Professional Coder II, Radiology

Description

Professional Coder II

Position Highlights:

Shift Schedule: Full Time (40 hours)

Department: Radiology

Location: Atrium Health Wake Forest Baptist

What We Offer:

Generous PTO: Accrue up to 25 days/year, to be used for vacations, sickness, holidays, and personal matters.

Education Reimbursement: We invest in your professional growth, offering up to $2,500 per year towards a bachelor’s degree and up to $5,000 per year towards a graduate degree.

Wellness Incentives: Take advantage of up to $1,350 per year in wellness incentives through our LiveWELL program, prioritizing your well-being.

Parental Benefits: We understand the importance of family, providing six weeks of paid birthing-mother maternity leave and four weeks of paid parental leave.

Retirement: Secure your financial future with up to 7% employer-paid retirement contributions.

What You'll Do: Under general supervision, abstracts and codes hospital based, inpatient hospital, outpatient and ambulatory physician (and mid-level provider) services and special procedures (e.g., Emergency Room, Ambulatory Surgery, Day Hospital, Sticht Center, Forsyth Hospital). Uses standard ICD diagnosis and CPT professional coding guidelines, Medicare, Medicaid and other third party regulations/requirements, as well as internal coding guidelines, in order to provide data for billing and reimbursement.

1. 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: a. Appropriate diagnoses codes, professional service codes and modifiers and/or facility service/ charge codes. b. Assign and record appropriate modifiers (i.e., GC, NO or NDU) as appropriate based on Teaching Physician rules.

2. 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.

3. Accrues sufficient continuing education hours to maintain national coding certification.

4. Serves as a resource for less experienced medical coders.

5. 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.

6. Provides physician education to ensure documentation is sufficient for greatest accuracy of coding.

7. Resolves pending charges in the WakeOne coding work queues including claim denial work queues.

8. Performs other related duties incidental to the work described herein.

What You'll Need:

High school diploma or GED equivalent

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).

The ideal candidate will also possess the following skills:

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