Medical Coder jobs at Healthcare Resolution Services - 220 jobs

Liberty Cares With Compassion At Liberty Home Care we know that following an illness, trauma or surgery, the ability to recover at home can greatly improve patient outcomes. Our healthcare professionals are dedicated to offering recovery with independence to our patients. We are currently seeking an experienced: HIM FIELD CODER Full Time (North Carolina Based) Job Summary: Provides LHRS facilities with accurate pre-authorization ICD coding and reports codes to facility designated staff within a turn-around time of 5-15 minutes, business days. Provides LHRS facilities with accurate ICD codes during facility HIM staff new hires, vacation, extended leaves or vacancy. Entering codes into facility EHR within a 24 business hours following resident admit. Completes LHM home health and hospice intake coding as assigned. Entering codes into EHR within 24 business hours following notification. Perform ICD code analysis, as requested and report findings to LHM Senior Director of Coding Reimbursement. Serve as an ICD coding resource, responding to staff questions concerning ICD coding in a timely manner. Works with other departments as needed to improve documentation quality and/or to improve the processes which are related to accurate ICD code assignment. Assist with training of staff on ICD coding. Attends educational sessions pertinent to ICD coding to ensure competency in LTC, home health & hospice coding. Performs other duties as assigned. Job Requirements: Must be a high school graduate Must be a Registered Health Information Administrator/RHIA (BS) or Registered Health Information Technologist/RHIT (AAS), AHIMA Certification required Extensive knowledge of ICD-10-CM coding required 1-3 years of relevant coding experience in the LTC and/or home health and hospice setting preferred Knowledge of Medicare/Medicaid regulations preferred Must be dependable, flexible, and able to work and cooperate well with staff and have understanding, patience, and tact in working with practitioners and others. Must be able to prioritize work assignment and complete duties within specified timeframe, but also be flexible to adapt to changing priorities. Excellent computer skills Must have a valid N.C. driver's license. Must have neat professional appearance at all times. Visit *********************** for more information. Background checks/drug-free workplace. EOE. PIe19a89cb679c-37***********5

Department: 13376 Enterprise Revenue Cycle - Individualized Clinician Services Primary Care and Medical Specialties Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Hours between 6a - 6p; 40 hrs/week Monday - Friday Pay Range $34.90 - $52.35 Major Responsibilities: Deliver proactive coding education through newsletters, scorecards, and presentations, covering CPT (E&M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions. Lead onboarding and compliance training for all employed Physicians/APPs, including Locum Tenens, residents, and students, ensuring documentation accuracy from the start. Provide individualized documentation feedback by reviewing new clinician records and conducting spot checks, escalating non-coding issues to appropriate teams. Serve as the primary contact for coding inquiries, coordinating with internal teams to resolve complex issues such as NCCI bundling and high-complexity charge edits. Monitor Epic work queues (charge review, follow-up, claim edit) to ensure timely and accurate charge submissions and reduce claim denials. Collaborate across departments-including CMOs, Clinical Informatics, Risk Adjustment, and Population Health-to enhance documentation practices and system optimization. Participate in specialty and department meetings, identifying trends and delivering targeted education to improve coding and documentation accuracy. Refine Epic documentation tools, including templates, order entries, diagnosis lists, and SmartSets/SmartPhrases, to improve efficiency and accuracy. Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA's Standards of Ethical Coding, while maintaining expert knowledge of evolving policies. Promote a culture of ethical coding and continuous improvement, supporting clinicians with timely updates, feedback, and education to ensure accurate reimbursement and compliance. Licensure, Registration, and/or Certification Required: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC). Additional specialty credential preferred. Education Required: Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge. High school diploma or GED required. Experience Required: Typically requires 4 years of experience in expert-level professional coding. Knowledge, Skills & Abilities Required: Advanced Coding Expertise: In-depth knowledge of ICD, CPT, and HCPCS coding guidelines, ensuring accurate and compliant coding practices. Medical Terminology & Anatomy: Strong understanding of medical terminology, anatomy, and physiology to support precise code assignment. Epic & Reporting Solutions: Advanced knowledge of Epic and other reporting tools to analyze data, generate reports, and optimize workflow efficiencies. Critical Thinking & Analytical Skills: Highly proficient in problem-solving and analytical thinking with strong attention to detail. Interpersonal Communication: Excellent verbal and written communication skills, with the ability to educate and collaborate effectively with physicians, APCs, clinical leadership, and coding teams. Advanced Computer Skills: Proficiency in Microsoft Office Suite, electronic coding applications, and email communication. Organizational & Prioritization Skills: Ability to efficiently manage multiple tasks, set priorities, and meet deadlines in a fast-paced environment. Independent Decision-Making: Ability to work independently, exercise sound judgment, and make informed decisions regarding coding and compliance. Collaboration & Initiative: Strong ability to take initiative, contribute to process improvements, and work collaboratively within a team environment. Physical Requirements and Working Conditions: Follow organizational and divisional remote work policy and guidelines. Operates all equipment necessary to perform the job. Handles a fast paced and creative work environment moving independently from one task to another. Makes sound decisions within limited time frames and always conducts business in a professional manner and has demonstrates ability to work cooperatively and effectively with others on an individual and team basis. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

