North Carolina Licensed Coding Specialist

Job Summary

To support compliance initiatives within the Patient Revenue Management Organization, the full-time North Carolina Licensed Coding Specialist will implement compliance programs, educate providers on regulations, and conduct internal audits while working remotely.

Key responsibilities

• Educate providers on compliance with government regulations, including Medicare and Medicaid guidelines
• Conduct routine internal audits of provider documentation and implement corrective actions as needed
• Collaborate with clinical faculty and administration to promote compliance initiatives and improve documentation and coding practices

Required qualifications

• Bachelor's degree required
• Four years of administrative experience in compliance, coding, and auditing related to insurance billing and revenue cycle functions
• Two years of experience with DRGs and APR-DRGs required for technical coding
• RHIA, RHIT, or CCS certification required; CPC or CPMA preferred
• Experience in formal teaching of coding is preferred