Perform coding and related duties using established billing office policies in an accurate and timely manner. Serve as a primary contact for physicians, department administrators, hospital and/or clinical department administrators, support staff, and billing staff. Coordinate professional service billings for selected clinical departments.
Primary Responsibilities
- Assign or verify CPT, ICD-10-CM coding, and modifiers based on documentation for neurosurgery, orthopedic, and ambulatory surgery coding.
- Resolve edits for electronic charges following established policies and procedures to ensure claim requirements are met.
- Perform charge entry as needed.
- Monitor charge flow and act as a liaison with managers, department administrators, and other billing personnel to ensure consistent and accurate charge flow.
- Work with clinic staff and physicians regarding missing or unclear information required for billing.
- Identify, report, and resolve coding and reimbursement issues.
- Collaborate with physicians, department administrators, and billing office staff, including reimbursement staff, to reduce denials and enhance revenue.
- Develop and maintain protocols related to assigned areas.
- Maintain understanding of teaching physician and provider documentation policies.
- Participate in new provider orientations.
- Identify trends in provider documentation that may affect coding and billing.
Requirements & Qualifications
Qualifications
- High school diploma required.
- At least 2 years of related coding experience.
- Coding certification required: CPC, CPC-A, CCS-P, or CCA, and/or an HIM credential such as RHIT or RHIA.
- Preferred experience in neurosurgery, orthopedic, and ambulatory surgery coding.
- Preferred insurance denial experience.
- Working knowledge of CPT and ICD-10-CM coding.
- Understanding of medical insurance guidelines and governmental policies.
- Strong computer skills.
- Detail-oriented.
- Ability to build effective working relationships with team members and department staff.
- Ability to meet or exceed production and performance standards.
Benefits & Perks
Benefits
- Health, vision, and dental coverage
- Flexible spending options
- 403(b) retirement package
- Competitive vacation and paid holidays
- Tuition reimbursement
- Paid parental leave
- Employee and family assistance program (EFAP)
- Pet insurance
- On-campus fitness facility with onsite classes
- Discounted cell phone plans, local fitness facilities, and recreation/entertainment options
Location
Madison, Wisconsin, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
1 month ago