Medical Coder jobs at UNC Health Care

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. The Credentialed Coding Specialist codes all patient charts, in adherence to guidelines provided by AHIMA/AAPC/CMS and other governmental agencies. Responsibilities: - Reviews, analyzes and abstracts physician/other documentation for diagnoses, procedures, ancillary testing, medications, laboratory and other services provided. Communicates with physicians and other health care staff to obtain missing information or to clarify existing information. - Assigns and/or audits International Classification of Diseases 10-CM (ICD-10) diagnostic and procedural codes, Current Procedural Terminology (CPT) codes with modifiers, and other applicable codes. Groups codes and completed product into payment group. Analyzes information for optimal and proper reimbursement. Ensures compliance with all appropriate coding, billing and data collection regulations and procedures. Uses appropriate software to validate information. - Performs daily and weekly account audits from claim edit WQs, entering ICD-10-CM, CPT or HCPCS codes as needed to complete accounts into billing status. Researches and resolves problems referred by coders. - Provides training and serves as a general resource to assist other coders and members of department staff. Participates in continuing education opportunities to maintain credentials, as necessary. Provides information to physicians and other healthcare staff regarding current coding practices and changes in 3rd party, state and federal regulations and guidelines. - Utilizes a variety of software (e.g. WebCIS, MRE Optum, MS Office, etc.) to compile and validate medical information. Reviews updated Medicare, AHA coding clinics, CPT Assistants and ensures that all changes and/or updates are understood. Other information: JOB SPECIFICATIONS Required - Associate's Degree or a combination of experience and education. - Must hold a current certification or registration in medical coding as issued by the American Health Information Management Association. Accepted credentials are: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS). - One year of work experience performing medical coding Preferred - Bachelor's Degree **Job Details** Legal Employer: Pardee - HCHC Entity: Pardee UNC Health Care Organization Unit: Health Information Management Work Type: Per Diem Standard Hours Per Week: 8.00 Work Assignment Type: Onsite Work Schedule: Day Job Location of Job: PARDEEHOSP Exempt From Overtime: Exempt: No Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. 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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To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The Inpatient Coder 2 performs activities involving moderate level inpatient coding of medical records as a mechanism for indexing clinical information used for research, utilization, appropriateness of care, compilation of statistics for hospital, regional and government reporting, and accurate reimbursement. This level of coding is expected to completely code cases of moderate complexity with lengths of stay greater than six days and continue to challenge themselves to code more complex cases with longer lengths of stay. They also support the department through a variety of project work and support the department through a variety of project work. EEO/AA/Disability/Veteran Responsibilities * 1. Coding Expectations - Coders are expected to perform coding functions within departmental guidelines. Departmental guidelines include productivity expectations, goals, accurate use of coding statuses, work queues, stop bills and communication and relationship building with the Clinical Documentation Improvement department. * 2. Quality - Coders are expected to maintain a minimum quality score of 95% in in all aspects of their coding including diagnosis code, procedure code, discharge disposition and POA status selection. Coders are evaluated by both, internal audits and third party external audits. * 3. Professional Development/Education - Coders are required to support the educational needs of the department and remain current with coding guidelines, ICD10 updates, regulatory changes, etc. They are also expected to collaborate closely with the CDI department in resolving coding questions or concerns. This can be demonstrated through active staff mentoring, promoting educational activities, participating in staff meetings, preparing and delivering group presentations, etc. Qualifications EDUCATION High school diploma and two (2) years of college or equivalent with additional training in medical terminology, anatomy and physiology required. Certified Coding Specialist (CCS) certification required at time of hire. EXPERIENCE Minimum two (2) years' experience Inpatient Medical Coding at a large academic medical center required. LICENSURE CCS certification required. SPECIAL SKILLS Knowledge of medical terminology, anatomy and physiology, and disease process. Understanding of ICD-10. Good oral and written communication skills. Ability to exercise good judgment, independent logic, light typing, and excellent computer data entry skills. Computer system experience including familiarity with encoder systems. YNHHS Requisition ID 161095

