Coding Specialist

4 weeks ago

Wilmington, United States Wilmington Health Full time
2+ years of abstract coding for physician services; experience working remotely, in a digital environment in multiple EHRs, preferred

About Wilmington Health

Since 1971, Wilmington Health has been committed to providing TRUE Care to our community in Wilmington and Southeastern North Carolina. Physician-owned primary care and multi-specialty medical practice, Wilmington Health provides a comprehensive, coordinated, and collaborative approach to healthcare, using evidence-based medicine to achieve the highest quality care possible to the patients we serve.

Purpose:

To serve as a charge capture and professional coding resource and expert in the physician office setting across various services and specialties.

Essential Duties/Responsibilities:
  • Review medical record documentation and ensure accurate diagnosis and procedure code assignment to patient records for data retrieval, analysis, and claim processing.
  • Works with physicians, non-physician practitioners, and other health care professionals to obtain any necessary clarification for accurate diagnosis and procedural coding.
  • Expertise in assigning accurate CPT, HCPCS Level II, and ICD-10-CM medical codes and modifiers based on coding and payer guidelines.
  • Able to work with little supervision and performs all work independently, with high autonomy.
  • Consistently meets 100% productivity measures and quality requirements.
  • Maintains coding certification by completing continuing education requirements.
  • Maintains a solid understanding of anatomy, physiology, and medical terminology as required to accurately code provider services and diagnoses.
  • Abide by HIPAA regulations, maintaining confidentiality in all areas to protect sensitive health information.
  • Support the accounts receivable department by answering and addressing coding-related denial questions.
  • Support the customer service department by answering coding-related patient billing concerns.
  • Work failsafe reports to capture all possible charges and correct any quality errors discovered in doing so.
  • Research new service lines for correct coding and documentation requirements.
Required Qualifications:
  • High school diploma or equivalency
License/certification Requirements:
  • CPC, CCS-P, CCS or CCA
Preferred:
  • Abstract coding experience in multiple specialties
  • 3-5 years of coding experience
  • Extensive knowledge of ICD-10-CM, CPT, HCPCS II coding and coding guidelines.

Work Environment:

Home-based coders need a quiet, private, and efficient workspace to work productively. Employees must be self-disciplined and motivated to stay focused with minimal home-bound interruptions. Employees in this position must have an ergonomically correct workstation for optimal performance. The availability of work-from-home option is dependent on the candidate meeting the minimum requirements for HIPAA-compliant workspace and internet speed.

ADA Physical Demands:

Rarely (Less than .5 hrs/day) Occasionally (0.6 2.5 hrs/day) Frequently (2.6 5.5 hrs/day) Continuously (5.6 8.0 hrs/day)

Physical Demand

Required?

Frequency

Standing

Rarely

Sitting

Continuously

Walking

Occasionally

Gross Manipulation

Continuously

Keyboard

Continuously

Coding Specialist Competencies

General
  1. Customer Service
  2. Professionalism/Integrity/Responsibility
  3. Teamwork/Process Focus
  4. Dependability/Punctuality
  5. Interpersonal Relationships/Communication
  6. Judgment/Decision Making/Problem Solving
  7. Quality/Quantity
  8. Initiative
  9. Safety and Housekeeping
  10. Organizational Skills/Time Management
  11. Quality Management
  12. Cost Consciousness
  13. Motivation
  14. Innovation


Licensing Required - Certified Coder

2+ years of abstract coding for physician services; experience working remotely, in a digital environment in multiple EHRs, preferred

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