Certified Professional Coder II

Why This Role Matters

The Certified Professional Coder II is part of a dynamic team of PEDIATRIC Coders supporting patient care by driving accuracy and adherence to coding guidelines, governmental and private Third-Party rules, and regulations. Demonstrating Novant Health's commitment to deliver the most remarkable patient experience, in every dimension, every time. 

What You Will Do:

• Schedule: Monday – Friday, daytime hours
• Perform monthly on-site visits to assigned clinics in the Charlotte area.

• Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and compliance with CMS, NCQA, third party payers and other regulatory agencies.
• Review and code work queues assigned by applying coding principles for correct coding including sequencing.
• Query providers for clarification of incomplete or ambiguous documentation as appropriate and monitor for timely responses.
• Provide education and regular feedback on ICD-10 and correct coding issues.
• Evaluate and identify front-end and back-end error trends for training needs and bring them to the attention of the coding manager.
• Communicate and participate in departmental meetings and initiatives involving coding and the revenue cycle enhancement process.
• Maintain adequate knowledge of coding, compliance, and reimbursement procedures through review of information provided by RCS, payer policy updates, and coding manuals.
• Demonstrate a comprehensive knowledge of all procedures concerning the sequencing of diagnoses, procedures such as but not limited to those outlined in ICD-9-CM, CPT, HCPCS, and CMS guidelines.
• Must be accurate in coding of diagnostic and procedure services in accordance with national coding guidelines and appropriate information reimbursement requirements. Responsible for responding to coding, billing, and collection inquiries.

What You Will Need

Required:

• Licensure: CPC, CPC-A, CCS-P, COC, CMC, RHIA, or RHIT credentials.
• High School Diploma or GED.
• 2+ years of healthcare experience with 1+ years of professional coding experience.

• Working knowledge of Current Procedure Technology (CPT), ICD-9, and HCPCS coding.
• Experience with EPIC Resolute Billing preferred.
• Outstanding written and verbal communication skills working with patients, physicians, staff, and administration.
• Ability to work independently with minimal supervision.
• Self-audit of work and awareness of impact on revenue cycle is key.

Preferred:

• Pediatric coding experience.
• 2+ years of customer service experience in a clinic setting.
• Direct provider communication experience.

What’s In It for You:

• Hybrid work schedule.
• Comprehensive benefits include medical, dental, vision, and life insurance.
• Retirement fund with matching contributions.
• Tuition assistance for qualifying team members.