What are the responsibilities and job description for the Coding Specialist - ASC Endoscopy position at Wilmington Health PLLC?
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.
- 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
License/certification Requirements:
- CPC, CCS-P, CCS or CCA
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)
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
Licensing Required - Certified Coder
2 years of abstract coding for physician services; experience working remotely, in a digital environment in multiple EHRs, preferred