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Under the general direction of the OP Coding Supervisor, the Outpatient Coder 2 is responsible for a comprehensive review of medical record documentation and performs a variety of coding related activities in two complex outpatient coding service line. Work may include, but is not limited to: coding cases, prioritizing assigned coding tasks , resolving claim edits, handling individual coding workload, working stop bills (if assigned), and sending queries, as needed, to clinical staff. EEO/AA/Disability/Veteran Responsibilities * 1. Reviews medical record documentation to determine appropriate ICD-10-CM codes in accordance with official coding guidelines. * 2. Reviews medical record documentation and accurately selects the appropriate CPT codes, modifiers, and ICD-10-PCS, when applicable, in accordance with official coding guidelines. This includes resolving CCI edits, as applicable. * 3. Maintains a minimum of 95% overall coding quality score in diagnostic, procedural, and modifier code selection in a two (2) complex OP coding service lines. * 4. Maintains the productivity expectations as defined by the department for the OP coding service lines. * 5. Capable of coding a minimum of two (2) complex OP service line, which would include: Cardiology, Interventional Radiology, Observation, Oncology, or Same Day Surgery at proficiency. * 6. Participates and seeks out career development activities by reading journals, coding articles, researching procedures and/or disease processes to ensure appropriate code selection, regularly attends coding education sessions, and actively participates in learning circles. * 7. Uses department resources regularly and follows workflows, with minimal assistance or intervention, to perform daily work to meet CFB (candidate for billing) goals. * 8. Prioritizes coding workload appropriately by focusing efforts on cases and service lines with the potential to impact department goals. * 9. Resolves cases returned coder for education and/or errors, and uses feed back to improve ongoing performance. * 10. Handles coding DNBs and stop bills, if assigned, or other projects and/or coding initiatives as assigned. * 11. Works with peers and/or leadership to create and maintain accurate up-to-date policies and procedures. * 12. Exhibits enthusiasm for the profession, embraces educational opportunities and department support offered and remains engaged in the goals and vision of the department. Qualifications EDUCATION Bachelors degree preferred. Requires course work, preferably college level, in anatomy and physiology, medical terminology, pathophysiology, and disease process EXPERIENCE Requires a minimum of three (3) years of outpatient or professional coding experience in complex types of coding. Up to two years of coding experience may be substituted for a college degree with an RHIT credential or a CCS/CCS-P coding credential. Prior experience in Epic and 3M encoder preferred. LICENSURE CCS, CCS-P, or RHIT credential preferred. Must possess a valid coding credential through AAPC and/or AHIMA. Coding credentials specific to areas of expertise preferred. CCA or CPC-A not accepted. SPECIAL SKILLS Comprehensive knowledge of anatomy/physiology, medical terminology, ICD-10-CM/PCS, and CPT coding with the ability to acclimate and apply knowledge in a fast-paced OP coding department setting. Knowledge of professional E/M leveling preferred. Must possess excellent communications skills orally and in writing, strong critical thinking and reasoning skills, in addition to time management skills. Must be able to perform functions independently and under limited supervision. YNHHS Requisition ID 156392

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Under the general direction of the OP Coding Supervisor, the Outpatient Coder 3 is responsible for a comprehensive review of medical record documentation and performs a variety of coding related activities in three (3) complex outpatient coding service line. Work may include, but is not limited to: coding cases, prioritizing assigned coding tasks, resolving claim edits, handling individual coding workload, working stop bills/DNBs, conducting QA reviews and sending queries, as needed, to clinical staff. Mentors Coder 1 and Coder 2 coders, and participates in cross-training initiatives such as the coder buddy program and learning circle initiatives. Acts as an expert coding resource to other coders and other hospital departments when coding questions /issues arise. EEO/AA/Disability/Veteran Responsibilities * 1. Reviews medical record documentation and accurately selects the appropriate ICD-10-CM, CPT, modifiers, and ICD-10-PCS codes, when applicable, in accordance with official coding guidelines. This includes resolving CCI edits, as applicable. * 2. Capable of coding a minimum of three (3) complex OP service lines, which would include: Cardiology, Interventional Radiology, Observation, Oncology, or Same Day Surgery at proficiency. * 3. Maintains the productivity expectations as defined by the department for the OP coding service lines. * 4. Maintains a minimum of 95% overall coding quality score in diagnostic, procedural, and modifier code selection in a minimum of three (3) complex OP coding service lines. * 5. Participates and seeks out career development activities by reading journals, coding articles, researching procedures and/or disease processes to ensure appropriate code selection, regularly attends coding education sessions, and shares information. Actively participates, and/or leads learning circles or other educational initiatives. * 6. Uses department resources regularly and follows workflows, with minimal assistance or intervention, to perform daily work to meet CFB (candidate for billing) goals. * 7. Prioritizes coding workload appropriately by focusing efforts on cases and service lines with the potential to impact department goals with minimal supervision. Provides guidance to other coders, as appropriate. * 8. Resolves cases returned coder for education and/or errors, and uses feed back to improve ongoing performance. Helps other coders, as directed, with