Coding Quality Assurance Auditor

This position is remote for candidates who reside in North Carolina

• Comprehensive benefits include medical, dental, vision, and life insurance.
• Retirement fund with matching contributions.
• Tuition assistance for qualifying team members.
• A flexible work schedule after initial training.

• 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.

Required:

• CPC, CCS or RHIT certification.
• High School Diploma or GED.
• 5+ years of professional coding experience (in all core areas).
• 2+ 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.

Preferred:

• CPMA certification.
• Strong surgical coding experience is key for this role.
• In depth background and knowledge of medical documentation, fraud, abuse, and penalties for documentation and coding violations based on government guidelines.
• Scope and statistical sampling methodologies, medical record auditing skills, and abstraction ability.
• Quality assurance and coding risk analysis.

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.