Coding Specialist II - Milwaukee, United States - Medical College of Wisconsin

Description

JOB REQUIREMENTS:

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.


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:

Position Requirements:

Specifications Minimum Qualifications:
Appropriate experience may be substituted for education on an equivalent... For full info follow application link.

EEO/AA Minorities/Females/Vets/Disability The Medical College of Wisconsin is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, veteran status, disability or sexual orientation.

APPLICATION INSTRUCTIONS:


Apply Online:
Qualified females, minorities, and special disabled veterans and other veterans are encouraged to apply.