Coding Specialist II

The Medical College of Wisconsin•Milwaukee, WI

5d•Onsite

About The Position

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.

Requirements

Working knowledge of CPT and ICD-10 CM coding.
Understanding of medical insurance guidelines and governmental policies.
Progressive computer skills.
Detail oriented.
Ability to establish and maintain effective working relationships with the team and department staff (including administrative staff and faculty).
Meet or exceed established production rate and performance standards.
High school graduate or equivalent
2 years of related coding and/or health care experience
Coding certification (CPC, CPC-A, CCS-P, or CCA) and/or Health Information Management credential (RHIT or RHIA).

Nice To Haves

Office experience

Responsibilities

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 ensure that all data elements (claim requirements – CPT, ICD-10 CM, modifiers, provider, billing area, etc.) are applied.
Charge Entry as needed.
Monitor charge flow and act as a liaison with managers, department administrators and other billing personnel to assure consistent and accurate change flow.
Work with clinic staff and physicians regarding missing or unclear information that is required for billing.
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.
Develop and maintain all protocols related to their assigned areas.
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.

Benefits

Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental.
Flexible Spending options
403B Retirement Package
Competitive Vacation and Paid Holidays offered
Tuition Reimbursement
Paid Parental Leave
Employee & Family Assistance Program (EFAP)
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.