Coding Specialist II

Davita Inc.; Wisconsin; Remote; USD 50,000 - 70,000; Full time

Job summary

A leading healthcare organization seeks a Coding Specialist II to handle coding duties and ensure accurate billing processes with healthcare providers. This remote role requires effective communication and a detail-oriented approach, focusing on CPT and ICD-10 CM coding skills. Benefits include healthcare coverage, retirement packages, and tuition reimbursement.

Benefits

Outstanding Healthcare Coverage

403B Retirement Package

Competitive Vacation and Paid Holidays

Tuition Reimbursement

Paid Parental Leave

Pet Insurance

On-campus Fitness Facility

Additional discounts on various services

Qualifications

• Minimum 2 years of related coding and/or health care experience.
• Required coding certification in relevant fields.
• Understanding of medical insurance guidelines.

Responsibilities

• Assign and verify CPT and ICD-10 CM coding based on documentation.
• Monitor charge flow and resolve any billing issues.
• Develop and maintain protocols related to coding.

Skills

CPT coding

ICD-10 CM coding

Attention to detail

Communication

Education

High school graduate or equivalent

Tools

Coding certification (CPC, CPC-A, CCS-P, or CCA)

Health information management credential (RHIT or RHIA)

Job description

Position Description:

Every great life-changing discovery begins the same way-with new knowledge. It can change everything, from a single life to the future of entire communities. That's why academic medicine, and the continuous pursuit of knowledge, is at the center of everything we do at the Medical College of Wisconsin (MCW).

As a Coding Specialist II, you will 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.

This is a remote position for candidates who reside in the following states: WI, FL, MN, NC, TN, & TX

Responsibilities:

CHARGE PROCESSING

• 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 insure that all data elements (claim requirements - CPT, ICD-10 CM, modifiers, provider, billing area, etc.) are applied.
• Charge Entry as needed.

RECONCILIATION OF CHARGES:

• Monitor charge flow and act as a liaison with managers, department administrators and other billing personnel to assure consistent and accurate charge flow. Work with clinic staff and physicians regarding missing or unclear information that is required for billing.

CLAIM DENIALS / BILLING ISSUES

• 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.

PROTOCOLS

• Develop and maintain all protocols related to their assigned areas.

PROVIDER EDUCATION

• 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.

Knowledge - Skills - Abilities

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.

Preferred Schedule:




Full-time role with expectations for coverage during core business hours and flexibility required as necessary to accommodate business needs.

Position Requirements:

Specifications

Minimum Qualifications:

Appropriate experience may be substituted for education on an equivalent basis.

Minimum Required Education: High school graduate or equivalent

Minimum Required Experience: 2 year of related coding and/or health care experience

Certification: Coding certification (CPC, CPC-A, CCS-P, or CCA) and/or health information management credential (RHIT or RHIA).

Preferred Qualifications:

Preferred Experience: Office experience


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Why MCW?

• Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options
• 403B Retirement Package
• Competitive Vacation and Paid Holidays offered
• Tuition Reimbursement
• Paid Parental Leave
• 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.

For a full list of positions see: www.mcw.edu/careers

For a brief overview of our benefits see: https://www.mcw.edu/departments/human-resources/benefits

MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination



The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering a diverse community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.

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