Coding Specialist

Deerfield Management Companies • Durham, NC

5d

About The Position

Exciting Career Opportunity with Avance Care! Join our rapidly expanding network of 37 practice locations in the Triangle Area (Raleigh-Durham-Chapel Hill), the Charlotte Region, and Wilmington, NC. Avance Care is dedicated to elevating the standard of healthcare. As one of North Carolina's largest networks of independent primary care practices, we offer comprehensive services to support the physical, mental, and emotional health of our patients. As a Coding Specialist , you’ll support and maintain coding compliance and patient assessments by applying Certified Professional Coding (CPC) principles to claim documentation process, reducing institutional, legal and financial risk. This is a full-time role involving 8 hours weekday shifts with no weekends schedule. We operate in a busy, fast-paced environment , and we seek a candidate who thrives under such conditions. We offer a comprehensive benefits package available on the first of the month following 30 days of employment.

Requirements

• Candidates should preferably have one of the following certifications: Certified Professional Coder (CPC) required, Certified Professional Coder (CPC-A) preferred, or Certified Risk Adjustment Coder (CRC) highly preferred along with at least one year of E&M Coding experience
• Strong verbal and written communication
• Knowledge of insurance practices
• Knowledge of CPT, HCPCs, and ICD-10 coding
• Time management and workload prioritization skills

Responsibilities

• Actively abstract and code daily patient encounters through chart documentation, billing for all services, and appropriate assignment of E&M coding related to chart documentation, time, and medical decision making
• Thorough understanding of clinic coding (E/M) documentation requirements and HCC concepts impacting population Health Risk Adjustment reimbursement initiatives
• Ability to review documentation and abstract all codes with specific emphasis on identifying the most accurate severity of illness according to CMS HCC guidelines
• Maintains knowledge regarding policies and procedures with Medicare/Medicaid Carriers and third-party payers, including HCC and RAF guidelines
• Effectively work with and support providers through structured communication as it related to chart documentation and coding practices
• Understand and apply Correct Coding Initiative (CCI) edits and modifiers, as sometimes specifically required by 3 rd party payers or Medicare
• Assign missing procedure CPT, or HCPCS from the Current Procedure Manual and Common Procedure Coding System Manual when necessary

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 251-500 employees