Coding Specialist II

Medical College of Wisconsin; Wisconsin; Remote; USD 40,000 - 80,000; Full time

Job summary

An established industry player is seeking a Coding Specialist II to join their remote team. In this vital role, you will ensure accurate coding and billing processes while collaborating with healthcare professionals. Your expertise in CPT and ICD-10 CM coding will be essential in resolving billing issues and enhancing revenue. This position offers flexibility and a supportive environment, allowing you to thrive in your career while contributing to quality healthcare services. Join a team committed to excellence and enjoy a comprehensive benefits package, including outstanding healthcare coverage and tuition reimbursement.

Benefits

Outstanding healthcare coverage

403B retirement plan

Competitive vacation and paid holidays

Tuition reimbursement

Paid parental leave

Pet insurance

On-campus fitness facility

Discounted rates on various services

Qualifications

• 2 years of related coding or healthcare experience required.
• Must have a coding certification or health information management credential.

Responsibilities

• Verify CPT and ICD-10 CM coding based on documentation.
• Monitor charge flow and resolve billing issues.
• Educate providers on documentation policies.

Skills

CPT Coding

ICD-10 CM Coding

Attention to Detail

Medical Insurance Guidelines

Effective Communication

Education

High School Diploma

Coding Certification (CPC, CPC-A, CCS-P, CCA)

Health Information Management Credential (RHIT, RHIA)

Job description

Position Description:

As a Coding Specialist II, you will perform coding and related duties using established billing office policies in an accurate and timely manner. You will be the primary contact with physicians, department administrators, hospital and/or clinical department administrators, and their support staff and billing staff. Your role includes coordinating professional service billings for selected clinical departments.

This role is 100% remote for the following states: WI, FL, MN, NC, TN, & TX.

Responsibilities:

1. Charge Processing: Assignment or verification of CPT, ICD-10 CM coding and modifiers based on documentation. Resolve edits for electronic charges following established policies to ensure all data elements are correctly applied. Charge entry as needed.
2. Reconciliation of Charges: Monitor charge flow and liaise with managers, department administrators, and billing personnel to ensure accurate charge flow. Work with clinic staff and physicians regarding missing or unclear billing information.
3. Claim Denials / Billing Issues: Identify, report, and resolve coding and reimbursement issues. Collaborate with physicians, department administrators, and billing staff to reduce denials and increase revenue.
4. Protocols: Develop and maintain protocols related to your assigned areas.
5. Provider Education: Maintain understanding of all Teaching Physician and provider documentation policies. Participate in new provider orientations. Address trends in provider documentation impacting coding and billing.

Knowledge, Skills, and Abilities:

Working knowledge of CPT and ICD-10 CM coding, understanding of medical insurance guidelines and governmental policies, progressive computer skills, attention to detail, and ability to establish effective working relationships. Must meet or exceed performance standards.

Preferred Schedule:

Full-time with coverage during core business hours and flexibility as needed.

Position Requirements:

Minimum Qualifications:

High school diploma or equivalent, 2 years of related coding or healthcare experience, and coding certification (CPC, CPC-A, CCS-P, or CCA) and/or health information management credential (RHIT or RHIA). Experience may substitute education on an equivalent basis.

Preferred Qualifications:

Office experience.

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Why MCW?

• Outstanding healthcare coverage including health, vision, and dental insurance with flexible spending options.
• 403B retirement plan.
• Competitive vacation and paid holidays.
• Tuition reimbursement.
• Paid parental leave.
• Pet insurance.
• On-campus fitness facility with onsite classes.
• Discounted rates on various services and entertainment.

For more information, visit: www.mcw.edu/careers and benefits overview.

Equal Opportunity Employer:

MCW is committed to fostering a diverse community and ensuring equal opportunity without discrimination based on race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, genetic predisposition, or military status. Harassment and retaliation are prohibited.