NHRMC, established in 1967 in Wilmington, NC, is recognized as a preeminent healthcare organization focused on leading our community to outstanding health. We have an 855 bed network of hospitals and multi-specialty physician group practices with more than 200 physicians. With a network of primary, specialty, neighborhood clinics and regional medical centers; you will find our culture is the very definition of best in practice. Join us and find out how many ways NHRMC offers you the chance to focus on what really matters - our patients and community.
About the Job
Location: NHRMC PG Administration
Department: Coding Team
Full Time Equivalent: full-time
Work Type: 64 to 80 Hours Pay Period
Work Schedule: 8HR DAY: 7:30am – 4:00pm, 8:00 – 4:30pm, or 8:30 – 5:00pm
Exempt from Overtime: Exempt: No
What You'll Do
Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, third party payers and other regulatory agencies. Functions includes but are not limited to working charge review work queues for assigned non-surgical practices to ensure the completeness and accuracy of coding clinical diagnosis and procedures.
1. Coding: With minimal supervision, review and codes work queues as assigned by applying coding principles for correct coding including sequencing. Query providers for clarification of incomplete or ambiguous documentation as appropriate and monitor for timely responses. Provides provider education and regular feedback on ICD-10 and correct coding issues. Evaluates and identifies front-end and back-end error trends for training needs and brings them to the attention of the coding manager. Communicates and participates in departmental meetings and initiatives involving coding and the revenue cycle enhancement process. Demonstrates a comprehensive knowledge of all procedures concerning the sequencing of diagnoses, procedures such as but not limited to those outlined in ICD-9- CM, CPT, HCPCS and CMS guidelines. 2. Process: Maintain adequate knowledge of coding, compliance and reimbursement procedures through review of information provided by RCS, payer policy updates and coding manuals: Provides coding assistance through interpretation of guidelines and communication to practitioner. Must be accurate in coding of diagnostic and procedure services in accordance with national coding guidelines and appropriate information reimbursement requirements. Responsible for responding to coding, billing and collection inquiries.
- Education: High School Diploma
- Experience: Minimum of two years healthcare experience, with at least one year of professional coding experience. Two years of customer service experience in a clinic setting.
- Licensure/Certification/Registration: RHIA, CPC, CPC-A, CCS-P, RHIT, or Certified Outpatient Coding (COC)
Additional Skills Required: Working knowledge of Current Procedure Technology (CPT), ICD-9 and HCPCS coding. Experience with EPIC Resolute Billing preferred. Ability to effectively communicate and work with patients, physicians, staff and administration. Outstanding written and verbal communication skills. Ability to work independently with minimal supervision. Self-audit of work and awareness of impact on revenue cycle is key. Working knowledge of Current Procedure Terminology (CPT), ICD-9, ICD-10 proficiency and HCPCS coding.
This position description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications which may be required of the employee assigned to the position. Depending on the location of the job, duties may vary. Receipt of the job description does not imply nor create a promise of employment, nor an employment contract of any kind; my employment with the Company is at will.
Consider a career at NHRMC and become part of this award winning team!