Offer summary

Qualifications:

High school graduate or equivalent required., Minimum of 2 years of related coding and/or healthcare experience., Certification in coding (CPC, CPC-A, CCS-P, or CCA) or health information management (RHIT or RHIA) is necessary., Experience may be substituted for education on an equivalent basis..

Key responsibilities:

Perform coding and related duties using established billing office policies accurately and timely.

Coordinate professional service billings for selected clinical departments and act as a liaison with various stakeholders.

Identify, report, and resolve coding and reimbursement issues to reduce denials and enhance revenue.

Develop and maintain protocols related to assigned areas and participate in provider education and orientations.

Job description

As a Coding Specialist II, you will perform coding and related duties using established billing office policies in an accurate and timely manner. Primary contact with physicians, department administrators, hospital and/or clinical department administrators and their support staff and billing staff. Coordinates professional service billings for selected clinical departments.

This role is 100% remote for the following states: WI, FL, MN, NC, TN, & TX.

Responsibilities:

CHARGE PROCESSING

Assignment or verification of CPT, ICD-10 CM coding and modifiers based upon documentation. (Inpatient/Emergency Department abstraction, ambulatory coding and/or surgical/procedural coding)
Resolve edits for electronic charges, following established policies and procedures to insure that all data elements (claim requirements – CPT, ICD-10 CM, modifiers, provider, billing area, etc.) are applied.
Charge Entry as needed.

RECONCILIATION OF CHARGES:

Monitor charge flow and act as a liaison with managers, department administrators and other billing personnel to assure consistent and accurate charge flow. Work with clinic staff and physicians regarding missing or unclear information that is required for billing.

CLAIM DENIALS / BILLING ISSUES

Identify, report, and resolve coding and reimbursement issues. Working with physicians, department administrators and other billing office staff, including reimbursement staff. Identify opportunities to reduce denials and enhance revenue.

PROTOCOLS

Develop and maintain all protocols related to their assigned areas.

PROVIDER EDUCATION

Maintain understanding all Teaching Physician and provider documentation policies.
Actively participate in new provider orientations.
Note and address trends in provider documentation that may impact coding and billing.

Minimum Qualifications:

Appropriate experience may be substituted for education on an equivalent basis.

Minimum Required Education: High school graduate or equivalent

Minimum Required Experience: 2 year of related coding and/or health care experience

Certification: Coding certification (CPC, CPC-A, CCS-P, or CCA) and/or health information management credential (RHIT or RHIA).

Why MCW?

Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options
403B Retirement Package
Competitive Vacation and Paid Holidays offered
Tuition Reimbursement
Paid Parental Leave
Pet Insurance
On campus Fitness Facility, offering onsite classes.
Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.

Required profile