resolving their errors. * 9. Handles coding DNBs and stop bills, QA reviews, or other projects and/or coding initiatives as assigned. Must know the nuances of all the coding workflows. * 10. Works with peers and/or leadership to create and maintain accurate up-to-date policies and procedures. May be the point person for peer-led documentation task forces and/or initiatives. * 11. Mentors and provides coding support to peers and to new team members as part of the OP coder buddy program. Helps new team members acclimate into the coding environment. * 12. Serves as a coding subject matter expert, and provides support to peers and to OP Coding leadership. * 13. Exhibits enthusiasm for the profession, rembraces educational opportunities and department support offered and remains engaged in the goals and vision of the department. Qualifications EDUCATION Bachelors degree preferred in a health related field. Requires course work, preferably college level, in anatomy and physiology, medical terminology, pathophysiology, and disease process. EXPERIENCE Requires a minimum of four (4) years - 6 years of outpatient coding experience in multiple complex coding specialties to be considered. Prior experience in Epic and 3M encoder preferred. LICENSURE CCS, CCS-P, or RHIT credential preferred. Must also possess a valid coding credential through AAPC and /or AHIMA. Coding credentials specific to areas of expertise preferred. SPECIAL SKILLS Comprehensive knowledge of anatomy/physiology, medical terminology, ICD-10-CM/PCS, and CPT coding. Knowledge of professional E/M leveling required. Must possess excellent communications skills orally and in writing, strong critical thinking and reasoning skills, in addition to time management skills. Must be able to perform functions independently and under limited supervision. Must be able to prioritize individual workload. Must be able to build effective peer-to-peer working relationships and mentor other coders in coding, workflows, etc. YNHHS Requisition ID 146526

Inspire health. Serve with compassion. Be the difference. Responsible for validating coding and facilitation of appeals process for all assigned denied professional service claims. All team members are expected to be knowledgeable of payer guidelines related to coding and appeal timelines. Communicates with providers regarding coding denial issues. Ensures documentation supports CPT, Modifiers, HCPCS and ICD-10 codes for submitted appeals, reopenings, reconsiderations, etc. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Responsible for working coding claim denials accurately and timely in accordance with performance and productivity goals. Utilizes appropriate coding software and coding resources in order to determine correct codes. Communicates billing related issues Follows departmental policies for charge corrections. Participates in coding educational opportunities (webinars, in house training, etc.). Provides feedback to providers or appropriate office liaison in order to clarify and resolve coding concerns. Submits appeals for assigned payer and/or division. Assists with Compliance Team and Coding Educators to identify areas that require additional training Participates in meetings in order to improve overall billing Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred Experience - Two (2) years professional coding and/or billing experience In Lieu Of NA Required Certifications, Registrations, Licenses Certified Professional Coder-CPC Knowledge, Skills and Abilities Maintains knowledge of governmental and commercial payer guidelines. Knowledge of office equipment (fax/copier) Proficient computer skills including word processing, spreadsheets, database Data entry skills Mathematical skills Work Shift Day (United States of America) Location Independence Pointe Facility 7001 Corporate Department 70019178 Medical Group Coding & Education Services Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

What We Offer Why This Role Matters As a Certified Hospital Coder III, you'll be part of Novant's Corporate Coding team supporting patient care by driving accuracy and adherence to coding guidelines, governmental and private Third-Party rules, and regulations. What You'll Do Review inpatient records to assign ICD-10-CM and PCS codes with precision, adhering to official coding guidelines and compliance regulations. Abstract and enter required data elements from coded medical records into the electronic medical record (EMR) system. Verify discharge dispositions, dates of service, and admission status for accuracy; process corrections as needed. Ensure medical necessity by coding all documented disease processes; maintain accuracy standards set by Corporate Compliance. Conduct research on unfamiliar procedures and complex cases using authoritative resources such as AHA Coding Clinic, CPT Assistant, and The Merck Manual. Communicate with physicians for documentation clarification using approved procedures; consistently meet productivity benchmarks. Maintain professional credentials and submit documentation of ongoing education; demonstrate continuous learning through self-developed reference materials and review of updated coding practices. Communicate effectively via email, Zoom, Microsoft Teams, and phone; actively participate in multidisciplinary team meetings. Troubleshoot technical and work-flow issues in coordination with supervisors and IT support. What You'll Need Required: CCS, CCS-P, CCA, CPC, COC, CIC, CRC, RHIA, or RHIT licensure. High School Diploma or GED. 3+ years of experience with acute inpatient (acute or physician) coding. Zero years of experience with RHIA or RHIT licensure. Knowledge in ICD-10-CM Official Guidelines for Coding and Reporting and CPT coding