Coding Specialist II Physician Group

Job Description

ECU Health

About ECU Health Medical Center

ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides acute and intermediate care, rehabilitation and outpatient health services to a 29-county region that is home to more than 1.4 million people.

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

• High School or Equivalent (GED) and one of the following AHIMA or AAPC credentials is required: RHIA, RHIT, CCS, CCS-P, CPC
• 1 - 2 years relevant coding experience required.

Preferred Requirements

Associate's Degree in Health Information Technology or Bachelor's Degree in Health Information Management is preferred.

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 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.