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Novant Health · Winston-Salem, NC

Coding Quality Assurance Auditor

Experience5+ yrs
EducationHS diploma
PostedAug 27
✓You’ll need
Certifications
✓CPC, CCS or RHIT certification.
Education
✓High School Diploma or GED.
Qualifications
✓5 or more years of professional coding experience (in all core areas).
✓2 or more years of auditing experience for coding compliance/accuracy.
✓Extensive knowledge of ICD-9-CM, ICD-10-CM, CPT and HCPCS coding principles and guidelines.
✓Extensive knowledge of reimbursement systems.
✓Extensive knowledge of federal, state, and payer specific regulations and policies pertaining to documentation, coding, and billing.
✓Excellent verbal and written communication skills and the ability to effectively communicate with coding team members, providing positive constructive feedback from audit results.
✓Advance level knowledge of medical terminology.
✓Proven analytical ability and organizational skills necessary to organize/assess quality assurance based on data analysis.
+Benefits
Comprehensive benefits include medical, dental, vision, and life insuranceRetirement fund with matching contributionsTuition assistance for qualifying team membersEmployee assistance programs and discountsRemote work opportunity in North Carolina (equipment provided)Flexible work schedule
Novant Health
Nonprofit · Winston Salem, NC · 13 hospitals
1,607open roles
39administration roles open in NC
Want the next administration job in North Carolina by email?
Weekly, free, unsubscribe with one click.
Pay for this position
$24.75 – $38.25/hr
North Carolina administration paymedian $28.55 – $38.61
$14/hrFloor 13% below the North Carolina median floor$78/hr
✓You’ll need
Certifications
✓CPC, CCS or RHIT certification.
Education
✓High School Diploma or GED.
Qualifications
✓5 or more years of professional coding experience (in all core areas).
✓2 or more years of auditing experience for coding compliance/accuracy.
✓Extensive knowledge of ICD-9-CM, ICD-10-CM, CPT and HCPCS coding principles and guidelines.
✓Extensive knowledge of reimbursement systems.
✓Extensive knowledge of federal, state, and payer specific regulations and policies pertaining to documentation, coding, and billing.
✓Excellent verbal and written communication skills and the ability to effectively communicate with coding team members, providing positive constructive feedback from audit results.
✓Advance level knowledge of medical terminology.
✓Proven analytical ability and organizational skills necessary to organize/assess quality assurance based on data analysis.
+Benefits
Comprehensive benefits include medical, dental, vision, and life insuranceRetirement fund with matching contributionsTuition assistance for qualifying team membersEmployee assistance programs and discountsRemote work opportunity in North Carolina (equipment provided)Flexible work scheduleReimbursement for AAPC or AHIMA membership fee
Novant Health
Nonprofit · Winston Salem, NC · 13 hospitals
1,607open roles
39administration roles open in NC
Want the next administration job in North Carolina by email?
Weekly, free, unsubscribe with one click.

Full employer posting

What We Offer Comprehensive benefits include medical, dental, vision, and life insurance. Retirement fund with matching contributions. Tuition assistance for qualifying team members.

Employee assistance programs and discounts. Remote work opportunity in North Carolina (equipment provided). Flexible work schedule.

Reimbursement for AAPC or AHIMA membership fee.

Perform coding audit activities for the NHmg RCS Coding Department. Conduct audits that include assessments of proper use of ICD-9-CM, ICD-10-CM, CPT and HCPCS codes, modifiers, NCCI usage and all other applicable coding guidelines. Support the coding department by proactively auditing the team according to the RCS audit policy, and documenting/reporting issues identified during auditing processes.

What We're Looking For Required: CPC, CCS or RHIT certification. High School Diploma or GED. 5 or more years of professional coding experience (in all core areas). 2 or more years of auditing experience for coding compliance/accuracy. Extensive knowledge of ICD-9-CM, ICD-10-CM, CPT and HCPCS coding principles and guidelines.

Extensive knowledge of reimbursement systems. Extensive knowledge of federal, state, and payer specific regulations and policies pertaining to documentation, coding, and billing. Excellent verbal and written communication skills and the ability to effectively communicate with coding team members, providing positive constructive feedback from audit results.

Advance level knowledge of medical terminology. Proven analytical ability and organizational skills necessary to organize/assess quality assurance based on data analysis. Why Choose Novant Health?

At Novant Health, we believe remarkable care starts with compassion for our patients, our communities, and each other. We value belonging, courage, personal growth, and teamwork, creating a space where everyone is respected, supported, and safe to show up as their full selves. Job Opening ID 130729

About the role

Conduct audits that include assessments of proper use of ICD-9-CM, ICD-10-CM, CPT and HCPCS codes, modifiers, NCCI usage and all other applicable coding guidelines.