00153661 Employment Type: Full Time Shift: Day Shift Details: Monday-Friday 1st shift Standard Hours: 40.00 Department Name: Medical Records Location Details: Onboarding at Arrowpoint, after training able to work remote Carolinas HealthCare System is Atrium Health. Our mission remains the same: to improve health, elevate hope and advance healing - for all. The name Atrium Health allows us to grow beyond our current walls and geographical borders to impact as many lives as possible and deliver solutions that help communities thrive. For more information, please visit carolinashealthcare.org/AtriumHealth Job Summary To support World Class Service Lines, and with Documentation Excellence (DE) as the primary objective, the Clinical Coder IV reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate codes for billing, internal and external reporting, research and regulatory compliance. An option to work as part of the clinical team and perform high level, service line based concurrent coding is also available. This position also enjoys the advantages of free CEUs and one paid professional membership. Essential Functions Reviews medical records of high complexity to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes. Assign and present on Admission, Hospital Acquired Condition and Core Measure Indicators for all diagnosis codes. Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting. Reviews charges and Evaluation and Management levels. Demonstrates proficiency with Microsoft Office Applications and in using required computer systems with minimal assistance. Abstracts coded data and other pertinent fields in the hospital electronic health record. Ensures the accuracy of data input. Meets established quality and productivity standards. Facilitates peer review and training for all Acute Clinical Coders in the coding department. Provides support to management. Stay abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding. Physical Requirements Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment. Education, Experience and Certifications. High school diploma or GED required; Bachelors degree preferred. Advanced knowledge in Medical Terminology, Anatomy and Physiology and Pharmacology required. 4 years coding experience in acute care setting required. Current RHIA, RHIT, CCS, CPC-H, CPC or CIC required plus a passing score on the CHS Coding test. At Atrium Health, formerly Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations. As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve. Posting Notes: Not Applicable Carolinas HealthCare System is an EOE/AA Employer

