Coding Specialist

The Opportunity:

The purpose of the Coding Specialist position is to ensure accurate and efficient coding of services related to behavioral health treatments and interventions within the tri-county organization.  The role plays a critical part in maintaining compliance with regulatory requirements, facilitating reimbursement processes, and supporting the overall financial integrity of the behavioral health programs.  The Coding Specialist will collaborate closely with clinical staff and billing department to streamline coding procedures and optimize revenue capture while upholding the highest standards of confidentiality and ethical coding practices.

This is a full-time, on-site position. The pay range for this role is $21.35 - $23.70, based on experience.  

Who We Are:

North Central Health Care is an organization serving Langlade, Lincoln and Marathon counties within the fields of mental health treatment, addiction services, long term care, short term care, physical therapy, crisis stabilization and so much more. We have amazing employees who provide exceptional care and want to add to our team.

What You’ll Do:

• Maintains regular attendance with minimal or no tardiness.
• Self-efficient and demonstrates capacity to work independently without close supervision.
• Assigns diagnosis and procedure codes, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.
• Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations.
• Able to complete a concise query to medical providers when there is conflicting, missing, or unclear documentation.
• Performs documentation audits, and as a result, creates and delivers education and feedback based on outcomes.
• Examines documentation within the medical record with accurate interpretation.
• Communicates tactfully and respectfully, and always maintains professional communication with providers, clinicians, and other staff members.
• Maintains knowledge of HIPAA and works to ensure compliance and enforcement of the policies and procedures to ensure the confidentiality, integrity, and availability of protected health information.
• Assists billing and collections team with responses to insurance carrier payment denial and charge corrections.
• Consistently identifies opportunities to improve clinical documentation and workflows.
• Works with Inpatient and Outpatient medical staff.
• Codes and audits medical records to ensure proper ICD-10 and CPT codes were submitted correctly for reimbursement.
• Identifies trends in discrepancies by location, physician, and/or specialty for training purposes.
• Advanced knowledge of medical terminology, anatomy, pathophysiology, pharmacology, and ancillary test results.
• Proficient with Microsoft Office applications (Outlook, Word, Excel)
• Ability to quickly analyze a situation, problem solve and prioritize.
• Works in collaboration with a team, is well organized, and has strong attention to detail and accuracy.
• Ability to handle a high-volume workload.
• Communicates with staff on deficient, incomplete, or unclear documentation.
• Consults outside information and sources of knowledge in cases where coding is complex or unusual.
• Helps with implementation of new ICD and CPT changes

What You Bring:

Minimum Education and Experience:

• Associate’s degree in health information management or a related field preferred.
• Minimum of one (1) years’ experience of related coding experience directly applying codes.

Required Skills:

• Strong experience with review and interpretation of medical records and billing documentation.
• Experience working in behavioral health and/or medical care setting.

Preferred Qualifications:

• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) or ability to obtain certification within six months of employment
• Medical terminology and clinical workflows.
• Knowledge of ICD-10 and CPT codes.
• Experience in medical coding.

What You’ll Get:

• This is a full-time, on-site position. The pay range for this role is $21.35 - $23.70, based on experience.
• This job is full-time and in person.
• PTO, paid holidays, health insurance, dental insurance, vision insurance, on-site bistro and cafeteria, pharmacy, newly updated facility, life insurance, accident insurance, hospital insurance, employee assistance program, employee discounts.
• As an employee of NCHC, you could be eligible for the Wisconsin Retirement System (WRS). The WRS is a hybrid defined benefit plan. It contains elements of both a 401(k) or defined contribution plan and a defined benefit plan. Participating staff contribute 6.95% and NCHC will match this at 100% each pay period!

In compliance with the American with Disabilities Act, NCHC will provide reasonable accommodations to qualified individuals and encourages both prospective and current employees to discuss potential accommodations with the employer. North Central Health Care is an Equal Opportunity Employer.

Salary : $21 - $24