Coding Auditor & Educator

Children's Wisconsin • West Allis, WI

1d

About The Position

At Children’s Wisconsin, we believe kids deserve the best. Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country. We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today. The Coding Auditor and Educator should be proficient in coding and auditing all types of pediatric coding cases, applying the correct ICD-10-CM diagnosis codes, CPT procedural codes (outpatient), and/or ICD-10-PCS procedural codes (inpatient) while striving for accuracy and optimal reimbursement. This position supports the importance of accurate, complete and consistent coding practices for the production of quality health care data. This position will review the coding accuracy and provide coding support and education for the coding team.

Requirements

• 5+ years knowledge of reimbursement regulations required
• Experience coding through an encoder, and proficiency in Windows based applications such as Microsoft Word, Microsoft Excel, and PowerPoint required
• CCS-Certified Coding Specialist - American Health Information Management Association required
• High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) required
• Requires knowledge of ICD-10-CM and CPT classification systems as well as the Official Guidelines for Coding and Reporting.
• Requires the ability to assess coder education needs, and then develop and deliver coder education plans.
• Requires excellent verbal and written skills to facilitate communications with medical staff, peers, management and other hospital personnel.
• Requires ability to adapt and participate in frequent changes of policies and procedures in response to internal and external requirements for health care data.
• Requires ability to maintain accuracy, work independently and resolve problems effectively.

Nice To Haves

• Pediatric coding experience preferred
• Associate's Degree preferred or Bachelor's Degree preferred

Responsibilities

• Review the coding accuracy and provide coding support and education for the coding team.
• Apply the correct ICD-10-CM diagnosis codes, CPT procedural codes (outpatient), and/or ICD-10-PCS procedural codes (inpatient) while striving for accuracy and optimal reimbursement.
• Support the importance of accurate, complete and consistent coding practices for the production of quality health care data.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED