Remote Pro-Fee Inpatient Coding Specialist III

cwi; United States; Remote; USD 65,000 - 90,000; Full time

Job summary

Children's Wisconsin is seeking a 100% remote Pro-Fee Inpatient Coding Specialist III to code, review and release charges with accuracy and compliance. The role collaborates with physicians and departments to ensure proper charge capture and adherence to coding guidelines.

Ideal candidates have 3 years of inpatient Pro-Fee coding experience, NICU exposure preferred, and familiarity with EHR systems. Certifications listed support expertise in this field.

Qualifications

• Knowledge of ICD10, CPT and HCPCS coding guidelines.
• Experience with an Electronic Health Record (EHR).
• Epic experience preferred.

Responsibilities

• Assigns or verifies CPT, ICD-10 CM coding and modifiers based on documentation.
• Resolves edits for various charges, following established policies and procedures.
• Monitors charge capture volumes and work queues; acts as a resource for leaders and staff.
• Queries Providers as needed and coordinates responses to Provider questions.
• Uses coding knowledge to identify trends and educational opportunities for Providers and staff.
• Identifies opportunities to reduce denials.

Skills

Communication skills

Independent work

Problem solving

Education

High School diploma / GED / HSED

Tools

Epic experience

Job description

Children's Wisconsin is seeking a 100% remote Pro-Fee Inpatient Coding Specialist III to code, review and release charges with accuracy and compliance. The role collaborates with physicians and departments to ensure proper charge capture and adherence to coding guidelines.

Ideal candidates have 3 years of inpatient Pro-Fee coding experience, NICU exposure preferred, and familiarity with EHR systems. Certifications listed support expertise in this field.