Coding Specialist - 3147 S. 17th St.- Full Time

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.