Coding Specialist - 3147/Remote - Full Time
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 • Extensive knowledge of ICD-10-CM, CPT, HCPCS II coding and coding guidelines. License/certification Requirements: • CPC, CCS-P, CCS or CCA Preferred: • Abstract coding experience in multiple specialties • 3-5 years of coding experience • 2+ years of abstract coding for physician services; experience working remotely, in a digital environment in multiple EHRs, preferred 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 • Customer Service • Professionalism/Integrity/Responsibility • Teamwork/Process Focus • Dependability/Punctuality • Interpersonal Relationships/Communication • Judgment/Decision Making/Problem Solving • Quality/Quantity • Initiative • Safety and Housekeeping • Organizational Skills/Time Management • Quality Management • Cost Consciousness • Motivation • Innovation