Coder II Job ID: 233111 Location: Rocky Mount, NC Facility/Division: Nash UNC Health Care Status: Full Time Shift: Day Job Job Description: Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. UNC Health Nash, an affiliated member of the UNC Health system, invites passionate healthcare professionals to join our esteemed team. Governed locally, we proudly serve a diverse patient base, spanning Nash, Edgecombe, Halifax, Wilson Counties, and beyond. With a steadfast commitment to elevating community health through exceptional care, we prioritize excellence, compassion, and innovation, ensuring every individual receives the highest standard of support. Joining our team means becoming an integral part of our dedication to wellness, where we constantly strive to redefine excellence in healthcare through state-of-the-art facilities and pioneering programs. Join us in this transformative journey, where your contributions will make a lasting impact on our communitys health and wellbeing. Summary: Responsible for capturing data from medical records for the purpose of reimbursement, statistics, research/studies, resource allocation and benchmarking, as well as works daily with the CDI Auditors, provides education and is part of the Clinical Documentation Improvement Team (CDI). Responsibilities: - Assigns ICD-9 and/or ICD-10 diagnosis and procedure codes to IP and/or OP accounts/Applies CPT codes to outpatient accounts. - Is a member of the CDI team and works closely with the CDI auditors to obtain clinical documentation to support appropriate reimbursement as well as increase the severity of illness. - Operates equipment and maintains work areas. - Acquires age-specific knowledge necessary to provide appropriate level of service and communications. - Takes an active role in self-development. - Other duties and responsibilities as needed. Other information: Education Requirements: - Associate in healthcare, Health Information Technology or Associates in Nursing LPN or RN. - Graduate from Health Information Technology is preferred. - Newly credentialed applicants are eligible to apply. Licensure/Certifications: - Licensed to practice as a RN or LPN in NC. - RHIT, RHIA and/or CCS AHIMA approved. Professional Experience Requirements: - 3 years of experience in Healthcare/Medical - Medical Coder . - Experience in ICD-9 and ICD-10. Job Details Legal Employer: Nash Hospitals Entity: Nash UNC Health Care Organization Unit: NGH Health Information Management Work Type: Full Time Standard Hours Per Week: 40.00 Work Assignment Type: Remote Work Schedule: Day Job Location of Job: NASH HC Exempt From Overtime: Exempt: No Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

• Reviewing documentation and selecting appropriate procedure and/or diagnosis code for billing documents • Insuring teaching physician requirements are met

• The role of the Certified Medical Coder is to review and code medical records in their entirety, assigning appropriate ICD-10-CM codes (as defined by ICD-10-CM Guidelines and CMS) from any/all CMS acceptable documents to be used for financial purposes. • Ensures adherence to Lucet and Departmental Policies and Procedures. • Demonstrate advanced knowledge of medical coding across multiple specialties or provide subject matter expertise in a critical specialty area. • Ensure accurate, complete, and compliant assignment of diagnosis codes while maintaining a minimum of 95% coding accuracy and completeness. • Maintain current knowledge of ICD-10-CM guidelines, HCC risk adjustment models, Medicare reimbursement requirements, and applicable federal regulations. • Adhere to HIPAA standards and confidentiality requirements while actively participating in training, education programs, and professional development opportunities. • Utilize multiple systems and tools to research medical records, manage priorities effectively, and meet productivity expectations in a remote work environment. • Support quality improvement initiatives, respond promptly to communications, attend required meetings, and contribute to process enhancement efforts.

Role Description Performs day-to-day billing and follow-up activities within the revenue operations of an assigned Patient Business Services (PBS) location. Serves as a member of the billing and follow-up team at a PBS location responsible for billing and follow-up of government and non-government accounts. The position reports directly to the Supervisor Billing and Follow-up. - Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions. - Performs daily activities as part of the billing and follow-up team in support of the revenue cycle process for an assigned PBS location. - Documents claims billed, paid, settled, and follow-up in appropriate system(s). - Identifies and escalates issues affecting accurate billing and follow-up activities. - Adheres to proactive practices which include contacting the payer directly for payment due on accounts and reviewing and responding to all mail correspondence in a timely and accurate manner. - Communicates with appropriate hospital departments to clarify billing discrepancies and obtains demographic, clinical, financial, and insurance information. - Performs all routine follow-up functions which includes the investigation of overpayments, underpayments, credit balances and payment delays. - Researches claim rejections, makes corrections, takes corrective actions, and/or refers claims to appropriate colleagues to ensure timely and accurate claim resolution. - Proactively follows up on delayed payments by contacting patients and third-party payers determining the cause for delay and supplying additional data as required. - May prepare special reports as directed by the Supervisor Billing and Follow-Up to document follow-up services. - Other duties as needed and assigned by the supervisor. - Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct. Qualifications - High School diploma and at least one (1) year of experience and relevant knowledge of revenue cycle functions and systems. - Experience in a complex, multi-site environment preferred. - Basic understanding of Microsoft Office, including Outlook, Word, PowerPoint, and Excel. - Completion of regulatory/mandatory certifications and skills validation competencies preferred. - Excellent verbal and written communication and organizational abilities. - Strong interpersonal skills are necessary in dealing with internal and external customers. - Accuracy, attention to detail and time management skills. - Ability to work independently. - Ability to perform billing and follow-up activities in a prompt and accurate manner. - Must be comfortable operating in a collaborative, shared leadership environment. - Must possess a personal presence characterized by honesty, integrity, and caring. Requirements - This position operates in a typical office environment. - The area is well lit, temperature controlled and free from hazards. - Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues. - Manual dexterity is needed in order to operate a keyboard. - Hearing is needed for extensive telephone and in-person communication. - The incumbent is subject to eyestrain due to the many hours spent looking at a CRT screen. - The noise level is low to moderate. - Must be able to set and organize own work priorities and adapt to them as they change frequently. - Must be able to work concurrently on a variety of tasks/projects in a potentially stressful environment. - Must possess the ability to comply with Trinity Health policies and procedures. Benefits - Rooted in our Mission and Core Values, we honor the dignity of every person. - Recognize the unique perspectives, experiences, and talents each colleague brings. - We are an Equal Opportunity Employer. - All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.