CDI Reimbursement Strategy Lead

Medical College of Wisconsin; Wauwatosa (WI); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Outstanding Healthcare Coverage

403B Retirement Package

Competitive Vacation and Paid Holidays

Job summary

The Medical College of Wisconsin seeks a CDI Managing Liaison to partner with clinical departments and CPS teams, advancing the CDI program and optimizing professional billing and reimbursement while reducing denials. The role integrates front-end operations to strengthen documentation integrity and regulatory compliance across the revenue cycle.

You will lead process improvements, provide clinician education, monitor billing workflows, and collaborate with CDI, CPS, and revenue cycle teams to

Qualifications

• Bachelor's degree or equivalent experience.
• Minimum 5 years professional service coding experience.
• Coding certification through AHIMA or AAPC.
• Preferred: specialty coding certification in one or more specialty from AHIMA or AAPC.
• Professional revenue cycle coding experience.

Responsibilities

• Collaborate with Clinical Departments, CPS, and CDI leadership to identify and resolve clinical and financial concerns related to coding, documentation, charge capture, billing, and reimbursement.
• Evaluate opportunities to improve coding accuracy, documentation quality, and charge capture processes to ensure compliant and accurate reimbursement.
• Coordinate and collaborate activities related to CDI, CPS, and Enterprise Registration for workflow improvement opportunities.
• Function as a process improvement liaison between CPS teams and clinicians, to improve tactics for seamless billing and collection processes.
• Analyze AR and financial reports to identify trends, summarize outcomes, and track KPIs relevant to CDI initiatives.
• Monitor charge and payment reports to ensure appropriate workflow for services rendered.
• Investigate and elevate follow up on encounters to resolve discrepancies and ensure timely collections.
• Identify billing and reimbursement issues, develop improvement initiatives, and implement action plans to reduce write-offs and enhance revenue.

Skills

Billing workflows

Reimbursement practices

Revenue cycle

Coding knowledge

EMR systems

Microsoft Office

Data analysis

Communication skills

Education

Bachelor's degree

Tools

Epic

Billing platforms

Job description

The Medical College of Wisconsin seeks a CDI Managing Liaison to partner with clinical departments and CPS teams, advancing the CDI program and optimizing professional billing and reimbursement while reducing denials. The role integrates front-end operations to strengthen documentation integrity and regulatory compliance across the revenue cycle.

You will lead process improvements, provide clinician education, monitor billing workflows, and collaborate with CDI, CPS, and revenue cycle teams to