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Jobs · OTHR · Wisconsin

Coding Specialist II: Neurosurgery, Orthopedic & Ambulatory Surgery Coding - Clinical Practice Services

Medical College of Wisconsin · Greater Madison Area · 1 mo ago
OTHRFull-time

Summary

Perform coding and related duties using established billing office policies in an accurate and timely manner. Serve as the primary contact with physicians, department administrators, hospital and/or clinical department administrators and their support staff and billing staff. Coordinate professional service billings for selected clinical departments.

Remote Work Location

All remote work must be performed within one of the MCW registered payroll states, which currently includes: WI, AL, AZ, DE, FL, GA, IN, MD, MI, MN, MO, NC, TN, TX, & UT.

Primary Responsibilities

  • Charge Processing: Assignment or verification of CPT, ICD‑10‑CM coding and modifiers based upon documentation (Neurosurgery, Orthopedic & Ambulatory Surgery 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. Perform 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 required for billing.
  • Claim Denials / Billing Issues: Identify, report, and resolve coding and reimbursement issues. Collaborate 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, and 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.

Qualifications

  • Minimum Required Education: High school diploma.
  • Minimum Required Experience: 2 years of related coding experience.
  • Required Certification/Licensure(s): Coding certification (CPC, CPC‑A, CCS‑P, or CCA) and/or Health Information Management credential (RHIT or RHIA).
  • Preferred Experience: Neurosurgery, Orthopedic & Ambulatory Surgery coding experience; insurance denial experience.

Physical Requirements

Work requires occasionally lifting moderate‑weight materials, standing, or walking continuously.

Work Environment

Occasional exposure to dust, noise, temperature changes, or contact with water or other liquids. Work is performed in an environmentally controlled environment.

Sensory Acuity

Ability to detect and translate speech or other communication required. May occasionally require the ability to distinguish colors and perceive relative distances between objects.

Benefits

  • Outstanding healthcare coverage, including health, vision, and dental.
  • Flexible Spending options.
  • 403(b) retirement package.
  • Competitive vacation and paid holidays.
  • Tuition reimbursement.
  • Paid parental leave.
  • Employee & Family Assistance Program (EFAP).
  • Pet insurance.
  • On‑campus fitness facility with onsite classes.
  • Discounted rates on select cell‑phone plans, local fitness facilities, Milwaukee recreation and entertainment, and more.

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