Medical Coding Specialist

4 days ago


Milledgeville, Georgia, United States Western Wisconsin Health Full time
Medical Coding Specialist Job Description

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
Requirements:
  • 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
Preferred Qualifications:
  • Associate's Degree
  • 2+ years progressive related experience
About Western Wisconsin Health:

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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