Coding Specialist I

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917459

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

  • 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.
  • Responsible for applying the appropriate diagnostic and procedural codes to individual patient encounters and surgical procedures, as well as, providing guidance to physicians in identifying and resolving coding related issues, questions, or discrepancies.
  • Assist the accounts receivable team with researching and resolving insurance denial issues.
  • Activities must be performed with adherence to Federal Compliance Regulations and Medical Necessity Guidelines.
  • 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.
  • Completes statistical forms and tracking logs.
  • Assists the Compliance Review Specialist in providing educational feedback to support providers. Performs coder on-call activity and charge edit duties.

Minimum Requirements

  • High School plus + 1 to 2 years of formal training or education.
  • One to three years Coding experience in an appropriate medical setting.
  • One to two 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.
  • Coding certification exam must be successfully completed within 24 months of hire.

Preferred Requirements

  • Credentialed as an RHIA, RHIT, CCS or CCS-P, or be eligibility to sit for one of these examinations 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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