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Coding & Reimbursement Specialist II

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Date: Feb 11, 2017

Location: Charlotte, NC, US, 28278

Company: Carolinas HealthCare System

Job Req ID: 119831

Position Number: 00077110

Employment Type: Full Time

Shift: Day

Shift Details: M - F, 8 a.m. - 5 p.m.

Standard Hours: 40.00

Department Name: Centralized CC-Non Care Model

Location: Centralized Charge Entry

Location Details:  Arrowpoint (South Charlotte)




Job Summary
Performs duties of mid to intermediate complexity. Applies CPT and ICD codes to ensure appropriate revenue generation and compliance with billing guidelines.

Essential Functions
  • Performs ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered.
  • Appends all modifiers.
  • Ranks CPT codes when multiple codes apply.
  • Assigns Evaluation and Management (E/M) codes.
  • Performs reconciliation process to ensure all charges are captured.
  • Processes automated or manually enters charges into applicable billing system.
  • Researches, answers, and processes all edits associated with claim and coding submission.
  • Adheres to department guidelines for timeliness of processing charges and communicates with team members and practice management on an ongoing basis to ensure these guidelines are met.
  • Communicates with providers related to coding issues that are of mid to intermediate complexity. Including face to face interaction and education with providers.
  • Applies modifiers and appropriate ranking to encounters with multiple codes.
Physical Requirements
Works in a fast-paced office/hospital environment. Work consistently requires sitting and some walking, standing, stretching, and bending.

Education, Experience and Certifications
High School Diploma or GED required. Minimum of 1 year of coding experience required. CPC or equivalent coding credential required. Maintain coding certification (CPC, CCS, RHIT, RHIA). Working knowledge of coding, medical terminology, anatomy, and physiology. Knowledge of and the ability to apply payer specific rules regarding coding, bundling, and adding appropriate modifiers Understanding of and familiarity with regulatory guidelines including NCDs and LCDs.


At Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations.


As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve.


Posting Notes: Not Applicable

Carolinas HealthCare System is an EOE/AA Employer

Nearest Major Market: Charlotte

Job Segment: Accounts Payable, Physiology, Medical, Law, Medical Coding, Finance, Healthcare, Legal

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