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:
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
Gross Manipulation
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
