Professional Coder IV, Days

Job Description

At Atrium Health Wake Forest Baptist, we take pride in offering a dynamic and fulfilling work environment. Joining our team means becoming an essential part of a leading healthcare institution that is committed to providing exceptional patient care and advancing medical research.

Position Highlights:

• Shift Schedule: Full time (40 hours),
• Department: Profee Coding
• Location: Remote

What We Offer:

• Day 1 Health Coverage: Amazing health insurance with the option of copay or HSA eligible plans
• Wellness Incentives: Up to $1,350/year in wellness incentives through our LiveWELL program
• Education: Eligible for ourPrepaid College Tuition Assistance program (up to $5,250/year)!
• Parental Benefits: Six weeks paid birthing-mother maternity leave & four weeks paid parental leave
• Retirement: Up to 7% employer-paid retirement contributions

Education/Experience/Certifications to Qualify:

• Graduation from an accredited medical coding program and three years' experience in a professional coding setting; or an equivalent combination of education and experience.
• One year multiple specialty and/or patient type coding experience preferred. Epic Super User training preferred and required within 12 months of hire.
• General knowledge of anatomy and physiology and medical terminology required with completion of college level courses preferred.
• Medical coding certification is required through AAPC, AHIMA or other professional coding societies. Specialty coding credentials preferred.

Essential Functions:

• Works collaboratively with coding manager in process management/improvement.
• Assists coding manager with team productivity and quality audit reporting.
• Researches and responds to questions from team coders.
• Codes records maintaining established departmental accuracy and productivity standards.
• Identifies, assigns and appropriately sequences accurate diagnoses, procedural, and E/M codes. Applies correct ICD, CPT and HCPCS guidelines and regulatory requirements as per departmental policy regarding compliant methods, timeframes, productivity and quality standards, and use of applications.
• Assists in demonstrating medical necessity for procedures and services performed by ensuring that all documented disease processes are coded.
• Abides by the AAPC Code of Ethics and/or the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
• Reviews and/or edits ICD, CPT and HCPCS codes that substantiate providers professional services for inpatient or ambulatory health records including ambulatory, ancillary and OR surgery, emergent and urgent care, observation, and clinic records and other work as assigned, maintaining established departmental accuracy and productivity standards. Data reported is used to meet licensure requirements, statistical purposes, and for financial and billing purposes.
• Reviews and/or edits professional services to reflect accurately provider documentation according to regulatory, payer, and professional guidelines.
• Applies necessary coding guidelines to permit claims processing in charge review, coding denial and/or claim edit work queues.
• Resolves moderately-significantly complex coding and billing issues, and resolves pending charges in the WakeOne coding work queues assigned.
• Functions at an expert coder level and participates in auditing, training, and re-training of coders as directed.
• Interfaces with other departments as needed and provides excellent customer service.
• Participates in on site and/or external training workshops as opportunities arise.
• Maintains credentials, if applicable, and submits written evidence of maintenance.
• Performs other related duties as requested by Manager.

About Us

Atrium Health Wake Forest Baptist is a pre-eminent academic health system based in Winston-Salem, North Carolina. Atrium Health Wake Forest Baptist is part of Advocate Health, which is headquartered in Charlotte, North Carolina, and is the fifth-largest nonprofit health system in the United States, created from the combination of Atrium Health and Advocate Aurora Health. Atrium Health Wake Forest Baptist's two main components are an integrated clinical system - anchored by Atrium Health Wake Forest Baptist Medical Center, an 885-bed tertiary-care hospital in Winston-Salem - that includes Brenner Children's Hospital, five community hospitals, more than 300 primary and specialty care locations and more than 2,700 physicians; and Wake Forest School of Medicine, the academic core of Atrium Health Enterprise and a recognized leader in experiential medical education and groundbreaking research that includes Wake Forest Innovations, a commercialization enterprise focused on advancing health care through new medical technologies and biomedical discovery.

Wake Forest Baptist Health, Wake Forest University School of Medicine and Atrium Health have joined forces in a strategic combination that will enhance care, transform medical education and create economic opportunity for countless lives in North Carolina and beyond. As a part of that combination, the two health systems will be integrating technology and platforms, including our career sites.

This means that although you are applying on the Wake Forest Baptist Health Career Site, you receive communications from the Atrium Health Recruitment Team. Please know that this is an expected process, and thanks in advance for your flexibility.

About the Team

Mission, Vision and Culture Commitments

Mission

To improve health, elevate hope and advance healing - for all.

Vision

To be the first and best choice for care.

Culture Commitments

We create a space where all Belong

We Work as One to make great things happen

We earn Trust in all we do

We Innovate to better the now and create the future

We drive for Excellence - always