WI3648448

1

High School Diploma/GED

High School Diploma/GED Equivalent

Unspecified

40

JOB REQUIREMENTS: Overview Medical Coding Technician, Days, 80 Hrs / 2
wks Location: Mercycare Bldg, Janesville, WI OR Rockton Ave Campus,
Rockford, IL. Hybrid, flexible work schedule, and remote opportunities
available. Mercyhealth does not currently support remote workers with
residency in the following states: CA, OH, OR, PA, NJ, NY. Performs
coding reviews and claim audits in order to resolve coding edits and
denial issues, (outpatient, inpatient, and clinical episodes of care),
providing education to all partners. Performs both professional and
facility coding functions to ensure compliancy. Performs other duties as
assigned. May be asked to work weekends and reasonable amounts of
overtime when necessary. Responsibilities Reviews, 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 Experience High School graduate or equivalent Three years
of experience coding professional or hospital services in an outpatient
or clinic setting Knowledge of denial management preferred
Certification/Licensure Certified in professional or hospital coding
(CPC, CPC-H) or other equivalent coding certification required Special
Physical Demands The Special Physical Demands are considered Essential
Job Functions of the position with or without reasonable accommodations.
While performing the duties of this job, the partner is regularly
required to talk and hear\.... For full info follow application link.
EOE&AA/M/F/Vet/Disabled. Mercy is an equal employment opportunity
employer functioning under Affirmative Action Plans. \*\*\*\*\*
APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/274557E88FAA42A4