classification system, including diagnosis and procedure selection, coding sequencing, and hierarchical condition code capture. Advanced level Medical Terminology. Anatomy, Physiology, and Pharmacology knowledge. Basic computer skills include data entry, email, and windows-based software navigation. Able to work independently and follow departmental guidelines for problem resolution. Capacity to work overtime during times of unusually high volume or unusual need as workload demands. Physical Demands - visual acuity with ability to work in a seated position viewing computer screen for extended periods of time; hand/wrist/finger dexterity with frequent keyboard/mouse use. Ability to concentrate for extended periods of time. What's In It for You Fully remote work opportunity with equipment provided. A flexible work schedule following initial departmental training. Comprehensive benefits include health, dental, vision, and life insurance. Retirement fund with matching contributions. Tuition assistance for qualifying team members. 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 104867

What We Offer Why This Role Matters As a Certified Hospital Coder III, you'll be part of Novant's Corporate Coding team supporting patient care by driving accuracy and adherence to coding guidelines, governmental and private Third-Party rules, and regulations. What You'll Do Review inpatient records to assign ICD-10-CM and PCS codes with precision, adhering to official coding guidelines and compliance regulations. Abstract and enter required data elements from coded medical records into the electronic medical record (EMR) system. Verify discharge dispositions, dates of service, and admission status for accuracy; process corrections as needed. Ensure medical necessity by coding all documented disease processes; maintain accuracy standards set by Corporate Compliance. Conduct research on unfamiliar procedures and complex cases using authoritative resources such as AHA Coding Clinic, CPT Assistant, and The Merck Manual. Communicate with physicians for documentation clarification using approved procedures; consistently meet productivity benchmarks. Maintain professional credentials and submit documentation of ongoing education; demonstrate continuous learning through self-developed reference materials and review of updated coding practices. Communicate effectively via email, Zoom, Microsoft Teams, and phone; actively participate in multidisciplinary team meetings. Troubleshoot technical and work-flow issues in coordination with supervisors and IT support. What You'll Need Required: CCS, CCS-P, CCA, CPC, COC, CIC, CRC, RHIA, or RHIT licensure. High School Diploma or GED. 3+ years of experience with acute inpatient (acute or physician) coding. Zero years of experience with RHIA or RHIT licensure. Knowledge in ICD-10-CM Official Guidelines for Coding and Reporting and CPT coding classification system, including diagnosis and procedure selection, coding sequencing, and hierarchical condition code capture. Advanced level Medical Terminology. Anatomy, Physiology, and Pharmacology knowledge. Basic computer skills include data entry, email, and windows-based software navigation. Able to work independently and follow departmental guidelines for problem resolution. Capacity to work overtime during times of unusually high volume or unusual need as workload demands. Physical Demands - visual acuity with ability to work in a seated position viewing computer screen for extended periods of time; hand/wrist/finger dexterity with frequent keyboard/mouse use. Ability to concentrate for extended periods of time. What's In It for You Fully remote work opportunity with equipment provided. A flexible work schedule following initial departmental training. Comprehensive benefits include health, dental, vision, and life insurance. Retirement fund with matching contributions. Tuition assistance for qualifying team members. 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 57080

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Physician Coder codes and abstracts physician services performed in the hospital setting according to AHA, AMA, guidelines and CMS directives. Must assure data quality through quarterly reviews. Performs data entry of physician services statistics into specialty-specific databases. Works with Medical Records, Finance, and Physician Billing to ensure appropriate flow of information. JOB DUTIES AND RESPONSIBILITIES: * Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines. Utilizes 3M Encoder for validation of RVUs and CPT-4 procedure unbundling. * Maintains a 95% coding accuracy rate as measured through quality reviews. * Maintains daily productivity as outlined * Responsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services. * Performs data entry of abstracted physician information into specialty- specific databases. * Conducts educational sessions to the medical staff for coding and documentation compliance. PHYSICAL AND SENSORY REQUIREMENTS: Sitting for up to seven hours per day, three- four at a time. Frequently uses fingers for typing, data entry, etc. Frequent use of hands. Use of upper extremities to rarely lift up to ten pounds. Rarely stoops, bends, or reaches above shoulder level. Hearing as it relates to normal conversation. Seeing as it relates to general vision, near vision, peripheral vision and visual monotony. EDUCATION: RHIA, RHIT, CPC, OR CCS-P with working knowledge of ICD-9/ICD-10, CPT and HCPCS coding required. TRAINING AND EXPERIENCE: Minimum 1-3 years experience in CPT/HCPCS physician procedural coding. Previous experience with computerized patient record and coding system preferred. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.

