Certified Coder - Hybrid/Remote

Certified Coder - Hybrid/Remote

Location: Granville Health System, Oxford NC

About Granville Health System:

For over a century, Granville Health System has been at the forefront of quality healthcare. To cater to the evolving needs of its community, Granville Health System has extended its services throughout Granville County, ensuring convenient medical care access for its residents. The Granville Health System main campus can be found at 1010 College Street, Oxford, North Carolina. For more details, visit GHS online at www. ghsHospital .org .

About Oxford, NC

Oxford, NC is a charming and welcoming community that offers a perfect blend of small-town charm and modern convenience, making it an ideal place to live and work. Located just about 30 miles north of Durham and 40 miles from Raleigh. The region enjoys a mild, four-season climate with warm summers, crisp autumns, blooming springs, and gentle winters - perfect for enjoying the area's outdoor activities year-round. With a thriving local economy, excellent healthcare facilities, and a strong sense of community, its historic downtown, scenic parks, and proximity to the Research Triangle ensure a balanced lifestyle with both professional and personal fulfillment.

Position Overview

We are seeking a dedicated and skilled Certified Coder - Hybrid/Remote to join our Health Information Management (HIM) team at the Granville Health System (GHS). Responsible for interacting with physicians and other patient care providers in coding admission, principle, and secondary diagnoses and coding principal and secondary procedures to promote appropriate reimbursement for assigned patient types. Responsible for interacting with the Patient Financial Services Department for timely processing of claims. Responsible for abstracting diagnoses and procedures from medical records into the Hospital Health Information system for timely billing. Performs within the prescribed limits of the hospital's/department's Ethics and Compliance program. Responsible to detect, observe and report compliance variances to the Director of Health Information Management or upward through the chain of command, the Compliance Officer, or hospital hotline.

Key Responsibilities

• Review patient records to accurately assign admission, principal, and secondary diagnosis and procedure codes, both concurrently & at discharge, for assigned patient types.
• Enter appropriate diagnoses and procedure coding into the facility health information system in a timely manner.
• Work with PFS staff to resolve billing denials & audit findings based on chart reviews or medical necessity findings.
• Appraise HIM Director of coding delays and concerns as they are recognized.
• Review updates to ensure that coding knowledge is kept up to date with regulation and policy changes.
• Works closely with the CDI Specialist/Program.
• Review patient records to assign and enter E/M Hospitalist charges.
• Evaluates medical record documentation and charge ticket coding to optimize reimbursement by ensuring that diagnostic & procedural codes and other documentation accurately reflect and support the outpatient visit.
• Interacts with the Insurance department for timely processing of claims.
• Abstracts diagnoses and procedures from medical records into the physician health information system for timely billing.
• Evaluates medical records and charge tickets to ensure completeness, accuracy, and compliance with ICD-10-CM and CPT.
• Provides technical guidance & training on medical coding to physicians and staff.
• Performs all other tasks as assigned by management.

Qualifications

Must be a Certified Coding Specialist (CCS or CPC Certification) in ICD-10-CM Coding or Accredited Records Technician and have three years of IDC-10-CM and CPT coding experience in a hospital outpatient setting or three years of coding experience in a hospital setting with validation of coding performance within the national standard. Must have initiative and judgment involved in collecting and analyzing medical record data. Must have the ability to work under pressure and in conditions of continuous interruptions. Must have above-average written and oral communications skills. Must have computer skills. Must have the ability to work remotely with high-speed internet connectivity. Hospital outpatient coding experience.

Apply Today:

If you're a dedicated professional looking for a position with a focus on work-life balance and the opportunity to make a difference, we encourage you to apply for this position with Granville Health System.