Certified Medical Coding Specialist (REMOTE) North Carolina
Charlotte, NC (Coming soon ) | Medical Coding
Position Summary:Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office procedures for providers to ensure proper reimbursement. Provides education to the providers to ensure proper completion of Electronic Health Records and proper assignment of ICD-9-CDM and ICD-10-CDM, HCPCS and CPT codes. The Certified Coding Specialist is responsible for abstraction and accurate coding of procedures from the medical record to ensure optimal reimbursement while staying compliant with OIG, CMS, the local Medicare Administrative Contractor, all system policies and procedures and any state and other regulatory agencies.
The Certified Coding Specialist must adhere to all CPT guidelines and ICD-9/10 Coding Guidelines.
- Must be familiar with NC regulations
- Audits records to ensure proper submission of services prior to billing on pre-determined selected charges
- Supplies correct ICD-9-CM /ICD-10-CM diagnosis codes on all diagnoses provided
- Supplies correct HCPCS code on all procedures and services performed
- Supplies correct CPT code on all procedures and services performed
- Contacts providers to train and update them with correct coding information
- Attends seminars and in-services as required to remain current on coding issues
- Audits medical records to ensure proper coding completed and to ensure compliance with federal and state regulatory bodies
- Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies
- Maintains all mandatory in-services
- Maintains compliance standards in accordance with the Compliance policies and the Code of Conduct. Reports compliance problems appropriately.
- Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.
- Quantitative analysis - Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
- Qualitative analysis - Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.
- Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code
- Performs other related duties, which may be inclusive, but not listed in the job description
Flexible, full time hours - 7 days a week is the ideal schedule.
GoHealth provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. We invite military veterans to apply for our positions. In addition to federal law requirements, GoHealth complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
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GoHealth Urgent Care has outstanding career opportunities in Connecticut, Missouri, New York City, North Carolina, Northwest Arkansas, Oklahoma City, San Francisco and the Portland-Vancouver area. And all of these positions have one thing in common: flexibility to practice urgent care medicine the way it was meant to be, without the stress and bureaucracy of hierarchical organizations. With reasonable work hours that don’t emotionally exhaust them or burn them out, our team can balance and prioritize their professional and personal lives.
The lifestyle you can lead.
Winston-Salem and Charlotte are both among U.S. News & World Report’s Top 50 Best Places to Live.
Winston-Salem is a region on the rise with a population of 654,589 and strong southern roots. It’s friendly and diverse—retaining a small-town feel—and features fabulous restaurants, inviting neighborhoods and trendy apartments. For the adventurous, there are many local hiking trails, state parks, Pilot Mountain, Hanging Rock and Piedmont Quarry. Premier attractions include the Southeastern Center for Contemporary Art and the Reynolda House Museum of American Art.
Charlotte boasts the Blumenthal Performing Arts Center, The Mint Museum and the Levine Museum of the New South. And with a population approaching 2.4 million, Charlotte offers much to see and do—from local craft breweries, numerous parks and greenway trails to excellent shopping and dining, downtown theaters and nightlife to the PNC Music Pavilion. Catch an NFL Carolina Panthers football game, cheer on the NBA’s Charlotte Hornets, or take in a Charlotte Knights baseball game. It’s all here, served by excellent public transportation, Amtrak and Charlotte Douglas International Airport.