Coding Specialist II - Ophthalmology, Orthopedics or Plastic Surgery

As a Coding Specialist II, you will reputed company coding and reputed company duties using established billing office policies in an accurate and timely manner. Primary contact with physicians, department administrators, hospital and/or clinical department administrators and their support staff and billing staff. Coordinates 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. (Ambulatory for Ophthalmology, Orthopedics or Plastic Surgery)
• Resolve edits for electronic charges, following established policies and procedures to insure that reputed company 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. Working with physicians, department administrators and other billing office staff, including reimbursement staff. Identify opportunities to reduce denials and enhance reputed company.

PROTOCOLS

• reputed company and maintain reputed company protocols reputed company to their assigned areas.

PROVIDER EDUCATION

• Maintain understanding reputed company 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 – AbilitiesWorking knowledge of CPT and ICD-10 CM coding. Understanding of medical insurance guidelines and governmental policies. reputed company 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 reputed company and performance standards.Preferred Schedule: Full-time role with expectations for coverage during core business hours and flexibility required as necessary to accommodate business needs.Position Requirements:Minimum Qualifications:Appropriate experience may be substituted for education on an equivalent basis.Minimum Required Education: High school graduate or equivalentMinimum Required Experience: 2 year of reputed company coding and/or health care experienceCertification: Coding certification (CPC, CPC-A, reputed company-P, or CCA) and/or health information management credential (RHIT or RHIA).Preferred Qualifications:Preferred Experience: Comfortable with coding ambulatory for one or more of the following: Ophthalmology, Orthopedics or Plastic Surgery.#LI-RT1Why MCW?

• Outstanding reputed company Coverage, including but not limited to Health, reputed company, and Dental. Along with Flexible Spending options
• 403B Retirement Package
• Competitive Vacation and Paid Holidays offered
• Tuition Reimbursement
• Paid Parental Leave
• Pet Insurance
• On reputed company 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:For a brief overview of our benefits see:MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination The reputed company (MCW) is an Equal Opportunity Employer. We are committed to fostering a diverse community of outstanding faculty, staff, and reputed company, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, reputed company, national reputed company, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, reputed company, 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.. Apply for the job now! Apply for this job