WI3864859

1

Unspecified

40

JOB REQUIREMENTS: POSITION SPECIFICS Title: Medical Coding Specialist
Outpatient FTE: 1.0 (40 hours per week) Schedule: 7:00a to 3:30p Holiday
Rotation: None Weekend Rotation: None On Call Requirements: None Work
Location: Remote position (State of WI residency) POSITION SUMMARY
Reviews medical reports and physician documentation for clinic and
hospital outpatient services in order to apply diagnostic and procedural
codes to individual patient health information for claims processing,
data retrieval and analysis. POSITION TECHNICAL RESPONSIBILITIES Assigns
codes for ambulatory outpatient services using International
Classification of Diseases (ICD) and Current Procedural Terminology
(CPT) coding protocols, for facility and professional services. Includes
professional code entry for Emergency Room and Urgent Care providers.
Audits the electronic medical record for accuracy of patient
information, insurance information, appropriate diagnosis, and procedure
codes to ensure accurate documentation for billing and reimbursement.,
Reviews and resolves National Correct Coding Initiatives (NCCI) and
Outpatient Code Editor (OCE) edits. Communicates with clinical
department directors and medical billing staff to clarify coding
guidelines and resolve claim edits. Identifies and communicates missed
revenue opportunities to ambulatory departments. Works with business
analyst to create new charge codes, as needed. As assigned, investigates
denied claims from insurance carriers and appeals timely to ensure
accurate reimbursement. Abstracts pertinent information from patient
records using hospital information system. Queries physicians as needed
to provide clarification on documentation or code assignment. Identifies
coding concerns or trends. As needed, involves Revenue Cycle leadership
to assist with resolution. Provides education on coding changes. Attends
continuing education programs and reviews other educational resources to
keep current on any changes pertaining to this position and for coding
re-certification. Assists with developing policies and procedures
related to coding. Assists in training new employees and job shadowing.
Performs other related work assignments as required. POSITION
REQUIREMENTS Education: Required: Successful completion of a
professional American Health Information Management (AHIMA) or American
Academy of Professional Coders (AAPC) recognized coding course and/or an
Associate degree in a healthcare related program. Preferred: Associates
degree in a healthcare related program Experience: Required: None
Preferred: Prior Ambulatory Coding experience preferred. Licenses and
Registrations: Required: None Preferred: None Certification(s):
Required: Must obtain credentials through the American Health
Information Management Association (AHIMA) or American Academy of
Professional Coders (AAPC) in any of the following certifications within
six months of date of hire and maintain such credential thereafter:
Registered Health Information Technician (RHIT) or Administrator (RHIA)
Certified Coding Associate (CCA) BENEFIT SUMMARY Competitive health and
dental insurance options Flexible paid time off to balance work and life
Retirement plan with immediate vesting and employer match Discounted
membership to our state-of-the-art fitness facility Generous tuition
reimbursement Employer provided life and disability insurance Free
parking at facility \*\*\*\*\* APPLICATION INSTRUCTIONS: Apply Online:
https://saukprairiehealthcare.wd12.myworkdayjobs.com/Sauk_Prairie_Healthcare_Careers

Attn: Human Resources - SAUK PRAIRIE HEALTHCARE
260 26th St
PRAIRIE DU SAC, WI 53578