Job DescriptionDescription: Full Time, Remote Exempt / Salary Organization High Country Community Health (HCCH) is a federally funded Community and Migrant Health Center with medical locations in Watauga, Avery, Burke, and Surry Counties. The mission of HCCH is to provide comprehensive and culturally sensitive primary health care services that may include dental, mental and substance abuse services to the medically under-served population of Watauga, Avery, Burke, and Surry Counties and the surrounding rural communities. Supervisory Relationship: Reports to: Deputy CFO Job Summary and Responsibilities Provides thorough concurrent, prospective, and retrospective review of ambulatory medical record clinical documentation to ensure accurate and complete capture of the clinical picture, severity of illness, and patient complexity of care. Utilizes knowledge of official coding guidelines, HCC standards, Risk Adjustment Factor (RAF) scoring, and physician query briefs. Will participate in Provider education on the importance of diagnosis specificity and documentation guidelines. The Risk Adjustment Coder works to maintain a thorough knowledge of our current automated eClinicalsWork (eCW) enterprise billing system, through which the coding and documentation review are functionalized to provide support to HCCH providers and staffs as necessary. Provides subject matter expertise to others including staff in the Billing department as necessary. This position requires professional maturity, responsibility, integrity, and subject matter expertise to complete the work timely; communicate setbacks to deliverables. and to collaborate with others to meet production and quality standards. Responsibilities include: -Review and accurately code medical records and encounters for diagnoses and procedures related to Risk Adjustment and HCC coding guidelines -Validate and ensure the completeness, accuracy, and integrity of coded data. -Concurrently, prospectively, and retrospectively review medical records to identify unclear, ambiguous, or inconsistent documentation ensuring full capture of severity, accuracy, and quality. -Query providers when documentation in the record is inadequate, ambiguous, or otherwise unclear for medical coding purposes. -Utilizes approved resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS and ensures documentation in the medical record follows official coding guidelines, internal guidelines, and AHIMA physician query brief standards. -Comply with the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines. -Comply with HIPAA laws and regulations. -Maintain coding quality and productivity standards set forth by HCCH. -Maintain competency in evolving areas of coding, guidelines, and risk adjustment reimbursement reporting requirements. -Assist in internal and external coding audits to ensure the quality and compliance of coding practices. -Provide ongoing feedback to physicians and other providers regarding coding guidelines and requirements, including education and support for improvement in HCC coding, and RAF scoring. -Assist with educational in-services for physicians, other providers, and clinic staff relating to coding and documentation compliance as well as new policies and procedures relating to clinical documentation compliance related to billing. -Maintains complete confidentiality of patient information. -Assists with developing, implementing, and reviewing policies, procedures, and forms related to areas of responsibility. -Other duties as assigned by your Supervisor. Requirements: Requirements/Skills/Experience -High-speed internet access -Strong clinical knowledge related to chronic illness diagnosis, treatment, and management. -Knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements is highly preferred. -Personal discipline to work remotely without direct supervision -Dental coding skills a plus -Knowledge of HIPAA, recognizing a commitment to privacy, security, and confidentiality of all medical chart documentation. Qualifications: -Bachelor's degree in allied health or any related field required. -Minimum 2 years of progressive Professional Risk Adjustment Coding experience required. -Active Certified Risk Adjustment Coder certification (CRC and/or CPC) required -Candidates hired with active CPC, but without Certified Risk Adjustment Coder certification (CRC) must obtain CRC certification within 9 months of hire. Travel Requirements None. Salary Commensurate with experience, education and certifications

Atlantic Medical Management is currently hiring for professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated. This position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Must have ProFee coding and billing experience. This is a remote position and candidates must be located in North Carolina. Essential Functions Post medical charges into NextGen software in a timely manner to meet daily and monthly goals. Reviews and verifies documentation supports diagnoses, procedures, and treatment results. Identifies diagnostic and procedural information and assigns codes for reimbursements Ability to navigate around CPT, ICD-10, and HCPCS. Work with providers to correct the diagnosis or procedure codes so that the claim can be processed. Identify coding or billing problems from EOBs and work to correct the errors in a timely manner Maintain in depth knowledge of all payers. Coordinate with clinics to ensure all outstanding superbills are collected prior to month end close. Update patient demographic and insurance Transfer open balances to correct insurance Work with patients and guarantors to secure payment Resolves disputed claims by gathering, verifying, and providing additional information Identify problem accounts and escalate as appropriate. Write appeals and include supporting documentation Run appropriate reports and contact insurance companies to resolve unpaid claims Meet set department metrics and threshold set forth by manager. Assist with special projects and other job-related duties as needed. Minimum Qualifications High School Diploma. 2 years of Professional coding/billing experience AAPC certification preferred Experience Medicare, Medicaid and other commercial and private payers. Demonstrated well-developed interpersonal skills to interact in sensitive and/or complex situation with a variety of people. Excellent customer service and professionalism. Maintains patient confidentiality. Proficient computer skills. Organized and efficient. Self-motivated to meet objectives Benefits: 401(k) Health, Dental and Vision insurance Employee assistance program AFLAC Paid time off

Job Summary:##To perform diversified coding of clinic encounters to accurately reflect the services provided in the clinic setting, using#ICD-10-CM and CPT coding conventions including application of Evaluation # Management guidelines, and appropriate modifier usage. Performs abstract coding functions for each encounter coded by reviewing to validate the documentation supports the codes submitted on claims. Maintain##a thorough understanding of anatomy and physiology, medical terminology, disease processes, and surgical techniques through participation in continuing education to effectively apply ICD-10-CM/CPT coding guidelines to professional fee billed encounters. # Qualifications:##Education and formal training:# High school graduate/diploma required. # Training in ICD-10 and CPT coding conventions. # Applicants must be eligible for a qualifying certification but has not taken an exam, or has taken and passed an exam but has less than 2 years of experience. # Qualifying certifications for this position include those offered by AAPC or AHIMA including CPC, RHIA, RHIT, CCS, CCS-P or CPC-A. # Individuals hired in this position will be moved to a Coding Specialist II position after obtaining 2 years# experience. ##Excellent verbal and written communication skills. # Must be able to maintain the highest level of confidentiality of sensitive information. Must have knowledge of Medicare, Medicaid and other payer requirements related to coding and billing claims for services rendered. # Excellent verbal and written communication skills. . # Must be able to maintain the highest level of confidentiality of sensitive information. Familiar with coding software preferred. #EOE A M/F/VET/DSABILITY #

