Coding Specialist - 3147/Remote - Full Time
2+ years of abstract coding for physician services; experience working remotely, in a digital environment in multiple EHRs, preferred
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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:
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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.
