About Wilmington Health

Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina. Wilmington Health is structured as a multi-specialty medical practice with primary care providers integrated into the system. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients. Wilmington Health is committed to using collaborative, evidence-based medicine in providing the highest quality of care to the patients we serve.

Purpose:

Accurately input charges to patient accounts in the practice management system via electronic or manual method

Essential Duties/Responsibilities:

• Accurately keys service and diagnosis codes and modifiers to patient account in a timely manner
• Utilizes practice management system to thoroughly review and accept charges from electronic health record in an accurate and timely manner
• Corrects keying errors / coding errors identified by the practice management claim edits or other sources in a compliant and timely manner
• Maintains and applies high-level carrier-specific coding and billing rules to avoid unnecessary rejections and denials
• Follows established auditing protocol to verify existence of documentation for services billed
• Works with Provider / Clinical Staff to correctly capture services performed in documentation and service code(s)
• Accurately selects service code, applicable modifier(s) and diagnosis code upon review of documentation, as assigned
• Works with Insurance Advisors to successfully appeal coding-based denials
• Maintains patient confidentiality

Other Duties:

As assigned by manager

Qualifications:

Required:

• Professional Coding Certification from recognized organization
• Accurate data entry skills
• Working knowledge of CPT, HCPCS, ICD-10 codes and modifiers

Wilmington Health is an Equal Opportunity Employer committed to providing equal opportunities to all applicants and employees. We are committed to treating everyone equally and with respect regardless of race, age, sex, religion, national origin, citizenship, marital status, veteran’s status, sexual preference, disability, genetic information or any other class protected under state or federal law.

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)

Charge Entry Coordinator Competencies

General

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

Department Specific

• Maintains high level of keying accuracy
• Sharp attention to detail
• Maintains general coding knowledge - CPT, ICD-9 / ICD-10, HCPCS, modifiers, etc.