Coding Specialist II - Greenville, NC

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916668

Vidant Medical Group

Full Time

Regular

Summary

About Vidant Medical Group

Vidant Medical Group is a reputable and established multi-specialty physician group that provides superior care for the health and wellness needs of eastern North Carolina's patients. With more than 350 primary and specialty care providers in more than 70 locations, quality health care is never far from home.

Responsibilities

  • Abstract and assign codes for professional services rendered in such areas as clinic, inpatient, ED and other locations
    for a multispecialty physician organization. Must exhibit expert coding skills in the proper use of the ICD-9, HCPCS, and
    CPT coding while adhering to regulatory guidelines. All coding decisions must be accomplished in accordance with
    national and facility approved guidelines. 
  • Demonstrate proficiency in using Payer and coding specific websites to maintain up-to-date coding knowledge,including changes to coding compliance and reimbursement. Must be able to effectively integrate changes into themedical practice through communication, charge router and charge review edits. 
  • Demonstrate the ability to quickly identify incorrect coding and compliance trends; take initiative to analyze and
    investigate suspected problems; and forward problems to the attention of the Coding Supervisor and/or Compliance
    Auditors in a timely fashion.
     
  • Demonstrate the ability to independently research and accurately resolve insurance denials in a timely fashion and with
    minimal supervision. Will assist the accounts receivable team with resolving insurance denial issues. 
     
  • Perform coder-on-call activity, assist Compliance Auditors with auditing of provider documentation and performadditional duties as assigned by Management. 
  • Average coding accuracy must be consistently maintained at 95% or better. Average number of records coded per
    week must meet minimum established quantitative standards. Average number of records audited per week must meet
    minimum established quantitative standards.
     
  • Contacts physicians, residents, and other health care professionals to clarify difficult medical record documentation to
    insure accurate code assignment. Contacts providers and clinic personnel by phone, email, EHR In-basket and
    documented for future reference and to substantiate any appeals that may be necessary for reimbursement.
     
  • Attends and participates in educational programs or inserices to keep abreast of changes and/or developments in
    coding rules/regulations, medical necessity, and Federal Compliance Regulations. Maintains updated coding reference
    materials.
     
  • Maintains required coding certifications.

Minimum Requirements

  • High school diploma. 1 - 2 years of formal education/training.
    3 to 5 years Coding experience in an appropriate medical setting.
    Certified Coding Specialist (CCS), CPC, RHIT, RHIA or CCS-P may be substituted for the required education with one to
    three years of work experience.
     
  • Associate degree In Health Information Techncology. 4 year RHIA preferred.
    Individual be credentialed as an RHIA, RHIT. CCS or CCS-P, CPMA preferred

General Statement

It is the goal of Vidant Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer.   Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

 

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