Medical College of Wisconsin - Staff
Coding Specialist II
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Job Description
- Req#: 35274
Employer Industry: Academic Medicine
Why Consider this Job Opportunity:
- Remote position available for candidates residing in WI, FL, MN, NC, TN, & TX
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on billing accuracy and revenue enhancement
- Engage in continuous learning and professional development through provider education initiatives
What to Expect (Job Responsibilities):
- Perform assignment or verification of CPT and ICD-10 CM coding and modifiers based on documentation
- Resolve edits for electronic charges and ensure all claim requirements are met
- Monitor charge flow and collaborate with managers and billing personnel to maintain accurate billing processes
- Identify, report, and resolve coding and reimbursement issues to reduce claim denials
- Develop and maintain protocols related to assigned areas and participate in provider education
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 members and departmental staff
- Ability to meet or exceed established production rate and performance standards
How to Stand Out (Preferred Qualifications):
- Experience in charge processing and reconciliation of medical billing
- Familiarity with Teaching Physician and provider documentation policies
- Previous experience in a medical coding or billing role
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