Medical Coding Specialist
4 days ago
Western Wisconsin Health is seeking a highly skilled Medical Coding Specialist to join our Health Information Management department. As a key member of our team, you will be responsible for reviewing clinical documentation and diagnostic results to extract data and apply accurate ICD-10-CM and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance.
Key Responsibilities:- Review and code inpatient, observation, outpatient diagnostic, therapeutic, consultative, emergency department services, ambulatory surgery, and clinic encounters
- Obtain appropriate reimbursement levels for professional services by reviewing and coding clinical diagnoses and procedures
- Resolve errors associated with billing software edits, identify and report error patterns, and assist in design and implementation of workflow changes to reduce billing errors and improve coding efficiencies
- Analyze denial and rejection reports and appeals whenever appropriate
- Provide information and direction relevant to coding, to the physicians
- Submit charges in a timely manner
- High school or GED
- Successful completion (or in progress) of an AHIMA-approved/other accrediting entity-approved Coding Certificate Program
- RHIA, RHIT, CCS, CCS-P or CCA credentialed
- Proof of Certification is required and must be kept current throughout employment
- Recent graduate must obtain certification within 6 months of hire
- Associate's Degree
- 2+ years progressive related experience
Western Wisconsin Health is an integrated hospital and family practice clinic located in Western Wisconsin, just 30 minutes from downtown St. Paul on I-94. We are committed to providing high-quality patient care and are seeking a dedicated and skilled Medical Coding Specialist to join our team.
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