[Hiring] Medical Coding Specialist 2 @Mercyhealth Wisconsin and Illinois

Role Description

• Reviews, analyzes, and interprets provider documentation with regards to procedure and diagnosis code selection.
• Performs audits of provider coding and documentation to make recommendations for improvements and enhancements.
• Maintains a close working relationship with assigned providers and medical office, frequently querying the provider when coding discrepancies arise.
• Researches any coding inquiries the provider or medical staff may have, and presents findings to them.
• Reviews hospital, clinical, and surgical documentation and the assigned diagnosis and procedure codes, releasing charges within the Epic system.
• Identifies discrepancies between the provider code selection and the medical record documentation; makes appropriate corrections, and presents findings and education to the provider.
• Demonstrates extensive knowledge of official coding guidelines established by the American Medical Association (AMA), the Center for Medicare & Medicaid Services (CMS) and contracted payers.
• Has a thorough understanding of the differences between professional coding in a clinic setting as compared to professional coding in a hospital setting (outpatient and inpatient), and demonstrates a high skill level in the practical application of that knowledge.
• Works with billing partners in developing efficient coding processes and researching denials.
• Responds to customer concerns through coding reviews requested by other departments.
• Conducts provider coding orientation and education sessions and documents all information presented.
• Maintains an in-depth knowledge of Epic ambulatory and hospital modules.
• Works as a team to achieve productivity goals.

Qualifications

• High School graduate or equivalent
• Two years of experience coding professional services in multiple specialties

Requirements

• Certified Professional Coder (CPC) or other equivalent coding certification required
• Problem solving skills
• Excellent written/oral/interpersonal/communication skills
• Analytical skills

Special Physical Demands

• Regularly required to talk and hear.
• Eyesight to identify numbers, folders, colors, and computer printouts.
• Speech to communicate one-on-one and over the telephone.
• Manual dexterity to operate keyboards, mouse and telephones.
• Prolonged sitting; use hands to finger, handle, or feel and reach with hands and arms.
• Occasionally required to stand; walk and stoop, kneel, crouch, or crawl.
• Must occasionally lift and/or move up to 25 pounds.

Pay Range

$24.12 - $36.18

Benefits

• Medical, Dental, Vision
• Life & Disability Insurance
• FSA/HSA Options
• Generous, accruing paid time off
• Paid Parental and caregiver leave
• Career advancement and educational opportunities
• Tuition and certification reimbursement
• Certification Reimbursement
• Well-being Programs
• Employee Discounts
• On-Demand Pay
• Financial Education
• Annual recognition/awards events
• Partner appreciation days
• Family entertainment/attractions discount
• Community service/improvement opportunities