CODING EDUCATOR & AUDITOR

Froedtert Health; Manitowoc (WI); Remote; USD 33,000 - 53,000; Full time

Benefits offered by this job

Paid time off

Retirement plan - 403b

Medical, Dental, Vision

Adoption Assistance

Growth opportunity

Job summary

Froedtert Health in Wisconsin offers a remote, education-focused role developing and delivering coding and billing training for a multi-specialty physician practice. You will stay compliant with government and payer regulations while leading audits and reporting results to drive accuracy and revenue integrity.

The position emphasizes updating staff on CPT, ICD, HCPCS changes, collaborating with Epic Charge Process and Revenue Cycle teams, and presenting training material to providers and coding

Qualifications

• Minimum 3 years educating/training or auditing CPT, ICD-10 and HCPCS for a multi-specialty physician practice.
• Knowledge of Medicare/Medicaid regulatory and billing guidelines.
• 3+ years' experience with Multi-Specialty CPT Coding.
• Experience developing CPT and ICD-9-CM education for providers and coding staff.
• Experience with provider and coding specialist audits.
• Healthcare information management experience preferred.

Responsibilities

• Develop and conduct coding and billing training programs for a multi-specialty physician practice.
• Perform medical coding audits with detailed reporting to address educational needs.
• Ensure revenue cycle billing coding compliance for government payers and regulatory updates.
• Educate providers, coders, and billing staff on CPT/ICD/HCPCS changes and payer rules.
• Collaborate with Epic Charge Process, Clinic Operations, and Health information management staff.

Skills

CPC Certification

Public speaking

Microsoft Office

Education

Associate's Degree in Health Care

RHIT/RHIA preferred

Bachelor's degree preferred

Tools

Practice Management software

Microsoft Office

Job description

Location & Work Mode

Location: US:WI:MANITOWOC at our FROEDTERT HOLY FAMILY MEM HOSP facility. This job is REMOTE.

Work Schedule

FTE: 1.0. Standard hours: 40.00. Shift: Monday - Friday, flexible hours between 7am - 7 pm. Holidays: No. Weekends: No.

Job Summary

Responsible for developing and conducting coding and billing training programs for a multi-specialty physician practice and coding support staff while remaining compliant with government and third party payer regulations and guidelines. Perform medical coding audits for providers and coding specialists resulting in detailed reports; addressing educational needs as appropriate. Responsible for revenue cycle billing coding and documentation compliance for governmental payers. Works with revenue producing departments regarding billing compliance and regulatory updates. Update providers, coders and billing office staff on changes in CPT, ICD and HCPCS codes as well as changes to government payer regulations and guidelines. This role will work collaboratively with Community Physician professional services providers; Patient Financial Services (Billing & Collections); Charge Capture; Epic Charge Process; Clinic Operations; Clinical Compliance and Health information and Management staff.

Experience Requirements

• A minimum of 3 years of experience of providing education / training and or auditing related to CPT, ICD-10 and HCPCS codes for a multiple specialty physician practice is required.
• Knowledge of revenue cycle with a focus on Medicare and Medicaid regulatory and billing guidelines is required.
• A minimum of 3 years of experience with Multi Specialty CPT Coding, preferred.
• Experience developing and providing education (CPT and ICD-9-CM) education to providers and coding staff is preferred.
• Experience with performing provider and coding specialist audits, preferred.
• Other areas of experience may include: Health Information management, preferred.

Education Requirements

• Associate's Degree in Health Care related field is required.
• In lieu of a degree a High School diploma or equivalent and 7 years of relevant experience will be considered.
• Coding Credential from AHIMA (CCS-P) or AAPC (CPC) etc. Bachelors Degree in Health Care related field is preferred. RHIT or RHIA degree is preferred.

Special Skills

• Practice Management computer experience required.
• Prior education and presentation experience preferred, as well as proficiency in Microsoft Office Applications (Word, Excel, PowerPoint).
• Current knowledge of coding, billing, and Medicare regulations and coverage guidelines.
• Enjoy and excel at speaking in front of large groups.
• Self directed worker who can effectively manage large projects and multiple priorities.
• Demonstrate critical thinking, good oral/written communication skills and the ability to create accurate, interesting and effective education materials and presentations.

Licensure

• Professional Coding Certification (CPC) is required.
• RHIT or RHIA certification is preferred.

Compensation, Benefits & Perks

Pay is expected to be between: (expressed as hourly) $24.05 - $38.48. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.

Benefits:

• Paid time off
• Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
• Academic Partnership with the Medical College of Wisconsin
• Referral bonuses
• Retirement plan - 403b
• Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
• Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

Equal Opportunity Employer

We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.