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Coding Specialists (100% Virtual)
Medical College of Wisconsin
Work Setting: Ambulatory Care, Behavioral/Mental Health, Hospital, Physician Office
Job Function: Coder, Coding – QA
Job Type: Full-Time
Clinical Practice Services is the business unit that supports the clinical practices of the Medical College of Wisconsin. Our team provides professional revenue cycle functions that support over 2,000 providers in our Adult and Pediatric Specialty Practices (Medical College Physicians and Children’s Specialty Group). CPS also supports the Froedtert & MCW Community Physicians Practice.
We are recruiting certified coders to support a variety of specialties across all three Practices.
The Coding Specialist assigns CPT & ICD-10-CM codes based on documentation, payer requirements, Teaching Physician documentation requirements, and billing office guidelines.
As a Coding Specialist II, you will:
- Prepare multi-specialty inpatient and outpatient physician service encounter forms for charge entry by reviewing and batching forms according to established policies and procedures.
- Reviewing encounter forms includes ensuring all information needed for billing physician services is visible and readable on encounter forms. This includes assignment of ICD-10-CM diagnosis codes and some CPT procedure codes.
- Batching includes grouping encounter forms using established processes. Perform charge entry of physician services.
- 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.
- Investigate and resolve coding issues with department administrators and other billing personnel.
- Assist in maintaining encounter form protocols. Provide input on encounter form revisions.
As a Coding Specialist IV, you will:
- Support physicians, administrators and departments in the absence of coding specialists within a multi-specialty environment: Assign CPT procedure codes, ICD-10-CM diagnosis codes, HCPCS II codes and modifiers based on documentation, payer requirements, government teaching physician documentation requirements and billing office policies. Maintain above average knowledge of coding, compliance and reimbursement procedures through review of information provided by billing office, payer policy updates, coding manuals, contact with medical societies and specialty coding groups. Evaluate department specific job functions. Develop and implement department specific training protocols for new or transferred billing specialist based on job functions. Provide employee training in procedure and diagnosis coding and billing office policies and procedures. Assess employee’s understanding as training proceeds with authority to modify training based on employee need. Initiate and facilitate additional training. Re-assess/monitor employee understanding.
- Act as a lead by guiding and directing specific employees in their day-to-day job functions. Answer questions and resolve coding and billing issues.
- Act as a lead with the authority to make appropriate decisions during the absence of a supervisor with a targeted group such as the Family Practice sites.
- Work closely with other supervisors to accomplish charge capture goals.
- Identify, report and resolve coding and reimbursement issues with physicians, department administrators and other billing office staff, including reimbursement staff.
- Identify opportunities to reduce denials and enhance revenue. Responsible to implement and monitor resolution process.
- Develop and present billing training materials for physicians, department administrators and support staff on procedure and diagnosis coding, medical record documentation, billing processes, policies and procedures. Promote compliance with the same.
- Serve as a resource to staff for accurate assignment of CPT procedure and ICD-9-CM diagnosis coding of complicated multi-specialty services for appropriate reimbursement.
- Act as a back-up to the Lead position responsible for procedure and diagnosis coding advice.
- Produce ad hoc reports as requested.
AHIMA (RHIA, RHIT, or CCS-P) or AAPC (CPC) Certification Required.
Coding Specialist II Requires a High School diploma and a minimum of 3 years of pertinent experience.
Coding Specialist IV Requires an Associate’s Degree and a minimum of 5 years of experience in a multi-specialty physician practice coding several medical/surgical specialties/subspecialties.
Epic experience strongly preferred.
Instructions for Resume Submission
These positions are 100% Virtual. Applicants must reside in Wisconsin, or be willing to relocate.
Please visit our website at Careers | Human Resources | Medical College of Wisconsin (mcw.edu) to apply for one of our open positions:
Coding Specialist II – Requisition ID 28890
Coding Specialist II – Requisition ID 29139
Coding Specialist IV – Requisition 29362
Posted: November 5, 2021 at 7:19 PM
Post ID: 64185