Job Description

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.

Position Summary

Auditing of inpatient/outpatient records for quality of coding. These would include charts that have been flagged by the 3M Audit Expert Tool as well as other audits deemed necessary by VMC and/ or the Coding Manager. Contact person for the Clinical Documentation Specialists.  Assist the coding supervisor with the education, training, and auditing of new coders charts. Additionally, serve as back up for coding, billing, and abstracting of outpatient, ED, and ambulatory surgery same day surgery records. All activities must be accomplished in accordance with national and facility approved coding guidelines and rules and prospective payment methodologies.

Activities must also be performed with adherence to Federal Compliance Regulations and Medical Necessity Guidelines. Average coding accuracy must be consistently maintained at 95% or better.

Contacts physicians, residents, and other health care professionals to clarify difficult medical record documentation to insure accurate code assignment. Contacts and assists physicians, residents, and other health care professionals with completion of medical records, as required by JCAHO.  Completes statistical forms and tracking logs.

Performs additional duties as requested by manager.

Minimum Requirements

High School plus 2 years or more  of formal training or education. 

College Degree:   Health Information Technology

Formal Courses in ICDCM/PCS coding, CPT coding, medical terminology, anatomy & physiology, pathophysiology (disease processes).  Individual will be required to produce  transcripts of successful completion (C or higher).

A RHIA, RHIT, or CCS is a requirement for this position.

5 years or more experience coding experience in a medically relevant setting is required.

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.