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Coding Specialist - 3147 S. 17th St.- Full Time
full-time•Wilmington
About this role
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
What you'll do
- The Coding Specialist is responsible for reviewing medical record documentation to ensure accurate coding for diagnosis and procedures. They will work with healthcare professionals to clarify coding details and support accounts receivable and customer service departments with coding-related inquiries.
About Wilmington Health PLLC
Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina. Wilmington Health is structured as a multi-specialty clinic with primary care providers integrated into the system. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients.
In 2013, Wilmington Health was named a 2013 Acclaim Award Honoree by the American Medical Group Association (AMGA). The prestigious honor is awarded annually to only three national healthcare organizations. Previous esteemed Acclaim Award Honorees include Mayo Clinic Health System, Johns Hopkins Medicine, and The Cleveland Clinic.
Wilmington Health’s drive to become a High Performance Health System (HPHS) began over five years ago by taking a programmatic approach involving a three part system of change including direction setting by our leadership, process improvement at the ground level, and a redesign of the most elemental processes throughout the organization.
A priority was given to paying careful attention to metrics, analysis, and critical assessment of each innovation and how these changes may affect the total cost of care. Only by understanding each of these aspects at work, was the organization able to pragmatically and intelligently design a future approach to the provision of healthcare.
Additionally, Wilmington Health leadership began to put greater focus on creating a culture of change within the organization, understanding that this is the most powerful tool in any transformative process. Included were new and improved support systems for staff and providers and development of an inspirational approach to leading the entire team to provide patient-centered healthcare.
July 2012, Wilmington Health partnered with Blue Cross and Blue Shield of North Carolina to form an ACO agreement. This was the first insurer-provider Accountable Care Organization in the region.
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Frequently Asked Questions
What does a Coding Specialist - 3147 S. 17th St.- Full Time do at Wilmington Health PLLC?
As a Coding Specialist - 3147 S. 17th St.- Full Time at Wilmington Health PLLC, you will: the Coding Specialist is responsible for reviewing medical record documentation to ensure accurate coding for diagnosis and procedures. They will work with healthcare professionals to clarify coding details and support accounts receivable and customer service departments with coding-related inquiries..
Is the Coding Specialist - 3147 S. 17th St.- Full Time position at Wilmington Health PLLC remote?
The Coding Specialist - 3147 S. 17th St.- Full Time position at Wilmington Health PLLC is based in Wilmington, North Carolina, United States. Contact the company through Clera for specific work arrangement details.
How do I apply for the Coding Specialist - 3147 S. 17th St.- Full Time position at Wilmington Health PLLC?
You can apply for the Coding Specialist - 3147 S. 17th St.- Full Time position at Wilmington Health PLLCdirectly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process.