Coding Specialist - 3147 S. 17th - Full Time-Remote/Hybrid

Wilmington Health; Wilmington (NC); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Wilmington Health seeks a remote Coding Specialist to support physician offices across specialties in accurate code assignment and documentation review. You will work with physicians and staff to ensure CPT®, HCPCS II, and ICD-10-CM codes meet payer guidelines and improve claim outcomes.

The role requires a solid understanding of anatomy, physiology, and medical terminology, HIPAA compliance, and the ability to work independently in a digital, home-based environment.

Qualifications

• High school diploma or equivalency required.
• Certified coder (CPC, CCS-P, CCS or CCA) required.
• 2+ years abstract coding for physician services; remote/digital environment preferred.

Responsibilities

• Review medical records and assign CPT, HCPCS II and ICD-10-CM codes.
• Collaborate with physicians for clarification on diagnoses and procedures.
• Maintain HIPAA compliance and secure handling of patient information.
• Support AR and patient billing by addressing coding-related denials and questions.

Skills

Abstract coding experience

Remote work capability

HIPAA compliance

Education

High school diploma or equivalency

Tools

Electronic Health Records (EHR) platforms

Job description

About Wilmington Health

Since 1971, Wilmington Health has been committed to providing TRUE Care to our community in Wilmington and Southwestern North Carolina. Physician-owned primary care and multi-specialty medical practice, Wilmington Health provides a comprehensive, coordinated, and collaborative approach to healthcare, using evidence-based medicine to achieve the highest quality care possible to the patients we serve.

Purpose

To serve as a charge capture and professional coding resource and expert in the physician office setting across various services and specialties.

Essential Duties/Responsibilities

• Review medical record documentation and ensure accurate diagnosis and procedure code assignment to patient records for data retrieval, analysis, and claim processing.
• Works with physicians, non-physician practitioners, and other health care professionals to obtain any necessary clarification for accurate diagnosis and procedural coding.
• Expertise in assigning accurate CPT®, HCPCS Level II, and ICD-10-CM medical codes and modifiers based on coding and payer guidelines.
• Able to work with little supervision and performs all work independently, with high autonomy.
• Consistently meets 100% productivity measures and quality requirements.
• Maintains coding certification by completing continuing education requirements.
• Maintains a solid understanding of anatomy, physiology, and medical terminology as required to accurately code provider services and diagnoses.
• Abide by HIPAA regulations, maintaining confidentiality in all areas to protect sensitive health information.
• Support the accounts receivable department by answering and addressing coding-related denial questions.
• Support the customer service department by answering coding-related patient billing concerns.
• Work failsafe reports to capture all possible charges and correct any quality errors discovered in doing so.
• Research new service lines for correct coding and documentation requirements.

Required Qualifications

• High school diploma or equivalency

License/certification Requirements

• CPC, CCS-P, CCS or CCA

Preferred

• Abstract coding experience in multiple specialties
• 3-5 years of coding experience
• Extensive knowledge of ICD-10-CM, CPT, HCPCS II coding and coding guidelines.

Work Environment

Home-based coders need a quiet, private, and efficient workspace to work productively. Employees must be self-disciplined and motivated to stay focused with minimal home-bound interruptions. Employees in this position must have an ergonomically correct workstation for optimal performance. The availability of work-from-home option is dependent on the candidate meeting the minimum requirements for HIPAA-compliant workspace and internet speed.

ADA Physical Demands

Rarely (Less than .5 hrs/day) Occasionally (0.6 – 2.5 hrs/day) Frequently (2.6 – 5.5 hrs/day) Continuously (5.6 – 8.0 hrs/day)

Physical Demand

Required?

Frequency

Standing

Rarely

Sitting

Continuously

Walking

Occasionally

Gross Manipulation

Continuously

Keyboard

Continuously

Coding Specialist Competencies

General

• Customer Service
• Professionalism/Integrity/Responsibility
• Teamwork/Process Focus
• Dependability/Punctuality
• Interpersonal Relationships/Communication
• Judgment/Decision Making/Problem Solving
• Quality/Quantity
• Initiative
• Safety and Housekeeping
• Organizational Skills/Time Management
• Quality Management
• Cost Consciousness
• Motivation
• Innovation

Licensing Required - Certified Coder

2+ years of abstract coding for physician services; experience working remotely, in a digital environment in multiple EHRs, preferred