPCS codes, modifiers, NCCI usage, and other applicable coding guidelines.
Proactively audit the coding team according to the RCS audit policy and document and report issues identified during auditing.

Desired Qualifications

AAPC or AHIMA membership fee reimbursement is offered.

What We Offer

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

What You'll Do

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.

What We're Looking For

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.

Why Choose Novant Health?

At Novant Health, we believe remarkable care starts with compassion for our patients, our communities, and each other. We value belonging, courage, personal growth, and teamwork, creating a space where everyone is respected, supported, and safe to show up as their full selves.

Job Opening ID

130729

About the Company

Novant Health

Integrated health network with care facilities

Novant Health operates an integrated healthcare network with hospitals, clinics, urgent care, imaging and pharmacy services across North Carolina and South Carolina. Its care model connects facilities and clinicians to provide a coordinated continuum of care, from primary and specialty services to outpatient and virtual visits. The network sets itself apart through its scale as an integrated system, a strong safety and quality focus, and active use of clinical trials and innovative care delivery; it also emphasizes community benefits and a large virtual care platform. Its goal is to improve community health by expanding access to safe, high-quality care and advancing health outcomes through research, innovation in care delivery, and value-based partnerships.

Company size: 10,001+
Company stage: Not listed
Total funding: Not listed
Headquarters: Charlotte, NC
Founded: 1997

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