Wilmington Health

Wilmington Health is seeking a Coding Specialist to guide insurance coding protocols and ensure compliance with regulatory requirements. This remote-friendly role supports provider services across the Wilmington, NC area. The successful candidate will serve as a technical resource for coding and billing regulations, collaborate with clinical staff, perform quality control reviews, and assist in updating fee schedules and encounter forms on an annual basis. #J-18808-Ljbffr

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. #J-18808-Ljbffr

Internal Auditor The Internal Auditor is responsible for conducting regular medical record and coding compliance reviews to ensure that organizational strategies, practices and internal controls are in place and in compliance with all legal and industry regulations. Regularly reviews appropriate federal and state regulations, industry standard policies and procedures, i.e., CMS, AHIMA, AMA, etc., to ensure compliance Conducts internal audits, following established protocols, furnishing detailed reports and periodic updates of audit findings, presenting any irregularities or exceptions, as well as pertinent recommendations for improvement, to the Provider, Auditing Supervisor, executive management, the Compliance Committee, Physician Board and others as appropriate Provides feedback and instruction to the Provider regarding documentation improvements, to include EHR best practices Essential Duties/Responsibilities: Serve as a compliance resource for all coding...

Wilmington Health is seeking a Coding Specialist to guide insurance coding protocols and ensure compliance with regulatory requirements. This remote-friendly role supports provider services across the Wilmington, NC area. The successful candidate will serve as a technical resource for coding and billing regulations, collaborate with clinical staff, perform quality control reviews, and assist in updating fee schedules and encounter forms on an annual basis. #J-18808-Ljbffr