Medical Coding Specialist

Job not on LinkedIn

🕒 May 14

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $24 - $36 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

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Mercyhealth Wisconsin and Illinois

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1889

⚕️ Healthcare Insurance

📚 Education

Healthcare Insurance • Education

Mercyhealth Wisconsin and Illinois is a regional integrated health system providing hospitals, outpatient clinics, urgent care, specialty care (cardiology, oncology, orthopedics, neurosurgery, etc. ), pharmacies, home health and hospice services across northern Illinois and southern Wisconsin. It operates MercyCare Health Plans (commercial health insurance), offers graduate medical education and fellowship/residency programs, runs a foundation and community health initiatives, and provides patient-facing resources such as MyChart, online scheduling, and wellness programs.

📋 Description

• Reviews, analyzes, and interprets provider documentation with regards to procedure and diagnosis code selection • Performs audits of provider coding and documentation to make recommendations for improvements and enhancements • Maintains a close working relationship with assigned providers and medical office, frequently querying the provider when coding discrepancies arise • Researches any coding inquiries the provider or medical staff may have, and presents findings to them • Reviews hospital, clinical, and surgical documentation and the assigned diagnosis and procedure codes, releasing charges within the Epic system • Identifies discrepancies between the provider code selection and the medical record documentation; makes appropriate corrections, and presents findings and education to the provider • Demonstrates extensive knowledge of official coding guidelines established by the American Medical Association (AMA), the Center for Medicare & Medicaid Services (CMS) and contracted payers • Works with billing partners in developing efficient coding processes and researching denials • Responds to customer concerns through coding reviews requested by other departments • Conducts provider coding orientation and education sessions and documents all information presented • Maintains an in-depth knowledge of Epic ambulatory and hospital modules • Works as a team to achieve productivity goals

🎯 Requirements

• High School graduate or equivalent • Two years of experience coding professional services in multiple specialties • Certified Professional Coder (CPC) or other equivalent coding certification required • Problem solving skills • Excellent written/oral/interpersonal/communication skills • Analytical skills

🏖️ Benefits

• Medical • Dental • Vision • Life & Disability Insurance • FSA/HSA Options • Generous, accruing paid time off • Paid Parental and caregiver leave • Career advancement and educational opportunities • Tuition and certification reimbursement • Certification Reimbursement • Well-being Programs • Employee Discounts • On-Demand Pay • Financial Education • Annual recognition/awards events • Partner appreciation days • Family entertainment/attractions discount • Community service/improvement opportunities