Professional Coder II

American Addiction Centers • Winston-Salem, NC

1d • Remote

About The Position

This is a full-time remote position for a Professional Coder II in the Pathology Billing department at Wake Forest Baptist Medical Center. The role involves timely and accurate coding of hospital-based professional services, including outpatient and inpatient services, by reviewing medical record documentation to assign and sequence diagnoses and procedure codes. The coder will also be responsible for entering appropriate codes and modifiers into the electronic system, maintaining current knowledge of coding guidelines and regulations, and serving as a resource for less experienced coders. Collaboration with various departments, physician education, and resolution of pending charges are also key aspects of this role.

Requirements

• High school diploma or GED equivalent with two years of medical coding experience in a similar environment, or eligibility for internal promotion based on achieving and maintaining Coder level II performance criteria by department for six consecutive months.
• National coding certification (CPC or CCS).
• Experience in coding of physician professional services in a teaching environment
• Familiarity with Medicare Teaching Physician Rules
• Familiarity with facility fee services within a Provider Based clinic
• Ability to meet and maintain performance standards of quality and productivity for Level II Coder by department

Responsibilities

• Responsible for timely and accurate coding of hospital based professional services (outpatient hospital or inpatient hospital; single services or complete inpatient stays) by reading and/or reviewing medical record documentation to assign and sequence diagnoses and procedure codes according to coding guidelines, and enter into the electronic system: Appropriate diagnoses codes, professional service codes and modifiers and/or facility service/ charge codes.
• Assign and record appropriate modifiers (i.e., GC, NO or NDU) as appropriate based on Teaching Physician rules.
• Maintains a current knowledge of ICD diagnosis codes, CPT physician service codes, internal codes (for unlisted or unusual CPT codes), and governmental (Medicare, Medicaid, TriCare), commercial and managed care regulations by reading relevant professional literature and by attending workshops and lectures.
• Accrues sufficient continuing education hours to maintain national coding certification.
• Serves as a resource for less experienced medical coders.
• Works collaboratively with team members, Corporate Revenue Cycle, and Compliance Analysts to answer questions and/or resolve issues related to documentation, coding and billing of professional services and/or facility services.
• Provides physician education to ensure documentation is sufficient for greatest accuracy of coding.
• Resolves pending charges in the WakeOne coding work queues including claim denial work queues.
• Performs other related duties incidental to the work described herein.

Benefits

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 1-10 employees