Professional Coder ll - Radiology

610 Wake Forest University Baptist Medical Center; Winston-Salem (NC); Hybrid; USD 37,000 - 55,000; Full time

Benefits offered by this job

Hybrid work arrangement

Health benefits

Paid Time Off

Job summary

Advocate Health is seeking a Medical Coder II for Wake Forest Baptist Medical Center in Winston-Salem, NC. The role covers coding hospital-based professional services across imaging modalities, with an emphasis on accuracy and adherence to guidelines.

A hybrid schedule allows remote work with on-site support as needed for equipment pickup and team events. The ideal candidate holds CPC or CCS certification, a high school diploma, and at least two years of medical coding experience in a hospital

Qualifications

• High school diploma or GED.
• Two years of medical coding experience in a hospital/teaching environment.
• Active CPC or CCS certification required.

Responsibilities

• Code hospital-based professional services accurately and on time.
• Review documentation to assign diagnosis and procedure codes per guidelines.
• Enter codes, modifiers, and charges into the EHR system and support denial resolution.
• Educate physicians to improve documentation for optimal coding.
• Collaborate with Revenue Cycle and Compliance to resolve coding/billing issues.

Skills

Medical coding

Medicare rules

Education

High school diploma or GED

Two years medical coding experience

CPC or CCS certification

Job description

Department: 05509 WFBMG University Group Practice: WFBMC Main - Radiology: Xray Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Will support: The role covers diagnostic radiology, MRI, nuclear medicine, PET, CT, mammography, and ultrasound. Interventional radiology and its procedures are excluded. Schedule: Monday - Friday 1st shift, 8 hours day, 40 hours a week. Can pick a start between 6:00 and 9:00 a.m. Certification required: Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Hybrid opportunity: Primarily remote, and will need to go on site as needed for computer equipment pick up and support and department team events at Atrium Health Wake Forest Baptist - Medical Center. Pay Range: $26.55 - $39.85 Medical Coder II

Essential Functions

• Code hospital-based professional services accurately and on time, including outpatient or inpatient hospital services, single services, and complete inpatient stays.
• Review medical record documentation to assign and sequence diagnosis and procedure codes in accordance with coding guidelines.
• Enter appropriate diagnosis codes, professional service codes, modifiers, and facility service or charge codes into the electronic system.
• Assign and record appropriate modifiers, including GC, NO, or NDU, in accordance with Teaching Physician Rules.
• Maintain current knowledge of ICD diagnosis codes, CPT physician service codes, internal codes for unlisted or unusual procedures, and Medicare, Medicaid, TRICARE, commercial, and managed care regulations.
• Stay informed through professional literature, workshops, and lectures.
• Complete sufficient continuing education hours to maintain national coding certification.
• Serve as a resource for less experienced medical coders.
• Collaborate with team members, Corporate Revenue Cycle, and Compliance Analysts to answer questions and resolve documentation, coding, and billing issues involving professional or facility services.
• Educate physicians to support documentation that enables the greatest possible coding accuracy.
• Resolve pending charges and claim denials in WakeOne coding work queues.
• Perform other related duties incidental to the work described.

Skills and Qualifications

• Experience coding 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 department-defined Level II Coder quality and productivity standards.

Education and Experience

• High school diploma or GED equivalent.
• Two years of medical coding experience in a similar environment; or Eligibility for internal promotion after achieving and maintaining department-defined Coder Level II performance criteria for six consecutive months.

Licensure, Certification, and Registration

• Active national coding certification: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS).

Work Environment

• Clean, well-lit, and comfortable environment.
• Quiet work area.

Physical Requirements

• Activities may include standing, walking, sitting, bending, reaching with the arms, using finger and hand dexterity, talking, hearing, and seeing.
• May involve lifting, carrying, pushing, or pulling items with listed maximum weights of 20 pounds, 50 pounds, or 100 pounds, as applicable to the role.
• The source frequency table does not clearly identify the percentage assigned to each activity; confirm the applicable frequency and lifting category with the department.

Our Commitment to You

• Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance
• Benefits and more
• 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
• Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It’s offering more sites of care than any other health system in the Midwest. But there’s a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care