Coding Audit & Education Coordinator

🔥 18 hours ago

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 11%

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Children's Wisconsin

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1883

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Children's Wisconsin is a healthcare organization that is dedicated to the well-being of children. The organization provides comprehensive care that addresses the physical, social, and mental health needs of children. They create child-friendly environments to ease stress, offer specialized medical services, and provide resources that extend care beyond the clinic to homes and schools. With facilities like hospitals, specialty clinics, and urgent care centers, Children's Wisconsin focuses on innovation and community partnerships to enhance the health and happiness of children.

📋 Description

• Conduct research on appropriate coding of services for all specialties using reputable professional coding sources • Research new service lines, newly released procedure or diagnosis codes, and current coding practices • Ensure accurate Professional coding and provide providers with accurate coding guidance • Serve as an expert in multispecialty coding, including surgical, inpatient, emergency and/or ambulatory coding • Assign CPT, ICD-10-CM codes and modifiers based on documentation • Research new services performed by providers supported by the Professional Coding team • Develop educational materials based on research of new or existing services • Maintain understanding of Teaching Physician and Provider documentation policies • Collaborate with organizational teams to evaluate Professional Coding policies and workflows • Identify opportunities to reduce preventable Professional Coding denials and implement reduction plans • Develop and maintain internal Professional Coding guidelines • Provide feedback on processes and assist in developing new processes

🎯 Requirements

• High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) required • Associate's Degree preferred • Bachelor's Degree preferred • 4 years of experience in a multi-specialty physician practice, coding multiple medical/surgical specialties/subspecialties required • One of the following certifications required: CPC (Certified Professional Coder), CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist Physician Based), or RHIT (Registered Health Information Technician) • Advanced knowledge of ICD10, CPT and HCPCS coding guidelines, payer and governmental policies • Working knowledge of CCI edits, healthcare insurance guidelines and other regulatory guidance • Prior use of an Electronic Health Record • Ability to accurately research coding topics using a variety of resources • Excellent communication (oral and written) skills • Ability to work independently, exercise independent judgment and solve problems effectively

🏖️ Benefits

• 100% remote • Full time - 40 hours per week • Monday-Friday • No Evenings or weekends

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