00097817 Employment Type: Full Time Salary Range: 24.72 - 37.08 Shift: Day Shift Details: Monday-Friday days Standard Hours: 40.00 Department Name: Medical Records Location: Remote, US Location Details: 9401 ArrowPoint Blvd Job Summary Remote role. To support World Class Service Lines, and with Documentation Excellence (DE) as the primary objective, the Clinical Coder IV reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate codes for billing, internal and external reporting, research and regulatory compliance. An option to work as part of the clinical team and perform high level, service line based concurrent coding is also available. This position also enjoys the advantages of free CEUs and one paid professional membership. Essential Functions Reviews medical records of high complexity to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes. Assign and present on Admission, Hospital Acquired Condition and Core Measure Indicators for all diagnosis codes. Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting. Reviews charges and Evaluation and Management levels. Demonstrates proficiency with Microsoft Office Applications and in using required computer systems with minimal assistance. Abstracts coded data and other pertinent fields in the hospital electronic health record. Ensures the accuracy of data input. Meets established quality and productivity standards. Facilitates peer review and training for all Acute Clinical Coders in the coding department. Provides support to management. Stay abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding. Physical Requirements Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment. Education, Experience and Certifications. High school diploma or GED required; Bachelors degree preferred. Advanced knowledge in Medical Terminology, Anatomy and Physiology and Pharmacology required. 4 years coding experience in acute care setting required. Current RHIA, RHIT, CCS, CPC-H, CPC or CIC required plus a passing score on the Atrium Health Coding test. At Atrium Health, formerly Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations. As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve. Posting Notes: Not Applicable Atrium Health is an EOE/AA Employer

00127709 Employment Type: Full Time Shift: Day Shift Details: 1st shift M-F Standard Hours: 40.00 Department Name: Medical Records Location Details: Charlotte, with telecommunitng available after onboarding Carolinas HealthCare System is Atrium Health. Our mission remains the same: to improve health, elevate hope and advance healing - for all. The name Atrium Health allows us to grow beyond our current walls and geographical borders to impact as many lives as possible and deliver solutions that help communities thrive. For more information, please visit carolinashealthcare.org/AtriumHealth Job Summary Reviews clinical documentation and diagnostic results as appropriate to abstract data and apply appropriate ICD-9-CM/ICD-10-CM/PCS1 and CPT 4 codes for reimbursement, external reporting, research, regulatory compliance, medical necessity, CCI, NCCI and other regulatory edits. Code and abstract medical records of moderate to high complexity within the Atrium Health Primary Enterprise acute care facilities. Essential Functions Reviews moderate to high complexity medical records to identify the appropriate principal diagnosis and procedure codes and all other appropriate secondary diagnoses and procedure codes and assign Present on Admission indicators, Hospital Acquired Conditions and Core Measures for all diagnosis codes. Facilitates appropriate MSDRG for inpatient medical records and UHDDS and other facility guidelines. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting. Abstracts coded data and other pertinent fields in the hospital electronic health record. Ensures the accuracy of data input. Meets established quality and productivity standards. Stay abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding. Physical Requirements Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment. Education, Experience and Certifications. High School Diploma or GED required; Bachelors Degree preferred. Advanced knowledge in Medical Terminology, Anatomy and Physiology and Pharmacology required. 2 years coding experience in acute care setting required. Current RHIT, RHIA, CPC-H, CIC or CCS required plus a passing score on the Atrium Health Coding test. At Atrium Health, formerly Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations. As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve. Posting Notes: Not Applicable Atrium Health is an EOE/AA Employer

Back to Search Results Clinician Coding Liaison - New Clinician Onboarding Specialist Charlotte, NC, United States Shift: 1st Job Type: Regular Share: mail

Back to Search Results Clinician Coding Liaison - New Clinician Onboarding Specialist Charlotte, NC, United States Shift: 1st Job Type: Regular Share: mail

