Hospital Coder II

UNC Health Appalachian•Boone, NC

1d•Onsite

About The Position

The Hospital Coder II determines accurate codes for provider and facility services by reviewing clinical documentation in electronic and/or paper medical records. The role supports compliance and appropriate reimbursement by applying coding guidelines, resolving documentation questions with providers, responding to payer denials and revenue cycle inquiries, and processing charge corrections. The position is based in Boone, North Carolina, in a standard office environment, and is scheduled full-time from 8:00 AM to 5:00 PM. Starting compensation is $34.00 per hour, based on education and experience. UNC Health Appalachian comprises three hospitals, 13 medical practices, and specialty centers. The coder contributes to its mission, vision, and values while participating in coding quality and productivity processes. UNC Health Appalachian describes its workplace as inclusive and committed to respect, diversity, and a fair hiring process.

Requirements

High school diploma or GED required at time of hire.
At least 1 year of previous inpatient coding experience.
At least one institutionally recognized certification required at time of hire: CPC-A, CPC, COC, CIC, CCS, CCS-P, or CCA.
Comprehensive knowledge of ICD-10-CM, CPT, CDT, HCPCS, and E&M coding.
Working knowledge of NCCI, LCD/NCD directives, MUEs, and Medicare Teaching Physician Guidelines.
Proficiency with encoder and grouper software, electronic medical records, and coding resources.
Ability to communicate courteously and effectively with providers, staff, and revenue cycle teams, acting within the chain of command.
Ability to resolve conflicting documentation and work through payer denials and charge corrections.
Exceptional customer service and ability to collaborate with providers and colleagues.

Nice To Haves

Associate degree in a related field (preferred, not required).
Graduate of, or currently enrolled in, an accredited medical coding program.

Responsibilities

Determine appropriate ICD-10-CM, CPT, CDT, and HCPCS codes for provider and facility services based on clinical documentation.
Review electronic and/or paper medical records to code episodes of care accurately.
Use encoder, grouper software, and other coding resources to select relevant and accurate codes, including Evaluation and Management (E&M) codes.
Apply National Correct Coding Initiatives (NCCI), Local and National Coverage Determinations (LCD/NCD), Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines.
Collaborate with healthcare providers to resolve conflicting documentation and establish precise cause-and-effect relationships between conditions.
Handle payer denials, respond to revenue cycle team inquiries, and process charge corrections.
Navigate software workflows to identify and address electronic rules and enhance coding efficiency.
Participate in coding quality and productivity processes to support compliance and optimal revenue generation.
Promote the mission, vision, and values of UNC Health Appalachian.

Benefits

Comprehensive medical coverage
Dental coverage
Vision coverage
Health Savings Account (HSA) option
Supplemental insurance options
403(b) retirement plan with employer match
Paid time off
Tuition reimbursement
Certification bonuses
Paid parental leave
Wellness incentives and an award-winning wellness program
May be eligible for childcare assistance
Employee discounts, including discounts to attractions such as Dollywood and Tweetsie Railroad
Student loan refinancing and college savings resources
Employee-to-employee financial assistance
Ongoing training, certification support, and advancement opportunities through the Career Pathways Program