Medical Encounter Reviewer

Pay Plan Title: Support Specialist

Working Title: Medical Encounter Reviewer

FLSA Status: Non-Exempt

Posting Salary Range: $35,646 - $41,375

Office Location: Remote within North Carolina.

POSTING DETAILS:

Make an Impact  

Trillium Health Resources is a Tailored Plan and Managed Care Organization (MCO) that manages serious mental health, substance use, traumatic brain injury, and intellectual/developmental disability services in North Carolina. Serving in 46 counties, we help individuals and their families strengthen well-being and build foundations for a healthy life.

Join our team as we empower others to live their best lives by providing access to quality healthcare. We offer a challenging, engaging work environment where staff take home more than a paycheck. Every day, we see the results of our dedication – in the smiles of children on our accessible playgrounds and in the pride on the face of an adult cooking a meal for the first time. Working at Trillium Health Resources is more than just a job; it is an opportunity to make a direct impact on the communities we serve.

At Trillium, we know that empowering others begins with supporting and developing our team. That’s why we offer competitive benefits and work-from-home flexibility so that our employees thrive outside of the office. We’re also committed to building a diverse, inclusive culture where all employees have the potential to grow professionally and personally.

What We’re Looking For

Trillium Health Resources has a career opening for a Medical Encounter Reviewer. The primary purpose of the Medical Economic sector is to focus on how the fiscal behavior of our stakeholders and members affects the quality and cost of medical care. This position will also provide confidential administrative and specialist support to the Medical Economics department as requested.  If you are looking for a unique opportunity to make a tangible impact on the lives of others, apply today!

On a typical day, you might:

• Provide administrative, clerical, or custodial oversight or action to resolve day-to-day issues.
   
• Review Physical Health encounters to ensure compliance with medical coding guidelines and policies.

• Identify and report inaccuracies or inconsistencies in Physical Health encounter submissions.
• Collect encounter data via standardized reporting to prepare monthly reports for management.

Employee Benefits:

Trillium knows that work/life balance is important. That’s why we offer our employees competitive benefits and flexibility that is second to none. Take a look at what we have to offer:

• A remote work option available for most positions
• Health Insurance - no premium for employee coverage
• Flexible Spending Accounts
• Paid Time Off (PTO) of 24 days, plus 12 paid holidays within first year of employment
• NC Local Government retirement pension. This is a defined-benefit retirement plan that will pay you a monthly amount upon retirement, for the rest of your life, with as little as five years of service. For more information, go to: https://files.nc.gov/retire/documents/files/Actives/LGERSHandbook.pdf
• 401k with 5% employer match & immediate vesting
• Public Service Loan Forgiveness Qualifying Employer

Qualifications: 

Education:
 High School Diploma or GED. 

Experience: 
 Minimum one (1) year experience doing medical coding.

OR

Equivalent combination of education/experience.

 Preferred Experience: 
 Prefer two (2) years of experience doing medical coding in a Physical Health agency.

 License/Certification: 
 Medical Coder certification required.
 Must have a valid driver’s license.

Location:
 Remote within North Carolina. 
 Must reside in NC to be considered for remote status.

Deadline for application: 4/17/2025 at 11:59 pm

To be considered for employment, all candidates are required to submit an application through ADP and upload a current resume.  Your resume must provide your level of education and detailed work experience, including: 

• Employer Name
  1. Dates of service (month & year)
  2. Average number of hours worked per week
  3. Essential duties of the job as related to the position you’re applying for
• Education
  1. Degree type
  2. Date degree was awarded
  3. Institution
• Licensure/certification, if applicable

After submitting your application through our career center in ADP, your resume will be reviewed to ensure that your skills and experience meet the essential criteria for the role you have applied for.

You will be notified by HR on the status of your application as appropriate.  All applicants will receive a final email when the recruitment cycle for the position has closed.  

Join our Talent Community through our ADP career center to stay informed about positions you may qualify for. Remember to keep an update resume in the Talent Community profile. 

The diversity of the communities we serve is reflected in our employees. Trillium Health Resources is an Equal Employment Opportunity (EEO) employer.

Trillium Health Resources is a drug-free workplace. Candidates are required to pass a drug test as a condition of employment.

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