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. To ensure accurate and appropriate gathering of information into the coding classification systems to meet departmental, hospital and outside agency requirements. This includes ensuring appropriate reimbursement, compliance and charging with the various coding guidelines and regulatory agencies. Responsible for obtaining accurate and complete documentation in the medical record for accurate coding assignment. Responsible for the coding of moderately complex patient classes i.e. ED, observations, same day care, etc. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High School Diploma or Equivalent. 2. Certification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), COC-A (Certified Outpatient Coder-Apprentice), COC (Certified Outpatient Coder), Formerly CPC-H (Certified Professional Coder-Hospital), CPC (Certified Professional Coder) or CIC (Certified Inpatient Coder). EXPERIENCE: 1. One (1) year of hospital coding experience. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. Codes moderately complex patient classes. 2. Assigns hospital codes to a variety of patient classes (i.e. ED, OBS, SDC, etc.). 3. Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas. 4. Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals. 5. Assures the accuracy, quality, and timely review of data needed to obtain a clean bill. 6. Contacts physicians or any persons necessary to obtain information required for to accurately code assignments. Works and communicates with other offices in any manner necessary to facilitate the billing process. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Must be able to sit for long periods of time. 2. Must have visual and hearing acuity within the normal range. 3. Must have manual dexterity needed to operate computer and office equipment. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment. 2. Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material. 3. May require travel. SKILLS AND ABILITIES: 1. Must be able to concentrate and maintain accuracy during constant interruptions. 2. Must possess independent decision-making ability. 3. Must possess the ability to prioritize job duties. 4. Must be able to handle high stress situations. 5. Must be able to adapt to changes in the workplace. 6. Must be able to organize and complete assigned tasks. 7. Must possess excellent written and verbal communication skills. 8. Must possess the knowledge of anatomy, physiology and medical terminology. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: SYSTEM West Virginia University Health System Cost Center: 548 SYSTEM HIM Coding Analysis

