At Children’s Wisconsin, we believe kids deserve the best.
- Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children.
- We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers.
- Our reputation draws patients and families from around the country.
- We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country.
- If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.
- Please follow this link for a closer look at what it’s like to work at Children’s Wisconsin: https://www.instagram.com/lifeatcw/
The ProFee Inpatient Coding Specialist III
- will work in collaboration with Ancillary or specialty departments/locations/providers to code, review and release charges in a timely manner and to ensure correct coding, billing compliance and complete charge capture.
- Collaborates with providers and other departmental staff/leaders on coding or charge capture related questions/topics.
Location and schedule
- 100% Remote
- Full time: Monday-Friday (40 hrs per week)
Experience
- Three years of experience coding Pro-Fee Inpatient E/M services for multi-specialty required
- NICU experience preferred
- Experience coding bedside procedures in the inpatient setting
- Experience working claim edits and denials
- Epic experience preferred
Licenses and Certifications
- One of the following: CPC-Certified Professional Coder - American Board of Professional Coders, CCS-P-Certified Coding Specialist Physician Based - American Health Information Management Association, CCS-Certified Coding Specialist - American Health Information Management Association, RHIT-Registered Health Information Technician - American Health Information Management Association
- Education: High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) required.
Knowledge, Skills and Abilities
- Knowledge of ICD10, CPT and HCPCS coding guidelines
- Working knowledge of CCI edits, healthcare insurance guidelines and other regulatory guidance
- Prior use of an Electronic Health Record
- Excellent communication (oral and written) skills
- Ability to work independently, exercise independent judgment and solve problems effectively
- Specialty Coding knowledge
Essential Duties
- Ability to work independently, exercise independent judgment and solve problems effectively
- Specialty Coding knowledge
- Assigns or verifies CPT, ICD-10 CM coding and modifiers based upon documentation
- Subject matter expert in one or more specialties and may also cover multiple surgical/medical specialties for abstraction, ambulatory and/or surgical/procedural coding
- Ensures compliance with official coding guidelines
- Resolves edits for various charges, following established policies and procedures to insure that all data elements are applied
- Monitors charge capture volumes and work queues and acts as a resource for department leaders and administrators, clinical staff and other revenue cycle staff to assure consistent and accurate charge capture
- Works with clinic staff and Providers regarding missing or unclear information that is required for billing
- Queries Providers as needed and coordinates responses to Provider questions
- Uses coding knowledge to identify trends and educational opportunities for Providers and other staff
- Identifies opportunities to reduce denials
- Develops and maintains all protocols and processes related to assigned areas of responsibility
- Maintains understanding all teaching Physician and Provider documentation policies
- May train other Coders on new departments or specialties
Children's Wisconsin is an equal opportunity / affirmative action employer
- We are committed to creating a diverse and inclusive environment for all employees
- We treat everyone with dignity, respect, and fairness
- We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law
Certifications/Licenses
- + one of the following:
- N/A
- CCS-Certified Coding Specialist - American Health Information Management Association
- CCS-P-Certified Coding Specialist Physician Based - American Health Information Management Association
- CPC-Certified Professional Coder - American Board of Professional Coders
- RHIT-Registered Health Information Technician - American Health Information Management Association