Coding Audit & Education Coordinator

This is a fully remote position, open to applicants in Wisconsin.

📋 Description

• Conduct research to identify the appropriate coding for services across various specialties using reliable professional coding resources.

• Investigate new service lines, recently released procedure or diagnosis codes, and current coding practices.

• Ensure precise professional coding and offer providers guidance on accurate coding practices.

• Act as an expert in multispecialty coding, which includes surgical, inpatient, emergency, and/or ambulatory coding.

• Assign CPT, ICD-10-CM codes, and modifiers in accordance with documentation.

• Research new services performed by providers that are supported by the Professional Coding team.

• Create educational materials based on research related to new or existing services.

• Maintain a strong understanding of Teaching Physician and Provider documentation policies.

• Collaborate with organizational teams to assess Professional Coding policies and workflows.

• Identify opportunities to minimize preventable Professional Coding denials and execute reduction plans.

• Develop and sustain internal Professional Coding guidelines.

• Provide constructive feedback on processes and assist in the development of new procedures.

⛳️ Requirements

• High School diploma, Certificate of General Educational Development (GED), or High School Equivalency Diploma (HSED) is required.

• An Associate's Degree is preferred.

• A Bachelor's Degree is preferred.

• A minimum of 4 years of experience in a multi-specialty physician practice, coding for multiple medical/surgical specialties/subspecialties is required.

• One of the following certifications is required: CPC (Certified Professional Coder), CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist Physician Based), or RHIT (Registered Health Information Technician).

• Advanced knowledge of ICD10, CPT, and HCPCS coding guidelines, as well as payer and governmental policies.

• Working familiarity with CCI edits, healthcare insurance guidelines, and other regulatory directives.

• Previous experience using an Electronic Health Record.

• Ability to effectively research coding topics utilizing a range of resources.

• Excellent communication skills, both oral and written.

• Capability to work independently, exercise independent judgment, and solve problems efficiently.

🏝️ Benefits

• 100% remote work environment.

• Full-time schedule - 40 hours per week.

• Monday to Friday workdays.

• No evening or weekend shifts.