Competitive Compensation & Benefits Package! 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 (or within 40 miles of NC border) Closing Date: Open Until Filled Primary Purpose of Position: The HEDIS Coding Specialist plays a critical role in ensuring accurate and compliant coding, documentation improvement, and adherence to National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment requirements. With a background in medical coding and clinical practice, the specialist is responsible for reviewing medical records, identifying appropriate diagnosis codes, and ensuring documentation supports coding accuracy. Additionally, they collaborate with healthcare providers to address incomplete or missing clinical documentation, educate on proper coding practices, and facilitate training sessions as needed. By conducting audits, analyzing data, and communicating with internal and external stakeholders, the specialist helps improve coding accuracy, optimize revenue, and enhance the quality of care delivered to patients. Their meticulous attention to detail, strong analytical skills, and compliance expertise contribute to the organization's success in meeting HEDIS reporting requirements and achieving quality improvement goals. Role and Responsibilities: 1. Coding Review: Conduct thorough reviews of medical records to ensure accurate coding and documentation in compliance with National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment requirements. 2. Documentation Improvement: Identify opportunities for documentation improvement to support accurate coding and ensure alignment with coding guidelines and regulatory standards. 3. Provider Education: Collaborate with healthcare providers to educate them on proper documentation practices, coding guidelines, and HEDIS measures. Provide guidance and support to facilitate accurate coding and documentation. 4. Auditing: Perform audits to assess coding accuracy and completeness. Identify discrepancies, coding errors, and areas for improvement through audit findings. 5. Risk Adjustment Coding: Apply expertise in risk adjustment coding to accurately capture and report diagnosis codes relevant to Hierarchical Condition Categories, Risk Adjustment and Managed Care Contract reimbursement initiatives. 6. Data Analysis: Analyze coding and documentation data to identify trends, patterns, and opportunities for improvement. Use data-driven insights to develop strategies for enhancing coding accuracy and documentation completeness. 7. Quality Assurance: Ensure compliance with coding and documentation guidelines, regulatory requirements, and organizational standards. Monitor coding practices and documentation processes to maintain quality and integrity. 8. Provider Support: Serve as a resource for healthcare providers, offering guidance, feedback, and assistance with coding-related inquiries, coding challenges, and documentation queries. 9. Training and Development: Develop and deliver training sessions, workshops, or educational materials to healthcare providers and coding staff on coding best practices, documentation requirements, and HEDIS measures. 10. Collaboration: Collaborate with cross-functional teams, including Quality Improvement, Provider Relations, and Data Analytics, to support quality improvement initiatives, address coding-related issues, and achieve organizational goals. 11. Reporting: Generate reports and documentation to track coding accuracy, documentation improvement efforts, and compliance with HEDIS measures. Communicate findings and recommendations to stakeholders as needed. 12. Continuous Learning: Stay abreast of updates, changes, and advancements in coding guidelines, documentation standards, and regulatory requirements. Continuously enhance knowledge and skills through professional development opportunities. Knowledge, Skills and Abilities: Knowledge: 1. Medical Coding: Comprehensive understanding of ICD-10-CM, CPT, and HCPCS coding systems, including knowledge of coding conventions, guidelines, and updates. 2. HEDIS Measures: Familiarity with National Committee for Quality Assurance (NCQA) HEDIS measures, specifications, and reporting requirements. 3. Risk Adjustment: Understanding of risk adjustment methodologies and concepts, including Hierarchical Condition Categories (HCCs) and CMS risk adjustment models. 4. Clinical Documentation: Knowledge of clinical documentation standards, terminology, and practices to ensure accurate coding and documentation. 5. Regulatory Compliance: Understanding of healthcare regulations, coding guidelines, and compliance standards related to HEDIS reporting, risk adjustment, and medical coding. Skills: 1. Coding Proficiency: Strong coding skills with the ability to accurately assign diagnosis and procedure codes based on clinical documentation. 2. Attention to Detail: Meticulous attention to detail to identify coding discrepancies, documentation deficiencies, and coding errors. 3. Analytical Skills: Ability to analyze coding and documentation data, identify trends, and draw insights to support quality improvement initiatives. 4. Communication Skills: Effective communication skills, both verbal and written, to convey coding guidelines, provide feedback to providers, and collaborate with cross-functional teams. 5. Problem-Solving: Strong problem-solving skills to address coding challenges, resolve discrepancies, and implement solutions to improve coding accuracy and documentation completeness. Abilities: 1. Adaptability: Ability to adapt to changes in coding guidelines, regulatory requirements, and organizational processes related to HEDIS reporting and risk adjustment. 2. Time Management: Effective time management skills to prioritize tasks, meet deadlines, and manage multiple coding projects simultaneously. 3. Collaboration: Ability to collaborate with healthcare providers, coding staff, quality improvement teams, and other stakeholders to achieve coding accuracy and documentation improvement goals. 4. Continuous Learning: Commitment to continuous learning and professional development to stay updated on coding guidelines, HEDIS measures, risk adjustment methodologies, and regulatory changes. 5. Quality Focus: Strong commitment to quality and accuracy in coding and documentation practices to ensure reliable data for HEDIS reporting and support quality improvement efforts. Education Required: Bachelor's degree in health information management (HIM), Health Information Technology, Medical Coding, Nursing, or related healthcare field; OR Associate's degree in health information management or medical Coding with minimum 3 years of medical coding experience Experience Required: Minimum 2-3 years of experience in medical coding and documentation Minimum 1 year of experience with HEDIS measures and reporting Experience with risk adjustment methodologies and HCC coding preferred Technical Skills: Proficiency in ICD-10-CM/PCS, CPT, and HCPCS coding systems Experience with coding software and audit tools Advanced Excel skills for data analysis and reporting Performance Metrics: Demonstrated coding accuracy rate of 95% or higher Ability to code minimum of 20-25 charts per day while maintaining quality standards Education/Experience Preferred: Master's degree in health information management or related field 5+ years of medical coding experience Previous experience in managed care or health plan environment Experience with Epic, Cerner, or other major EHR systems Knowledge of Medicare Advantage and Medicaid managed care operations Knowledge of SQL or other database query languages preferred Licensure/Certifications Required: Current certification from AHIMA (CCS, RHIA, RHIT) or AAPC (CPC, CRC) HEDIS certification or ability to obtain within 6 months of hire

