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ProFee Coding Specialist III

Children's Wisconsin

Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. The organization provides 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.

The ProFee Coding Specialist III works with ancillary or specialty departments, locations, and providers to code, review, and release charges in a timely manner while ensuring correct coding, billing compliance, and complete charge capture. This role also collaborates with providers and departmental staff on coding and charge-capture related questions.

  • 100% remote
  • Full-time, Monday through Friday
  • 40 hours per week
Requirements & Qualifications

Experience

  • 3 years of experience coding Pro-Fee 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)
  • CCS-P (Certified Coding Specialist Physician Based)
  • CCS (Certified Coding Specialist)
  • RHIT (Registered Health Information Technician)

Education

  • High school diploma, GED, or HSED required

Knowledge, skills, and abilities

  • Knowledge of ICD-10, 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 oral and written communication skills
  • Ability to work independently, exercise independent judgment, and solve problems effectively
  • Specialty coding knowledge

Location

Wisconsin, US

Employment Type

Full-time

Experience Level

Senior

Remote work allowed

Yes

Posted

3 weeks ago

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