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Coding Specialist

Deerfield Management Companies - Durham, NC

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Job Description

Exciting Career Opportunity with Avance Care!Join ourrapidly expandingnetwork of 37 practice locations in the Triangle Area (Raleigh-Durham-Chapel Hill), the Charlotte Region, and Wilmington, NC.Avance Careis dedicated to elevating the standard of healthcare. As one of North Carolina's largest networks of independentprimary carepractices, we offercomprehensive servicesto support the physical, mental, and emotional health of our patients.As aCoding Specialist, you’ll support and maintain coding compliance and patient assessments by applying Certified Professional Coding (CPC) principles to claim documentation process, reducing institutional, legal and financial risk.This is a full-time role involving8 hours weekday shiftswith no weekends schedule.We operate in abusy, fast-paced environment, and we seek a candidate who thrives under such conditions.We offer acomprehensive benefitspackage available on the first of the month following 30 days of employment.Selected Responsibilities:Actively abstract and code daily patient encounters through chart documentation, billing for all services, and appropriate assignment of E&M coding related to chart documentation, time, and medical decision makingThorough understanding of clinic coding (E/M) documentation requirements and HCC concepts impacting population Health Risk Adjustment reimbursement initiativesAbility to review documentation and abstract all codes with specific emphasis on identifying the most accurate severity of illness according to CMS HCC guidelinesMaintains knowledge regarding policies and procedures with Medicare/Medicaid Carriers and third-party payers, including HCC and RAF guidelinesEffectively work with and support providers through structured communication as it related to chart documentation and coding practicesUnderstand and apply Correct Coding Initiative (CCI) edits and modifiers, as sometimes specifically required by 3rd party payers or MedicareAssign missing procedure CPT, or HCPCS from the Current Procedure Manual and Common Procedure Coding System Manual when necessaryCandidates should have one of the following certifications: Certified Professional Coder (CPC-A) required, Certified Professional Coder (CPC) preferred, or Certified Risk Adjustment Coder (CRC) highly preferred along withat least one year of E&M Coding experience.Other Priorities:Strong verbal and written communicationKnowledge of insurance practicesKnowledge of CPT, HCPCs, and ICD-10 codingTime management and workload prioritization skillsIf you are excited to join a growing organization focused onchanging the way healthcare is deliveredto patients in North Carolina, please submit your resume.All offers of employment are contingent upon the successful completion of a background check and drug screen.Avance Care provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to religion, race, creed, color, sex, sexual orientation, gender identification, alienage or citizenship status, national origin, age, marital status, pregnancy, disability, veteran or military status, predisposing genetic characteristics or any other characteristic protected by applicable federal, state or local law.

Created: 2026-02-03

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