**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

YOU BELONG HERE What Awaits You? * Career growth and development * Employee and Dependent Tuition Assistance * Diverse and collaborative working environment * Affordable and comprehensive benefits package Our competitive Benefit Package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link: ******************************** Summary: The Lead for Coding Specialist I (CS I) assists the Outpatient Coding Supervisor, Clinic and Outpatient with oversight of daily coding operations. This may include work volume and distribution, workflow evaluations and testing. This position may also include reviewing and reconciling reports, providing coding training within the Outpatient Coding Division and performing research on coding issues. In addition, the Lead CS I analyzes and interprets documentation in the patient record to accurately code and abstract data for diagnostic and clinic patient records as well as provides coverage to Emergency Department (ED) diagnosis and procedure coding (no charging) for the JHHS enterprise. The Lead Coding Specialist I will also be responsible for using revenue management software to identify and resolve coding and claim edits. Utilizing a computerized encoder and multiple databases, abstracts data from clinical documentation in the electronic health record, and assigns classification codes in accordance with Federal, State, and organizational guidelines to ensure accurate and timely billing and reporting. Queries physicians as needed to clarify documentation necessary to ensure accurate code assignment. Organizes and prioritizes work to meet goals and timelines. Maintains and expands knowledge of coding and sequencing guidelines to ensure coding compliance and accuracy. Education: High school diploma or GED required. Associates or higher degree in health information management or healthcare related field preferred. Required Licensure, Certification, On-going Training: * Active approved coding credential from AAPC or AHIMA upon hire. Work Experience: * Two years coding experience Salary Range: Minimum $0/hour - Maximum $0/hour. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are drug-free workplace employers.

YOU BELONG HERE What Awaits You? Career growth and development Employee and Dependent Tuition Assistance Diverse and collaborative working environment Affordable and comprehensive benefits package Our competitive Benefit Package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link: ******************************** Summary: The Lead for Coding Specialist I (CS I) assists the Outpatient Coding Supervisor, Clinic and Outpatient with oversight of daily coding operations. This may include work volume and distribution, workflow evaluations and testing. This position may also include reviewing and reconciling reports, providing coding training within the Outpatient Coding Division and performing research on coding issues. In addition, the Lead CS I analyzes and interprets documentation in the patient record to accurately code and abstract data for diagnostic and clinic patient records as well as provides coverage to Emergency Department (ED) diagnosis and procedure coding (no charging) for the JHHS enterprise. The Lead Coding Specialist I will also be responsible for using revenue management software to identify and resolve coding and claim edits. Utilizing a computerized encoder and multiple databases, abstracts data from clinical documentation in the electronic health record, and assigns classification codes in accordance with Federal, State, and organizational guidelines to ensure accurate and timely billing and reporting. Queries physicians as needed to clarify documentation necessary to ensure accurate code assignment. Organizes and prioritizes work to meet goals and timelines. Maintains and expands knowledge of coding and sequencing guidelines to ensure coding compliance and accuracy. Education: High school diploma or GED required. Associates or higher degree in health information management or healthcare related field preferred. Required Licensure, Certification, On-going Training: Active approved coding credential from AAPC or AHIMA upon hire. Work Experience: Two years coding experience Salary Range: Minimum $0/hour - Maximum $0/hour. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. Johns Hopkins Health System and its affiliates are drug-free workplace employers.

YOU BELONG HERE What Awaits You? Career growth and development Employee and Dependent Tuition Assistance Diverse and collaborative working environment Affordable and comprehensive benefits package Our competitive Benefit Package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link: ******************************** Position Summary: The Coding Specialist IV, under the supervision of the Coding Supervisor, Inpatient Coding analyzes and interprets the most complex clinical electronic health documentation by physician and applicable clinical support in compliance with AHA Coding Guidelines for purposes of reporting. Accurately applies federal, state and organizational regulatory guidelines for coding and abstraction of inpatient accounts. Maintains and increases personal knowledge and education for purposes of applying the guidelines. Utilizes computerized encoder and other systems to access multiple data bases in performance of duties. Ensures accurate and timely billing and reporting. Identifies and authors physician queries as required to clarify documentation for accurate code assignment and archiving of the physician responses to the electronic health record. Organizes and prioritizes work to meet deadlines and organizational goals. Participates in organizational activities to assess the quality of information captured and reported through the coding process. Able to apply coding practices across all facilities in accordance with regulatory guidelines and which may differ between states. Education: High school diploma or GED required. Associates or higher degree in health information management or healthcare related field preferred Required Licensure, Certification, On-going Training: • Active approved coding credential from AHIMA upon hire. • Successful Completion of Pre-employment coding assessment. Work Experience: External Applicants 5 years inpatient coding experience, academic experience preferred. Internal Applicants 5 years acute hospital inpatient coding experience, academic experience preferred, and at the discretion of leadership. Salary Range: Minimum 25.73 per hour - Maximum 42.48 per hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins! Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. Johns Hopkins Health System and its affiliates are drug-free workplace employers.

