Professional Coder II, Radiology

Professional Coder II, Radiology

Position Highlights:

• Shift Schedule: Full Time (40 hours), day shift
• Department: Financial Clearance & Registration
• Location: Wake Forest Baptist Medical Center in Winston-Salem, NC

What We Offer:

• Generous PTO: Accrue up to 25 days/year, to be used for vacations, sickness, holidays, and personal matters.
• Education Reimbursement: We invest in your professional growth, offering up to $2,500 per year towards a bachelor’s degree and up to $5,000 per year towards a graduate degree.
• Wellness Incentives: Take advantage of up to $1,350 per year in wellness incentives through our LiveWELL program, prioritizing your well-being.
• Parental Benefits: We understand the importance of family, providing six weeks of paid birthing-mother maternity leave and four weeks of paid parental leave.
• Retirement: Secure your financial future with up to 7% employer-paid retirement contributions.

What You'll DO: Under limited supervision, performs both routine and moderately complex clerical accounting duties requiring the knowledge of accounting practices and fiscal policies and procedures. Adheres to defined WFBMC policies and procedures and practices (GAP) general accepted accounting practices.

1. Responsible for timely and accurate coding of hospital based professional services (outpatient hospital or inpatient hospital; single services or complete inpatient stays) by reading and/or reviewing medical record documentation to assign and sequence diagnoses and procedure codes according to coding guidelines, and enter into the electronic system:
a. Appropriate diagnoses codes, professional service codes and modifiers and/or facility service/ charge codes.
b. Assign and record appropriate modifiers (i.e., GC, NO or NDU) as appropriate based on Teaching Physician rules.
2. Maintains a current knowledge of ICD diagnosis codes, CPT physician service codes, internal codes (for unlisted or unusual CPT codes), and governmental (Medicare, Medicaid, TriCare), commercial and managed care regulations by reading relevant professional literature and by attending workshops and lectures.
3. Accrues sufficient continuing education hours to maintain national coding certification.
4. Serves as a resource for less experienced medical coders.
5. Works collaboratively with team members, Corporate Revenue Cycle, and Compliance Analysts to answer questions and/or resolve issues related to documentation, coding and billing of professional services and/or facility services.
6. Provides physician education to ensure documentation is sufficient for greatest accuracy of coding.
7. Resolves pending charges in the WakeOne coding work queues including claim denial work queues.
8. Performs other related duties incidental to the work described herein.

What You'll Need:

• High school diploma or GED equivalent
• Two years of medical coding experience in a similar environment, or eligibility for internal promotion based on achieving and maintaining Coder level II performance criteria by department for six consecutive months.
National coding certification (CPC or CCS).

The ideal candidate will also possess the following skills:

• Experience in coding of physician professional services in a teaching environment
• Familiarity with Medicare Teaching Physician Rules
• Familiarity with facility fee services within a Provider Based clinic
• Ability to meet and maintain performance standards of quality and productivity for Level II Coder by department
• Must be literate in English and able to follow instructions and have a working knowledge of Word, Excel and Outlook Organized and able to make independent decisions with little involvement from management
• Ability to work independently and as a team player, taking necessary initiative to solve problems
• Self-starter with ability to adjust to the needs of the department, self-motivated
• Ability to identify problems and propose solutions
• Desire to achieve high customer service standards
• Ability to communicate with a wide variety of people including employees, nursing staff, managers and hospital staff