What are the responsibilities and job description for the Coding Specialist IV position at MCW: SARGEANT HEALTH CENTER?
JOB REQUIREMENTS : Position Description : Every day, in ways both big and small, the Medical College of Wisconsin (MCW) is impacting lives for the better. MCW ... changemaking for a healthier Wisconsin. In the role of Coding Specialist IV, you will beworking in the Clinical Practice Services department. You will serve as expert resource regarding all aspects of documentation, coding, and billing. Support supervisor and team by guiding and directing specific employees in their day-to-day job functions. Train new and existing staff. Provide cross coverage for multiple specialty areas. Investigate and resolve issues pertaining to charge capture, billing, and reimbursement. Complete special projects as assigned. Act as supervisor in supervisors\' absence. Responsibilities : CHARGE PROCESSING Expert knowledge of multispecialty coding which may include surgical, inpatient, emergency and / or ambulatory coding; assignment or verification of CPT, ICD-10 CM coding and modifiers based upon documentation. Guide and direct specific employees in their day-to-day job functions. Answer questions and resolve coding and billing issues. Identify, report, and resolve coding and reimbursement issues with physicians, department administrators and other billing office staff, including reimbursement staff. Resolve edits for electronic charges, following established policies and procedures to ensure that all data elements (claim requirements - CPT, ICD-10 CM, modifiers, provider, billing area, etc.) are applied. Serve as a resource to staff for accurate assignment of CPT procedure and ICD-10-CM diagnosis coding of complicated multi-specialty services for appropriate reimbursement Provide out of office coding coverage to multi-specialty areas. ASSIST WITH TEAM SUPERVISION AND SPECIAL PROJECTS Primary contact for staff when issues or questions arise. Monitor team workflow, assign and re-assign work to meet team and organizational goals. Quality review of staff work and workflows. Act as Supervisor in Supervisor\'s absence. TRAINING STAFF Onboarding / training of new or existing coding specialist staff. CLAIM DENIALS / BILLING ISSUES Identify report and resolve coding and reimbursement issues. Work with physicians, department administrators and other billing office staff, including reimbursement staff. Identify opportunities to reduce denials and enhance revenue. PROTOCOLS Develop and maintain all protocols related to their assigned areas. Assist others in the development of protocols for other areas. SYSTEM TESTING Participate in system testing as needed. Knowledge - Skills - Abilities Expert knowledge of CPT, ICD-10 CM... For full info follow application link. EEO / AA Minorities / Females / Vets / Disability The Medical College of Wisconsin is an affirmative action / equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, veteran status, disability or sexual orientation.
- APPLICATION INSTRUCTIONS : Apply Online : ipc.us / t / 12DB5F94E8254F27 Qualified females, minorities, and special disabled veterans and other veterans are encouraged to apply.
