Coding Specialist IV - Clinical Practice Services

Medical College of Wisconsin•Milwaukee, WI

13d•Remote

About The Position

Serve as an expert resource regarding all aspects of documentation, coding, and billing. Supports supervisor and team by guiding and directing specific employees in their day-to-day job functions. Train new and existing staff. Provide cross coverage for multiple specialty areas. Investigate and resolve issues pertaining to charge capture, billing, and reimbursement. Complete special projects as assigned. Act as supervisor in the supervisor's absence. All remote work must be performed within one of the MCW registered payroll states, which currently includes: WI, AL, AZ, DE, FL, GA, IN, MD, MI, MN, MO, NC, TN, TX, & UT.

Requirements

Expert knowledge of CPT, ICD-10 CM coding, payer, and governmental policies.
Excellent oral and written communication skills.
Detail oriented.
Excellent presentation skills.
Excellent project management and problem-solving skills.
Ability to handle multiple issues at one time.
Ability to establish and maintain effective working relationships with the team and departmental staff (including administrative staff and faculty).
Ability to work independently.
Excellent computer skills.
Knowledge of EMR’s and electronic charge workflows.
Meet or exceed established production rate and performance standards.
Minimum Required Education: High school diploma.
Minimum Required Experience: 5 years of related coding experience.
Required Certification/Licensure(s): Coding certification (CPC, CCS-P) and/or Health Information Management credential (RHIT, RHIA).

Nice To Haves

Academic teaching institution professional billing experience.

Responsibilities

Expert knowledge of multispecialty coding, which may include surgical, inpatient, emergency, and/or ambulatory coding; assignment or verification of CPT, ICD-10 CM coding and modifiers based upon documentation.
Guide and direct specific employees in their day-to-day job functions.
Answer questions and resolve coding and billing issues.
Identify, report, and resolve coding and reimbursement issues with physicians, department administrators, and other billing office staff, including reimbursement staff.
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.
Serve as a resource to staff for accurate assignment of CPT procedure and ICD-10-CM diagnosis coding of complicated multi-specialty services for appropriate reimbursement.
Provide out of office coding coverage to multi-specialty areas.
Primary contact for staff when issues or questions arise.
Monitor team workflow, assign and re-assign work to meet team and organizational goals.
Quality review of staff work and workflows.
Act as supervisor in Supervisor’s absence.
Onboarding/training of new or existing coding specialist staff.
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.
Assist others in the development of protocols for other areas.
Participate in system testing as needed.

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.