Inspire health. Serve with compassion. Be the difference. Codes medical information into the organization billing/abstracting systems and to complete the coding function through established best practice processes and professional and regulatory coding guidelines. Performs Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Data reported by this incumbent is used to meet licensure requirements, is used for statistical purposes, and for financial and billing purposes. Incumbent(s) operate under the general supervision of HIM Coding leadership. Essential Functions * All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. * Applies ICD and ICD-PCS codes to inpatient records, including major traumas, and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines. * Reviews work queues to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on On-hold accounts daily for final coding. * Identifies and requests physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies. Ensures all open queries initiated by Clinical Documentation Specialists have been addressed prior to final coding. * Adheres to department standards for productivity and accuracy. * Identifies and trends coding issues escalating identified concerns * Consults, provides professional expertise to and collaborates with clinical documentation specialists on coding and documentation practices and standards. * Performs other duties as assigned. Supervisory/Management Responsibilities * This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements * Education - Certification Program or Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program. * Experience - Three (3) years coding experience in an acute care or ambulatory setting. Inpatient coding experience. EPIC health information system experiences preferred. In Lieu Of * In lieu of education and experience requirements noted above, successful completion of the IP Coder Associate program or coder associate may be considered. Required Certifications, Registrations, Licenses * Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential. Knowledge, Skills and Abilities * Participates in on site, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS and Quality. * Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment. * Knowledge of electronic medical records and 3M or Encoder System. * Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process. * Knowledge of MS DRG prospective payment system and severity systems. * Ability to concentrate for extended periods of time. * Ability to work and make decisions independently. Work Shift Day (United States of America) Location Corporate Facility 7001 Corporate Department 70017512 HIM Coding Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Inspire health. Serve with compassion. Be the difference. Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Essential Functions * All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. * Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Performs Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. * Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Incumbent(s) operate under the general supervision of HIM Coding leadership. * Applies ICD and ICD-PCS codes to inpatient records, including major traumas, and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines. * Reviews work queues to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on On-hold accounts daily for final coding. * Identifies and requests physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies. Ensures all open queries initiated by Clinical Documentation Specialists have been addressed prior to final coding. * Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Adheres to department standards for productivity and accuracy. Identifies and trends coding issues escalating identified concerns * Consults, provides professional expertise to and collaborates with clinical documentation specialists on coding and documentation practices and standards. * Performs other duties as assigned. Supervisory/Management Responsibilities * This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements * Education - Certification Program or Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program. * Experience - Three (3) years coding experience in an acute care or ambulatory setting. Inpatient coding experience. EPIC health information system experiences preferred. In Lieu Of * In lieu of education and experience requirements noted above, successful completion of the IP Coder Associate program or coder associate may be considered. Required Certifications, Registrations, Licenses * Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential. Knowledge, Skills and Abilities * Participates in on site, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS and Quality. * Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment. * Knowledge of electronic medical records and 3M or Encoder System. * Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process. * Knowledge of MS DRG prospective payment system and severity systems. * Ability to concentrate for extended periods of time. * Ability to work and make decisions independently. Work Shift Day (United States of America) Location 5 Medical Park Rd Richland Facility 7001 Corporate Department 70017512 HIM-Coding Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Inspire health. Serve with compassion. Be the difference. Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Performs Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Incumbent(s) operate under the general supervision of HIM Coding leadership. Applies ICD and ICD-PCS codes to inpatient records, including major traumas, and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines. Reviews work queues to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on On-hold accounts daily for final coding. Identifies and requests physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies. Ensures all open queries initiated by Clinical Documentation Specialists have been addressed prior to final coding. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Adheres to department standards for productivity and accuracy. Identifies and trends coding issues escalating identified concerns Consults, provides professional expertise to and collaborates with clinical documentation specialists on coding and documentation practices and standards. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - Certification Program or Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program. Experience - Three (3) years coding experience in an acute care or ambulatory setting. Inpatient coding experience. EPIC health information system experiences preferred. In Lieu Of In lieu of education and experience requirements noted above, successful completion of the IP Coder Associate program or coder associate may be considered. Required Certifications, Registrations, Licenses Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential. Knowledge, Skills and Abilities Participates in on site, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS and Quality. Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment. Knowledge of electronic medical records and 3M or Encoder System. Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process. Knowledge of MS DRG prospective payment system and severity systems. Ability to concentrate for extended periods of time. Ability to work and make decisions independently. Work Shift Day (United States of America) Location 5 Medical Park Rd Richland Facility 7001 Corporate Department 70017512 HIM-Coding Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Inspire health. Serve with compassion. Be the difference. Codes medical information into the organization billing/abstracting systems and to complete the coding function through established best practice processes and professional and regulatory coding guidelines. Performs Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Data reported by this incumbent is used to meet licensure requirements, is used for statistical purposes, and for financial and billing purposes. Incumbent(s) operate under the general supervision of HIM Coding leadership. