Coding Specialist II

Medical College of Wisconsin; Wisconsin; Remote; USD 45,000 - 65,000; Full time

Job summary

A medical education institution is seeking a Coding Specialist II to perform coding duties and coordinate billing processes. The role is remote and requires certification in coding with a minimum of two years of healthcare experience. Responsibilities include charge processing, claim denials, and provider education. This full-time position includes comprehensive healthcare benefits and a flexible working schedule.

Benefits

Healthcare coverage

403B Retirement Package

Tuition Reimbursement

Paid Parental Leave

Pet Insurance

On campus Fitness Facility

Qualifications

• Minimum 2 years of related coding and/or health care experience.
• Certification in coding (CPC, CPC-A, CCS-P, or CCA) necessary.
• Understanding of medical insurance guidelines.

Responsibilities

• Perform coding and related duties accurately and timely.
• Coordinate professional service billings for clinical departments.
• Resolve coding and reimbursement issues.

Skills

CPT coding

ICD-10 CM coding

Detail-oriented

Computer skills

Education

High school graduate or equivalent

Tools

Medical billing software

Job description

Overview

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. 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 role is 100% remote for 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 of 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

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

#LI-RT1

Why MCW?

• Outstanding Healthcare Coverage, including Health, Vision, and Dental. Flexible Spending options
• 403B Retirement Package
• Competitive Vacation and Paid Holidays offered
• Tuition Reimbursement
• Paid Parental Leave
• Pet Insurance
• On campus Fitness Facility with onsite classes
• Additional discounted rates on items such as selected cell phone plans, local fitness facilities, Milwaukee recreation and entertainment

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

Equal Opportunity

The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering an inclusive 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 may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.