Surgical Coding Specialist III

🕒 May 21

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Children's Wisconsin

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1883

⚕️ Healthcare Insurance

🤝 Non-profit

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

• Work in collaboration with Ancillary or specialty departments/locations/providers to code, review and release charges in a timely manner. • Ensure correct coding, billing compliance and complete charge capture. • Collaborate with providers and other departmental staff/leaders on coding or charge capture related questions/topics. • Assign or verify CPT, ICD-10 CM coding and modifiers based upon documentation. • Subject matter expert in one or more specialties and may also cover multiple surgical/medical specialties for abstraction, ambulatory and/or surgical/procedural coding. • Ensure compliance with official coding guidelines.

🎯 Requirements

• 3 years of experience of Profee coding in a healthcare position required. • Specialty surgical coding knowledge in Pediatric Urology and Pediatric ENT preferred. • Knowledge of ICD10, CPT and HCPCS coding guidelines. • Working knowledge of CCI edits, healthcare insurance guidelines and other regulatory guidance. • Prior use of an Electronic Health Record. • Epic experience preferred. • Excellent communication (oral and written) skills. • Ability to work independently, exercise independent judgment and solve problems effectively. • Certification: one of the following: CPC-Certified Professional Coder - American Board of Professional Coders, CCS-P-Certified Coding Specialist Physician Based - American Health Information Management Association, CCS-Certified Coding Specialist - American Health Information Management Association, RHIT-Registered Health Information Technician - American Health Information Management Association.

🏖️ Benefits

• Children's Wisconsin is an equal opportunity / affirmative action employer. • Committed to creating a diverse and inclusive environment for all employees. • Treat everyone with dignity, respect, and fairness.