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Applies ICD and ICD-PCS codes to inpatient records, including major traumas, and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines. Reviews work queues to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on On-hold accounts daily for final coding. Identifies and requests physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies. Ensures all open queries initiated by Clinical Documentation Specialists have been addressed prior to final coding. Adheres to department standards for productivity and accuracy. Identifies and trends coding issues escalating identified concerns Consults, provides professional expertise to and collaborates with clinical documentation specialists on coding and documentation practices and standards. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - Certification Program or Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program. Experience - Three (3) years coding experience in an acute care or ambulatory setting. Inpatient coding experience. EPIC health information system experiences preferred. In Lieu Of In lieu of education and experience requirements noted above, successful completion of the IP Coder Associate program or coder associate may be considered. Required Certifications, Registrations, Licenses Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential. Knowledge, Skills and Abilities Participates in on site, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS and Quality. Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment. Knowledge of electronic medical records and 3M or Encoder System. Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process. Knowledge of MS DRG prospective payment system and severity systems. Ability to concentrate for extended periods of time. Ability to work and make decisions independently. Work Shift Day (United States of America) Location Corporate Facility 7001 Corporate Department 70017512 HIM Coding Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

What We Offer Why This Role Matters As an Electronic Medical Records Specialist, you'll be part of a team of HIM professionals dedicated to ensuring the integrity, accessibility, and compliance of patient health records. You'll play a critical role in supporting patient care by driving accuracy, efficiency, and adherence to regulations across the HIM function. What You'll Do Location: ONSITE at Presbyterian Medical Center Schedule - Monday - Friday, 8:30am - 5:00pm, rotating weekends and rotating holidays Perform discharge unit rounding, quality compliance reviews, prepping, scanning, and indexing of medical documents into the electronic medical record (EMR) systems, including HIMSS7 unit scanning. Provide department phone coverage, order medical records from off-site vendors and support accurate and secure patient records by monitoring and maintaining information management standards and systems. Perform on-site release of information (ROI) tasks for walk-in requests, continuity of care, and incoming mail. Deliver professional customer service to callers and visitors of the Health Information Management department, addressing inquiries and resolving issues promptly. Support all on-site Health Information Management (HIM) workflows within acute care settings, ensuring seamless departmental operations. Collaborate with cross-functional teams to resolve workflow-related issues and maintain efficient departmental operations. Adapt to additional HIM responsibilities as needed to support dynamic healthcare environments. What You'll Need Required: High School Diploma or GED. 3+ years of equivalent work experience with similar work assignments roles and responsibilities. Zero years of experience with RHIT or RHIA licensure. Able to drive/travel to multiple locations/facilities as needed. Excellent analytical and customer service skills. Able to successfully complete generic and department-specific skills validation, competency testing and standardized productivity metrics/goals. Able to multitask and work independently with limited supervision. Strong working knowledge of HIPAA requirements. Comfortable in a computer-based workflow, with working knowledge and/or familiarity with acute care medical records and hospital regulatory environment. Preferred: RHIT licensure. Associate Degree. Experience with the EPIC EHR and/or Hyland On Base scanning application. What's In It for You Growth and development opportunities within the Health Information Management department. Comprehensive benefits include health, dental, vision, and life insurance. Retirement fund with matching contributions. Tuition assistance for qualifying team members. Employee assistance programs and discounts. 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 125847

What We Offer Why This Role Matters As an EMR Specialist Lead, you will be part of a team of HIM professionals dedicated to ensuring the integrity, accessibility, and compliance of patient health records. You will play a critical role in supporting patient care by driving accuracy, efficiency, and adherence to regulations across the HIM function. What You'll Do Location: ONSITE at Presbyterian Medical Center and other facilities within the Charlotte region Schedule - Monday - Friday, 8:30am - 5:00pm, rotating weekends as needed. Develop, implement, maintain and monitor information management standards and systems to support the patient record. Assist with scheduling and staffing, lead and facilitate weekly team huddles, monitor and audit work flows, provide ongoing team member education and train new employees. Provide team coverage as needed performing EMR Specialist duties including: discharge unit rounding, quality compliance reviews, prepping, scanning, and indexing of medical documents into the electronic medical record (EMR) systems, including HIMSS7 unit scanning, department phone coverage, order medical records from off-site vendors and support accurate and secure patient records by monitoring and maintaining information management standards and systems, on-site release of information (ROI) tasks for walk-in requests, continuity of care, and incoming mail. Deliver professional customer service to callers and visitors of the Health Information Management department, addressing inquiries and resolving issues promptly. Support all on-site Health Information Management (HIM) workflows within acute care settings, ensuring seamless departmental operations. Collaborate with cross-functional teams to resolve workflow-related issues and maintain efficient departmental operations. Adapt to additional HIM responsibilities as needed to support dynamic healthcare environments. What You'll Need Required: High School Diploma or GED. 3+ years of equivalent work experience with similar work assignments roles and responsibilities. Zero years of experience with RHIT or RHIA licensure. Able to drive/travel to multiple locations/facilities as needed. Excellent analytical and customer service skills. Able to successfully complete generic and department-specific skills validation, competency testing and standardized productivity metrics/goals. Able to multitask and work independently with limited supervision. Strong working knowledge of HIPAA requirements. Comfortable in a computer-based workflow, with working knowledge and/or familiarity with acute care medical records and hospital regulatory environment. Preferred: RHIT licensure. Associate Degree. Experience with the EPIC EHR and/or Hyland On Base scanning application. What's In It for You Growth and development opportunities within the Health Information Management department. Comprehensive benefits include health, dental, vision, and life insurance. Retirement fund with matching contributions. Future Forward Program offering upfront tuition assistance for qualifying team members. Employee assistance programs and discounts. Job Opening ID 129832

