WHMG Billing - REMOTE Coding Specialist - Full-Time Job Listing at Wilson Health in Sidney, OH (Job ID 8a7887ac92bb9d630192d897bea25115)

Description

Wilson Health is looking for a direct hire FULLY REMOTE Certified Coding Specialist/Physician Coding for our location in Sidney, Ohio (North Dayton, Ohio) area   Key Perks and Benefits:

• Access to Employer Direct Care Clinic.  Free medical care and pharmacy services for eligible employees and dependents covered by Wilson Health's medical insurance plan.
• Generous paid time off program beginning day one.
• Medical Insurance: Your Choice of Two High Deductible Health Plan Options or a PPO, Dental and Vision Insurance.
• H S A with employer contribution for eligible health plans, FSA for medical and dependent care expenses
• Company Paid Life Insurance and Long-Term Disability Insurance, Salary Continuation benefit beginning day one
• Voluntary Accident, Critical Illness, and employee and dependent Life and AD&D Insurance.
• Industry leading retirement plan- employer contributions begin day one, no waiting period for participation.
• Tuition Assistance Program.

Who We Are: At Wilson Health, our mission is to improve the health and wellness of our communities by delivering compassionate, quality care. We are committed to making a difference for our neighbors, friends, and family and our vision is to be a trusted, nationally-recognized leader of innovative, collaborative community health.    Employment Status: Full-Time (FT= 36+ hours)
Working Hours: 40 hours a week (80 hours per pay period) Shift: 1st shift Schedule: (100% REMOTE, but some on-site training is required) Monday through Thursday: 6:30AM - 4:00PM Friday: 6:30AM-10:30AM
Position Reports to:  Coding Supervisor             

Department Description: Wilson Health's Patient Accounts & Billing Department handles the hospital billing and collection aspects of patient's care based on "Service Date" (The date(s) when care was provided to the patient from the hospital or provider).

Job Summary: The Certified Coding Specialist reviews clinical documentation and diagnostic results as appropriate to extract data accurately to code and bill for physician services and enters charges into the Billing System with the appropriate modifiers, CPT, ICD-10-CM and HCPCS codes. 

Essential Duties & Responsibilities:

• Performs initial daily charge review to determine appropriate codes were dropped by the provider to bill services.
• Interprets progress notes, operative reports and discharge summaries to determine services provided and accurately assign modifiers, CPT, ICD-10-CM and HCPCS codes to these services.
• Performs accurate charge entries into the Billing System to complete the charge process.
• Contacts Providers through management regarding procedures and other services billed to ensure proper coding.
• Responsible for reviewing patient logs and other report of clinical activity to ensure revenue is captured for all patients.
• Responsible for ensuring accounts are processed approved daily.
• Reviews documentation to ensure compliance with third party and regulatory guidelines.
• Works in conjunction with the Reimbursement staff to answer inquiries regarding coding and billing for WHMG Providers.
• Works in coordination with other members of the Billing Office as necessary.
• Coding must be performed consistently and within the time period established by management.

• Performs duties and job functions in accordance with the policies and procedures established for the department.
• Assists in implementing solutions to reduce billing and coding errors.
• Participates in administrative staff meetings and attends other meetings and seminars.
• Assists in evaluation of reports, decisions, and results of department in relation to established goals.
• Recommends new approaches, policies, and procedures to influence continuous improvements in department's efficiency and services performed.
• Takes ownership of special projects, researches data and follows through with detailed action plans.
• Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties.

Productivity Standards are defined as follows: Ambulatory Inpatient Outpatient Qualifications, Certificates, Licenses, and Registrations:

• Physician Medical Coding Certification required; CPC by AAPC or AHIMA licenses, or Currently attending classes for Coding Certification to follow by successfully obtain license.
• Medical Office Practice Management and Electronic Health Record software.  Standard office equipment including computers, fax machines, copiers, printers, telephones, etc.
• Knowledge of clinic policies and procedures, medical terminology and insurance practices, CPT and ICD-10 coding and managed care, Medicare, and Medicaid guidelines.
• Extensive Reimbursement knowledge.
• Ability to review, interpret and implement managed care contracts with third-party including governmental payers
• High School diploma or equivalent required; Previous medical coding experience required; Understanding of medical terminology is a plus

Mission & Vision & Values:

• Improve the health and wellness of the community by delivering compassionate, quality care.
• Be a trusted, nationally-recognized leader of innovative, collaborative, community health.
• A.S.P.I.R.E - Always serve with professionalism, integrity, respect, and excellence.

EOE (Equal Opportunity Employer) 
 

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