Wilmington Health PLLC

Role Description To serve as a charge capture and professional coding resource and expert in the physician office setting across various services and specialties. - Review medical record documentation and ensure accurate diagnosis and procedure code assignment to patient records for data retrieval, analysis, and claim processing. - Work with physicians, non-physician practitioners, and other health care professionals to obtain any necessary clarification for accurate diagnosis and procedural coding. - Expertise in assigning accurate CPT®, HCPCS Level II, and ICD-10-CM medical codes and modifiers based on coding and payer guidelines. - Able to work with little supervision and performs all work independently, with high autonomy. - Consistently meets 100% productivity measures and quality requirements. - Maintain coding certification by completing continuing education requirements. - Maintain a solid understanding of anatomy, physiology, and medical terminology as required to accurately code provider services and diagnoses. - Abide by HIPAA regulations, maintaining confidentiality in all areas to protect sensitive health information. - Support the accounts receivable department by answering and addressing coding-related denial questions. - Support the customer service department by answering coding-related patient billing concerns. - Work failsafe reports to capture all possible charges and correct any quality errors discovered in doing so. - Research new service lines for correct coding and documentation requirements. Qualifications - High school diploma or equivalency - Extensive knowledge of ICD-10-CM, CPT, HCPCS II coding and coding guidelines. Requirements - License/certification Requirements: CPC, CCS-P, CCS or CCA - Abstract coding experience in multiple specialties (preferred) - 3-5 years of coding experience (preferred) - 2+ years of abstract coding for physician services; experience working remotely, in a digital environment in multiple EHRs, preferred Work Environment - Home-based coders need a quiet, private, and efficient workspace to work productively. - Employees must be self-disciplined and motivated to stay focused with minimal home-bound interruptions. - Employees in this position must have an ergonomically correct workstation for optimal performance. - The availability of work-from-home option is dependent on the candidate meeting the minimum requirements for HIPAA-compliant workspace and internet speed. ADA Physical Demands - Standing: Rarely - Sitting: Continuously - Walking: Occasionally - Gross Manipulation: Continuously - Keyboard: Continuously Coding Specialist Competencies - General - Customer Service - Professionalism/Integrity/Responsibility - Teamwork/Process Focus - Dependability/Punctuality - Interpersonal Relationships/Communication - Judgment/Decision Making/Problem Solving - Quality/Quantity - Initiative - Safety and Housekeeping - Organizational Skills/Time Management - Quality Management - Cost Consciousness - Motivation - Innovation

Role Description Wilmington Health is seeking a Business Intelligence/SQL Analyst to support data-driven decision making across the organization. This position requires proficiency in business intelligence and data tools to extract, transform, and analyze healthcare data. The Analyst is responsible for developing reports, identifying trends, and providing actionable insights to support strategic initiatives and operational improvements. - Analyze large data sets to determine appropriate logic to incorporate into existing processes to discover trends, relationships, and produce actionable insights to inform strategy, improve quality, and identify cost reduction opportunities. - Create SSIS packages to extract, transform, and load large data sets. - Develop efficient SQL procedures to support reporting. - Develop, maintain, and enhance business intelligence reports, using Power BI, to visualize trends, KPIs, and operational metrics. - Create and maintain documentation of all processes. - Present thoughtful analytical summaries and findings to internal and external stakeholders. - Assist with meetings, presentations, and communications regarding data projects and insights. - Collaborate with clinical, operational, and IT stakeholders to translate business needs into technical solutions. - Conduct ad hoc analyses of healthcare and/or business operational data. - Maintain strict confidentiality and adhere to all data governance and compliance standards. - Appear for work on time and attend meetings as required. - Communicate professionally and appropriately with patients, physicians, coworkers, and external stakeholders. - Perform other duties specified by manager. NOT open to Sponsorship at this time Qualifications - Bachelor’s Degree or equivalent experience. - 1+ years experience in SQL, SSIS, and Power BI. Requirements - Proficient in SQL coding, including the creation of stored procedures. - Experience with SSIS for data loading and processing. - Experience developing business intelligence reports; Power BI preferred. - Strong analytical and problem-solving skills. - Detail-oriented with the ability to handle multiple priorities. - Effective and professional written and verbal communication skills. - Proficient with MS Office applications. - Familiarity with healthcare or health insurance data preferred. Company Description Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina since 1971. Wilmington Health is structured as a multi-specialty medical practice with primary care providers integrated into the system, providing a comprehensive and coordinated approach to patient care. The organization is committed to using collaborative, evidence-based medicine to provide the highest quality of care to the patients served.