Coding Specialist II - Physician Group (Specialty Team)

Overview

Coding Specialist II - Physician Group (Specialty Team) at ECU Health.

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About ECU Health

ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations. The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children\'s Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.

Position Summary

Reviews medical record documentation, extracts data, and applies appropriate diagnosis and procedure codes for complex multi-specialty physician group. Coding responsibilities include inpatient hospital, outpatient hospital, and ambulatory services to support professional fee billing, internal and external reporting, research and regulatory compliance. Complies with the ICD-10-CM and CPT / HCPCS Official Guidelines for coding and reporting as well as other nationally established rules and regulations for coding assignment.

Responsibilities

• Provides code assignment for all levels of Professional Fee (Physician Coding) for Inpatient, Outpatient and / or Ambulatory Services and / or Charge Entry services for large multi-specialty physician group.
• Assigns diagnostic and procedural codes to patient records using ICD-10-CM and CPT / HCPCS and any other designated coding classification systems in accordance with coding guidelines.
• Assigns and sequences codes accurately based on medical record documentation.
• Verifies accuracy of code assignment provided by physicians and / or designated staff.
• Assigns diagnosis / procedure codes utilizing the 3M Encoder to arrive at the most accurate code within designated time frame as agreed upon and / or outlined in policy.
• Incorporates current regulatory coding requirements and guidelines appropriately.
• Maintains weekly coding productivity log and provides feedback to the Supervisor / Manager of VMG Coding regarding any coding issues / problems.
• Maintains coding accuracy of 90% or better, in accordance with Medical Group policy.
• Average number of records coded per hour must meet minimum established quantitative standards per type of patient record.
• Responsible for reviewing claims and correcting Claims Manager and / or Epic edits.
• Demonstrates effective computer skills for all coding functions.
• Maintains confidentiality of patient information.
• Participates in In-Service education, updates and conferences to remain current with coding requirements and guidelines.
• Maintains AHIMA and / or AAPC credentials.

Minimum Requirements

Other Information

General Statement

It is the goal of ECU 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 applicants 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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