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. The Revenue Integrity Coder is responsible for determining charges for outpatient departments of the hospital, inpatient, split bill and hybrid clinics. Also responsible for Pardee Urgent Care charges and coding. Works collaboratively with members of Patient Financial Services, Billing Office, clinical and other departments to ensure timely revenue capture. Responsibilities: - Maintains a thorough understanding of hospital outpatient and physician billing requirements. Maintains understanding of RVU's (Relative Value Units) which are assigned to each HCPCS or CPT code. Maintains understanding of modifiers required for professional and hospital coding. Participates in continuing education opportunities to understand charging and coding changes and updates. - Interprets usage of HCPCS and CPT codes, including research of NDC and NCCI review for compliant billing when clearing work queues. Assigns and verifies accurate use of modifiers when clearing work queues. Follows work schedule on Revenue Integrity work flow calendars. - Ensures compliance with federal and state rules by reviewing CMS (Center for Medicare Services) and Palmetto GBA (MAC) daily transmittals for any changes or new issues regarding charge and coding and patient charge rules. - Reviews Urgent Care, Workers Comp and occupational medicine encounters for the Pardee Urgent Care Centers. Verifies documentation , reviews E&M level charged, an procedures performed and medications administered. Also verifies diagnosis codes on encounter. Queries providers or other appropriate staff when documentation is in question or orders are not matching documentation. - Reviews Emergency and Observation patient charts in detail to capture all charges and verify hours charged on a daily basis. Reviews Outpatient Ambulatory, OB Triage ad Extended Recovery patient charges on a daily basis. Reviews documentation and determines charges for split bill clinics for both technical and professional billing on a daily basis; reviews diagnosis for accuracy. Reviews all work queues assigned to Revenue Integrity and clears the accounts accurately and on a daily basis. Keys in corrections to patient accounts based on Department Director requests and patient account error analysis through Epic. Reviews coding and charging edits received, which may include contacting the physician for additional documentation, diagnosis or symptoms as needed. Assists the billing office and HIM to resolve billing issues and denials that are coding and CPT/HCPCS related. Other information: Required - High school diploma or equivalent -Certified ProfessionalCoder (CPC) or Certified Coding Specialist from AAPCor AHIMA - Two (2) years of experience working in a charging and coding role - Experience working in healthcare/hospital related chargemaster maintenance and billing functions - Proficiency with Microsoft Excel or other spreadsheet software - Demonstrated experience research LCD, NCD and NCCI Preferred CRICC Certification - Experience with EPIC electronic medical recordkeeping (EMR) system **Job Details** Legal Employer: Pardee - HCHC Entity: Pardee UNC Health Care Organization Unit: Health Information Management Work Type: Full Time Standard Hours Per Week: 40.00 Work Assignment Type: Onsite Work Schedule: Day Job Location of Job: PARDEEHOSP Exempt From Overtime: Exempt: No Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. 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.

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. The Revenue Integrity Coder is responsible for determining charges for outpatient departments of the hospital, inpatient, split bill and hybrid clinics. Also responsible for Pardee Urgent Care charges and coding. Works collaboratively with members of Patient Financial Services, Billing Office, clinical and other departments to ensure timely revenue capture. Responsibilities: - Maintains a thorough understanding of hospital outpatient and physician billing requirements. Maintains understanding of RVU's (Relative Value Units) which are assigned to each HCPCS or CPT code. Maintains understanding of modifiers required for professional and hospital coding. Participates in continuing education opportunities to understand charging and coding changes and updates. - Interprets usage of HCPCS and CPT codes, including research of NDC and NCCI review for compliant billing when clearing work queues. Assigns and verifies accurate use of modifiers when clearing work queues. Follows work schedule on Revenue Integrity work flow calendars. - Ensures compliance with federal and state rules by reviewing CMS (Center for Medicare Services) and Palmetto GBA (MAC) daily transmittals for any changes or new issues regarding charge and coding and patient charge rules. - Reviews Urgent Care, Workers Comp and occupational medicine encounters for the Pardee Urgent Care Centers. Verifies documentation , reviews E&M level charged, an procedures performed and medications administered. Also verifies diagnosis codes on encounter. Queries providers or other appropriate staff when documentation is in question or orders are not matching documentation. - Reviews Emergency and Observation patient charts in detail to capture all charges and verify hours charged on a daily basis. Reviews Outpatient Ambulatory, OB Triage ad Extended Recovery patient charges on a daily basis. Reviews documentation and determines charges for split bill clinics for both technical and professional billing on a daily basis; reviews diagnosis for accuracy. Reviews all work queues assigned to Revenue Integrity and clears the accounts accurately and on a daily basis. Keys in corrections to patient accounts based on Department Director requests and patient account error analysis through Epic. Reviews coding and charging edits received, which may include contacting the physician for additional documentation, diagnosis or symptoms as needed. Assists the billing office and HIM to resolve billing issues and denials that are coding and CPT/HCPCS related. Other information: Required - High school diploma or equivalent - Certified Professional Coder (CPC) or Certified Coding Specialist from AAPC or AHIMA - Two (2) years of experience working in a charging and coding role - Experience working in healthcare/hospital related chargemaster maintenance and billing functions - Proficiency with Microsoft Excel or other spreadsheet software - Demonstrated experience research LCD, NCD and NCCI Preferred - Experience with EPIC electronic medical recordkeeping (EMR) system **Job Details** Legal Employer: Pardee - HCHC Entity: Pardee UNC Health Care Organization Unit: Health Information Management Work Type: Per Diem Standard Hours Per Week: 8.00 Work Assignment Type: Onsite Work Schedule: Day Job Location of Job: PARDEEHOSP Exempt From Overtime: Exempt: No Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation. 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.

