Coding Specialist I

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916671

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

1. Audit, code, bill and abstract physician clinic, hospital outpatient, inpatient, ED, Psych, and other specialties for professional billing services for a multispeciality physician organization. All activities must be accomplished in accordance with national and facility approved coding guidelines and rules and ambulatory payment methodologies. 

2. Must have knowledge of ICD-9, CPT-4, modifiers and HCPCS coding principles and guidelines as well as evaluation and management coding. 

3. Knowledge of federal, state and payer specific regulations needed for appropriate code assignments. Must remain up to date on coding changes for professional services in a multispecialty environment and will perform coder on call activity. 

4. Verify and abstract documentation to provide appropriate codes for different settings, such as clinic, inpatient, OBS, etc.

Work queue assignments ensure documentation reviewed accurately reflects code assignment and all coding edits are resolved timely. 

5. Will assist the accounts receivable team with resolving insurance denial issues. 

6. 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. 

7. 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. 

8. Performs additional duties as requested by manager. 

9. Attends and participates in educational programs or in-services to keep abreast of changes and/or developments in coding rules/regulations, medical necessity, and Federal Compliance Regulations. Maintains updated coding reference materials. 

10. Maintains current coding certifications.

Minimum Requirements

  • High School plus + 1 to 2 years of formal training or education.
    1 to 3 years Coding experience in an appropriate medical setting.
    1-2 years coding experience in an appropriate medical setting and eligibility to sit for RHIA, RHIT, CCS, CCS-P, CMA may
    be substituted for the required education.
     
  • Credentialed as an RHIA, RHIT, CCS or CCS-P, or be eligibility to sit for one of these examinations preferred.
    Coding certification exam must be successfully completed within 24 months of hire.

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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