WI3635564

1

High School Diploma/GED

High School Diploma/GED Equivalent

Unspecified

40

JOB REQUIREMENTS: Position Description: Every day, in ways both big and
small, the Medical College of Wisconsin (MCW) is impacting lives for the
better. MCW \... changemaking for a healthier Wisconsin. In the role of
Coding Specialist II you will bethe Clinical Practice Services
department. You will perform coding and related duties using established
billing office policies in an accurate and timely manner. Be the primary
contact with physicians, department administrators, hospital and/or
clinical department administrators and their support staff and billing
staff. You will also coordinate professional service billings for
selected clinical departments. Responsibilities: CHARGE PROCESSING
Assignment or verificaiton of CPT, ICD-10 CM coding and modifiers based
upon documentation. (Inpatient/Emergency Department abstraction,
abmulatory coding and/or surgical/procedural coding) Resolve edits for
electronic charges, following established policies and procedures to
inusre that all data elements (claim requriements- 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 chage 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: Minimum Qualifications: Appropriate
experience may be substituted for education on an equivalent basis.
Minimum Required Education: High school graduate or equivalent
Minimum\... 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:
ipc.us/t/E9FD0A815D034C86 Qualified females, minorities, and special
disabled veterans and other veterans are encouraged to apply.