
5001 - 10000 employees
Founded 1889
🛡️ Insurance
đź’Ľ Consulting
🏨 Hospitality
Insurance • Consulting • Hospitality
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.
🔥 0 minutes ago
🧀 Wisconsin – Remote
đź’µ $23 - $35 / hour
⏰ Full Time
🟡 Mid-level
đźź Senior
🏥 Medical Billing and Coding
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5001 - 10000 employees
Founded 1889
🛡️ Insurance
đź’Ľ Consulting
🏨 Hospitality
Insurance • Consulting • Hospitality
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.
• Review and analyze medical coding documentation to identify and correct discrepancies • Resolve pre-bill claim edits from all areas and claims-scrubbing software • Query departmental staff and provide education when coding discrepancies arise • Research CMS policies for outpatient, inpatient, and professional fee coding and present findings • Solve complex billing and claim denial issues related to coding • Apply AMA, CMS, and contracted payer official coding guidelines • Apply professional, outpatient, and inpatient coding knowledge across clinic and hospital settings • Maintain knowledge of Epic billing, ambulatory, and hospital modules • Respond to customer concerns through coding reviews requested by other departments • Support coding functions at or above the Medical Coding 1 level • Collaborate to achieve departmental productivity goals
• High School graduate or equivalent • Three years of experience coding professional or hospital services in an outpatient or clinic setting preferred • Knowledge of denial management preferred • Certified in professional or hospital coding (CPC, CPC-H) or other equivalent coding certification required • Problem solving skills • Excellent written/oral/interpersonal/communication skills • Analytical skills • Extensive research skills • Ability to identify root causes • Extensive knowledge of AMA, CMS, and contracted payer coding guidelines • In-depth knowledge of Epic billing, ambulatory, and hospital modules
• 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
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