Medical College of Wisconsin - Staff
Coding Specialist II - Pathology
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Job Description
- Req#: 35780
Employer Industry: Healthcare Services
Why consider this job opportunity:
- 100% remote work opportunity available in multiple states, including WI, FL, MN, NC, TN, & TX.
- Opportunity for career advancement and growth within the organization.
- Work closely with physicians and clinical departments, enhancing professional relationships.
- Contribute to improving billing accuracy and reducing claim denials, making a positive impact on revenue.
- Supportive and collaborative work environment focused on education and provider documentation.
What to Expect (Job Responsibilities):
- Assign or verify CPT, ICD-10 CM coding and modifiers based on documentation for various clinical settings.
- Monitor charge flow and liaise with managers and staff to ensure accurate billing processes.
- Identify, report, and resolve coding and reimbursement issues to reduce denials and enhance revenue.
- Develop and maintain all protocols related to assigned coding areas.
- Participate in new provider orientations and address trends in documentation affecting coding.
What is Required (Qualifications):
- Working knowledge of CPT and ICD-10 CM coding.
- Understanding of medical insurance guidelines and governmental policies.
- Detail-oriented with progressive computer skills.
- Ability to establish and maintain effective working relationships with team and department staff.
- Must meet or exceed established production rate and performance standards.
How to Stand Out (Preferred Qualifications):
- Experience in charge processing, reconciliation of charges, and handling claim denials.
- Previous involvement in provider education and documentation policies.
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