What are the responsibilities and job description for the Coding Specialist I position at Medical College of Wisconsin?
Purpose
Perform coding and related duties using established billing office policies in an accurate and timely manner. Coordinates professional service billings for selected clinical departments.
Primary Functions
CHARGE PROCESSING
- Assignment or verification of CPT, ICD-10 CM coding and modifiers based upon documentation. (Radiology, EKG, or other basic CPT/ICD-10 coding)
- Resolve edits for electronic charges, following established policies and procedures to inusre that all data elements (claim requriements – CPT, ICD-10 CM, modifiers, provider, billing area, etc.) are applied.
- Charge Entry as needed.
RECONCILIATION OF CHARGES:
- Monitor charge flow and act as a liaison with managers, department administrators and other billing personnel to assure consistent and accurate chage flow. Work with clinic staff and physicians regarding missing or unclear information that is required for billing.
PROVIDER EDUCATION
- Maintain understanding all Teaching Physician and provider documentation policies.
- Note and address trends in provider documentation that may impact coding and billing,
Preferred Schedule:
Position Requirements:
Knowledge – Skills – Abilities
Understanding of medical insurance guidelines and governmental policies. Progressive computer skills. Detail oriented. Ability to establish and maintain effective working relationships with the team and department staff (including administrative staff and faculty). Meet or exceed established production rate and performance standards.
Specifications
Appropriate experience may be substituted on equivalent basis
Minimum Required Education: High School diploma
Minimum Required Experience: 1 years of related coding and/or health care experience.
Certification: Coding certification preferred (CPC, CPC-A, CCS-P, CCA, RHIT or RHIA)
Why MCW?
- Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options
- 403B Retirement Package
- Competitive Vacation and Paid Holidays offered
- Tuition Reimbursement
- Paid Parental Leave
- On campus Fitness Facility, offering onsite classes.
- Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.
For a full list of positions see: www.mcw.edu/careers
For a brief overview of our benefits see: https://www.mcw.edu/departments/human-resources/benefits
Eastern Wisconsin is a vibrant, diverse metropolitan area. MCW is intent on attracting, developing, and retaining a diverse workforce and faculty body that reflects the community we serve. We value diversity of backgrounds, experience, thought, and perspectives to advance excellence in science and medicine. MCW is a welcoming campus community with a strong culture of collaboration, partnership, and engagement with our surrounding community.
MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination
The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering a diverse community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.
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