Coding Specialist II - Greenville, NC

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933843

Vidant Medical Group

Full-Time

Regular

Vidant Health

About Vidant Health

Vidant Health is a regional health system serving 29 counties in eastern North Carolina. We are working every day to improve the health of the 1.4 million people we serve. Vidant Health is made up of 8 hospitals, physician practices, home health, hospice, wellness centers and other health care services. Vidant Medical Center is affiliated with the Brody School of Medicine at East Carolina University. As a major resource for health services and education, Vidant Health strives to support local medical communities and to work with providers throughout the region to deliver quality care. Our goal is to enhance services that are available locally and to eliminate barriers involving time, distance and lack of awareness that sometimes prevent patients from receiving the care they need.

Responsibilities

  • Review accounts and resolve pre-bill coding edits in designated Charge Review work queues and serve as a resource for other service areas in resolving coding-related questions and/or edits.  As needed, assist the accounts receivable team with resolving coding-related insurance denial issues and assist Compliance Auditors with auditing of provider documentation

  • Accurately provide code assignment for physician clinic, hospital outpatient, inpatient, ED, Psych and other specialties for professional billing services.  Verify accuracy of code assignment provided by physicians and/or designated staff.  Contact physicians, residents and other health care professionals when need to clarify difficult medical record documentation to ensure accurate code assignment

  • Demonstrate knowledge of and ability to apply diagnosis and procedure codes using ICD-10-CM, CPT and any other designated coding classification system in accordance with the UHDDS coding guidelines.  Demonstrate knowledge of and ability to apply federal, state and payor specific regulations needed for appropriate code assignment

  • Attend and participate in educational programs or in-services to keep abreast of changes and/or developments in coding rules/regulations, medical necessity and Federal Compliance Regulations.   Maintain current coding certifications.

  • Maintain daily time tracker log and provide feedback to the Coding Supervisor and/or Manager regarding any coding issues/problems.  Maintain average coding accuracy at 95% or better 

  • Consistently meet established standards for average number of accounts codes per week per type of account

  • Perform additional duties as assigned by management

 

Minimum Requirements

  • Associate's Degree in Health Information Technology or Bachelor's Degree in Health Information Management required.
  • AHIMA credentials (RHIA or RHIT) required
  • CCS, CCS-P or CPC credentials with 1 additional year (3 total years) of physician based coding experience may be substituted for the required education and credentials. Other coding credentials with 3 additional years (5 total years) of physician based coding experience may be considered for substitution for the required education and credentials.

Other Information

Questions?  e-Mail: JOBS@VIDANTHEALTH.COM

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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