**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

00131697 Employment Type: Full Time Shift: Day Shift Details: Monday-Friday 8am-5pm Standard Hours: 40.00 Department Name: Medical Records Location Details: 9401 Arrowpoint Job Summary Remote role. Reviews clinical documentation and diagnostic results as appropriate to abstract data and apply appropriate ICD-9-CM/ICD-10-CM/PCS and CPT 4 codes for reimbursement, external reporting, research, regulatory compliance, medical necessity, CCI, NCCI and other regulatory edits. Code and abstract medical records of low to moderate complexity within the Primary Enterprise acute care facilities. Essential Functions Reviews low to moderate complexity medical records to identify the appropriate principal diagnosis and procedures codes, and all appropriate secondary diagnoses and procedure codes, Present on Admission, Hospital Acquired Conditions and Core Measures Indicators for all diagnosis codes. Measures Indicators for all diagnosis codes. Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines. Reviews charges including Evaluation and Management levels. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting. Abstracts coded data and other pertinent fields in the hospital electronic health record. Ensures the accuracy of data input. Meets established quality and productivity standards. Stays abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding. Physical Requirements Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment. Education, Experience and Certifications. High School Diploma or GED and courses in Medical Terminology, Anatomy & Physiology and Pharmacology. College degree preferred. One to two years coding experience in acute care setting preferred. Current RHIT, RHIA, CCS, CPC-H, CPC-A, CIC or CCS-P preferred or obtained within one year plus a passing score on the Coding test. At Atrium Health, formerly Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations. As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve. Posting Notes: Not Applicable Atrium Health is an EOE/AA Employer

We have immediate openings for part-time Certified Medical Coder's with strong experience in multi-specialty outpatient facility and inpatient/outpatient pro fee coding. Ideal candidates will have experience in Orthopedic, Plastic, Cardiothoracic, Podiatry, and additional surgery specialty coding. A solid understanding of CPT, ICD-10-CM, HCPCS, and surgical documentation is required. Preference will be given to those with significant cardiothoracic and cardiovascular surgical coding experience. Purpose The Medical Coding Specialist plays a key part in ensuring accurate coding for optimal reimbursement and compliance with all coding and billing guidelines. Organizational Structure: The Coding Specialist reports to the Coding Manager. Key Responsibilities: Accurately review and assign CPT, ICD-10-CM, and HCPCS Level II codes to multi-specialty outpatient surgery and inpatient/outpatient pro fee coding. Ensure that coding is compliant with federal regulations, payer-specific guidelines, and facility coding policies. Meets productivity standards for position. Abstract relevant clinical information from surgical notes, operative reports, and related medical documentation. Work collaboratively with physicians, surgical staff, and billing teams to clarify documentation and ensure coding accuracy. Utilize coding software, encoder tools, and EHR systems effectively to support accurate and timely charge capture. Continually enhances coding skills by keeping up-to-date with current coding guidelines and changes in regulations, payer policies, and CMS requirements. Participates in team meetings and educational conferences to ensure coding practice remains current. Maintains confidentiality and safeguards the privacy of protected health information (PHI). Conduct periodic audits of coded data to ensure accuracy and identify areas for improvement. Assist in resolving coding-related denials and contribute to appeal processes when necessary. Performs other job related duties as may be assigned or required. Education: High school diploma or GED equivalent. Completion of a formal coding program with the following certification required: Certified Professional Coder (CPC), Certified Coding Specialist - Physician-based (CCS-P), or equivalent AAPC or AHIMA approved coding credential. Candidates with apprenticeship designations in their credentials, regardless of years of experience, will not be considered. Experience: Minimum of three years' coding work experience encompassing a working knowledge of the ICD and CPT coding systems; medical terminology; anatomy and physiology; and health record content. At least 2 years' specifically in ambulatory surgical coding with a strong focus on Orthopedic and Plastic Surgery procedures. Exhibits a sense of urgency towards work, possesses intermediate level computer skills, attention to detail, excellent customer service and written and verbal communication skills. Preferred experience to those with familiarity with NCCI edits, modifier usage, and payer-specific rules. Knowledge of reimbursement methodologies (e.g., APC's, fee-for-services) Physical Work Environment: The work environment is a home-based position that involves long periods of sitting with repetitive motions of hand and arm and may include frequent bending and twisting.