What We Offer Why This Role Matters As an Electronic Medical Records Specialist, you'll be part of a team of HIM professionals dedicated to ensuring the integrity, accessibility, and compliance of patient health records. You'll play a critical role in supporting patient care by driving accuracy, efficiency, and adherence to regulations across the HIM function. This position is onsite in Wilmington, NC. What You'll Do Schedule - 2nd Shift, Tuesday - Saturday, 3:30pm - 12:00am, with rotating holidays. Perform discharge unit rounding, quality compliance reviews, prepping, scanning, and indexing of medical documents into the electronic medical record (EMR) systems, including HIMSS7 unit scanning. Provide department phone coverage, order medical records from off-site vendors and support accurate and secure patient records by monitoring and maintaining information management standards and systems. Perform on-site release of information (ROI) tasks for walk-in requests, continuity of care, and incoming mail. Deliver professional customer service to callers and visitors of the Health Information Management department, addressing inquiries and resolving issues promptly. Support all on-site Health Information Management (HIM) workflows within acute care settings, ensuring seamless departmental operations. Collaborate with cross-functional teams to resolve workflow-related issues and maintain efficient departmental operations. Adapt to additional HIM responsibilities as needed to support dynamic healthcare environments. What You'll Need Required: High School Diploma or GED. 3+ years of equivalent work experience with similar work assignments roles and responsibilities. Zero years of experience with RHIT or RHIA licensure. Able to drive/travel to multiple locations/facilities as needed. Excellent analytical and customer service skills. Able to successfully complete generic and department-specific skills validation, competency testing and standardized productivity metrics/goals. Able to multitask and work independently with limited supervision. Strong working knowledge of HIPAA requirements. Comfortable in a computer-based workflow, with working knowledge and/or familiarity with acute care medical records and hospital regulatory environment. Preferred: RHIT licensure. Associate Degree. Experience with the EPIC EHR and/or Hyland On Base scanning application. What's In It for You Growth and development opportunities within the Health Information Management department. Comprehensive benefits include health, dental, vision, and life insurance. Retirement fund with matching contributions. Tuition assistance for qualifying team members. Employee assistance programs and discounts. 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 111259

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: This position collects extensive data on all new cancer seen at UNC Hospital at Nash, as required by state law and according to regulations established by various state and national registries Support the quality, and operational goals of the department and state mandated reporting of cancer detection and staging of current and past patient cases. Responsibilities: + · · Establishes and accomplishes methods for the tracking, analysis and reporting of cancer cases for patients treated at UNC Nash Hospital. + Codes, summarizes, sequences, and stages extracted information according to extensive and complex rules. Performs necessary research, analysis, interpretation and decision-making to best abstract, stage or sequence information. + Composes explanatory comments to supplement codes. Conceptualizes the case as a whole and determines what types of supplementary information would augment the data provided by the codes. + Conducts quality control activities such as auditing records and conducting data review meetings. Participates with multidisciplinary teams in creating, organizing and providing documentation of established procedures necessary for accreditation. + Creates case abstracts for cancer patients, extracting data items from the various medical records + Follows-up on each case abstracted for the life of the patient. Ensures that follow-up information is collected for each case annually. Extracts the required information from in-house or external sources. May communicate through written correspondence or telephone to obtain needed data + Responds to requests for information. Creates queries to extrapolate data completes ad hoc and routinized reports of data Other information: + Associates Degree in Healthcare or Cancer Registry Management, Cancer Information Management, Health Information Technology - Mandatory + Associates Degree in Health Information Management or related medical field preferred - preferred + Certified Tumor Registrar - Mandatory + 2 - 4 years of Healthcare/Medical in other related fields - preferred + Works Directly with Cancer Registry Coordinator to assist with staging and documenting tumor board discussions. **Job Details** Legal Employer: Nash Hospitals Entity: Nash UNC Health Care Organization Unit: NGH Nash Cancer Center Work Type: Per Diem Standard Hours Per Week: 8.00 Work Assignment Type: Remote 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.