North Carolina Licensed Coding Specialist

Job Summary

North Carolina Licensed Coding Specialist, responsible for investigating and resolving claim edits including Correct Coding Initiative and Medically Unlikely Edits, working full-time in a remote setting.

Key Responsibilities

• Researches and corrects OCE/CCI and MUE Edit claims for timely and accurate resolution
• Communicates trends in coding accuracy to supervisors and presents external report results
• Reviews and abstracts medical documentation to assign appropriate ICD 10 CM and CPT codes

Required Qualifications, Training, and Education

• Associate Degree or a minimum of two years college education in Health Information Management or related field
• Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) required
• Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required
• Four or more years of acute care outpatient coding experience required
• Preferred experience in assigning modifiers and CPT coding