Coding Specialist - 3147 S. 17th St.-Full Time-Remote/Hybrid

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:

License/certification Requirements:

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)

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