Medical Coding Technician-Remote

Mercy Health System; Janesville (WI); À distance; USD 33 000 - 49 000; Plein temps

Avantages offerts par ce poste

Medical, Dental, Vision

Life & Disability Insurance

FSA/HSA Options

Paid time off

Parental leave

Tuition reimbursement

Certification reimbursement

Well-being programs

Employee discounts

On-demand pay

Résumé du poste

Mercyhealth is seeking a dedicated Medical Coding Specialist to review documentation, identify discrepancies between codes and records, and correct pre-bill edits across outpatient and inpatient settings. You will educate partners on CMS/AMA guidelines and support Epic billing systems via collaboration with clinical and billing teams.

This full-time Wisconsin role emphasizes denial management, policy interpretation, and root-cause analysis to improve accuracy and reimbursement.

Qualifications

• High School graduate or equivalent.
• Three years of experience coding professional or hospital services in an outpatient or clinic setting preferred.
• Knowledge of denial management preferred.

Responsabilités

• Review and interpret documentation to identify coding discrepancies.
• Resolve pre-bill claim edits from all areas and as identified by claims scrubbing software.
• Educate partners on CMS policies for outpatient, inpatient, and professional coding.
• Research complex billing and denial issues and apply AMA/CMS guidelines.
• Collaborate with staff to improve productivity and support Epic billing modules.

Connaissances

Problem-solving

Communication skills

Analytical thinking

Research skills

Formation

High School diploma or equivalent

Outils

Epic Billing System

Description du poste

OVERVIEW:Reviews and analyzes medical coding documentation to identify and correct discrepancies, resolve pre-bill claim edits, and address complex billing issues and claim denials in accordance with AMA, CMS, and payer guidelines. Collaborates with departmental staff and other partners to provide coding education, research policy updates, and respond to coding review requests while maintaining extensive knowledge of Epic billing systems and professional, outpatient, and inpatient coding practices. Supports all coding functions at or above the Medical Coding 1 level while working collaboratively to achieve departmental productivity goals.SCHEDULE: Full-Time, 40 hours per weekESSENTIAL DUTIES AND RESPONSIBILITIESReviews, analyzes, and interprets documentation and identifies discrepancies between the code selection and the documentation; corrects them, and presents findings and education to the appropriate partner.Resolves pre-bill claim edits from all areas and as identified by claims scrubbing software.Maintains a close working relationship with departmental staff, frequently querying them and providing education when coding discrepancies arise.Researches and provides education to all partners regarding CMS policies related to outpatient coding, inpatient coding, and professional fee coding, and presents findings to them.Solves complex billing and claim denial issues related to coding by researching policies and guidelines.Demonstrates extensive knowledge of official coding guidelines established by the American Medical Association (AMA), the Center for Medicare & Medicaid Services (CMS) and contracted payers.Has a thorough understanding of the differences between professional coding in a clinic setting as compared to professional coding in a hospital setting (outpatient and inpatient), and demonstrates a high skill level in the practical application of that knowledge.Maintains an in-depth knowledge of Epic billing, ambulatory, and hospital modules.Responds to customer concerns through coding reviews requested by other departments.Assists with all coding functions at or above the level of a Medical Coding 1 job description.Works as a team to achieve productivity goals.EDUCATION AND/OR EXPERIENCEHigh School graduate or equivalentThree years of experience coding professional or hospital services in an outpatient or clinic setting preferredKnowledge of denial management preferredCERTIFICATION/LICENSURECertified in professional or hospital coding (CPC, CPC-H) or other equivalent coding certification requiredOTHER SKILLS AND ABILITIESProblem solving skillsExcellent written/oral/interpersonal/communication skillsAnalytical skillsExtensive research skillsIdentify root causesLEVEL OF SUPERVISIONN/ASUPERVISESN/APAY RANGE:$23.65 - $35.48Mercyhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected veteran status.Mercyhealth offers competitive pay and a comprehensive benefits package including:Medical, Dental, VisionLife & Disability InsuranceFSA/HSA OptionsGenerous, accruing paid time offPaid Parental and caregiver leaveCareer advancement and educational opportunitiesTuition and certification reimbursementCertification ReimbursementWell-being ProgramsEmployee DiscountsOn-Demand PayFinancial EducationAnnual recognition/awards eventsPartner appreciation daysFamily entertainment/attractions discountCommunity service/improvement opportunitiesClick here for more details regarding Mercyhealth Careers Benefit Information.At Mercyhealth, we don’t simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin.Mercyhealth has been nationally recognized for our commitment to our people and culture, including:#1 in the nation on AARP's Best Employers for Workers Over 50One of Working Mother magazine's 100 Best Companies for Working MothersA Top 50 Company and Top 10 Nonprofit for Executive Women