ProFee Inpatient Coding Specialist III - REMOTE
在儿童威斯康星，我们相信孩子们应得最好的。儿童威斯肯辛是一个全国公认的卫生系统，专门专注于儿童健康和福祉。我们提供初级保健，专业护理，紧急护理，急诊服务，社区卫生服务，托儿所和收养服务，儿童和家庭咨询，儿童倡导服务和家庭资源中心。我们的声誉吸引了来自全国各地的患者和家庭。我们提供各种有价值的职业机会，并正在寻找帮助我们实现该国最健康的孩子的愿景的人物。如果你想为一个对儿童和家庭产生影响的组织工作，并鼓励你每天尽可能努力，请今天申请。请关注此链接以更详细地了解在 Wisconsin 儿童公司的工作感觉：ProFee 实习生编码专家 III 将与辅助部门/地点/提供商合作，及时编码，审查和释放费用，确保正确编码，按账单遵守和完整收取费用。与供应商和其他部门人员/领导者合作编码或收取费用的相关问题/主题。· 100%远程 · 全职时间：周一至星期五 （40小时）经验：· 专业医疗机构的多个专业服务提供费用实习编码工作3年；• NICU 专业化服务的优先· · 在住院环境中进行床边程序编码工作经验；• 申请修改和拒绝工作经验。· 史诗经验优惠许可证和认证：以下内容之一：· CPC-认可专业编码师 - 美国职业编码者委员会；· CCS-P 认可编码专家医生 - 美式卫生信息管理协会；· CCC-认可编程专家 - 美式健康信息管理协會；需要获得高中毕业生或一般教育发展证书 (GED) 或高中等级文凭 (HSED).知识，技能和能力：·了解 ICD10,CPT 和 HCPCS 编码指南。·实操了解 CCI 修改，医疗保险指导方针和其他监管指导。·先前使用电子健康记录。·优秀的沟通 （口头和书面）技巧。·独立工作的能力。
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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:
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.
- 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 AssociationOriginally posted on Himalayas