Overview
Coding Specialist II Jobs in Orlando, Florida, USA at Medical College of Wisconsin
Every great life-changing discovery begins the same way—with new knowledge. It can change everything, from a single life to the future of entire communities. That’s why academic medicine, and the continuous pursuit of knowledge, is at the center of everything we do at the Medical College of Wisconsin (MCW).
As a Coding Specialist II, you will perform coding and related duties using established billing office policies in an accurate and timely manner. You will be the primary contact with physicians, department administrators, hospital and/or clinical department administrators, their support staff, and billing staff. You will coordinate professional service billings for selected clinical departments.
This role is 100% remote for the following states: WI, FL, MN, NC, TN, & TX.
Responsibilities:
CHARGE PROCESSING
Assignment or verification of CPT, ICD-10 CM coding and modifiers based upon documentation. (Inpatient/Emergency Department abstraction, ambulatory coding, and/or surgical/procedural coding)
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.
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 charge flow. Work with clinic staff and physicians regarding missing or unclear information that is required for billing.
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 assigned areas.
PROVIDER EDUCATION
Maintain understanding of all Teaching Physician and provider documentation policies.
Actively participate in new provider orientations.
Note and address trends in provider documentation that may impact coding and billing.
Knowledge – Skills – Abilities
Working knowledge of CPT and ICD-10 CM coding. 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.
#J-18808-Ljbffr
Title: Coding Specialist II
Company: Medical College of Wisconsin
Location: Orlando, Florida, USA
Category: Healthcare, Administrative/Clerical
