WI3668680

1

High School Diploma/GED

High School Diploma/GED Equivalent

Unspecified

40

JOB REQUIREMENTS: Overview Medical Coding Technician, Days, 80 Hrs / 2
wks Location: Mercycare Bldg, Janesville, WI OR Rockton Ave Campus,
Rockford, IL. Hybrid, flexible work schedule, and remote opportunities
available. Mercyhealth does not currently support remote workers with
residency in the following states: CA, OH, OR, PA, NJ, NY. Performs
coding reviews and claim audits in order to resolve coding edits and
denial issues, (outpatient, inpatient, and clinical episodes of care),
providing education to all partners. Performs both professional and
facility coding functions to ensure compliancy. Performs other duties as
assigned. May be asked to work weekends and reasonable amounts of
overtime when necessary. Performs coding reviews and claim audits in
order to resolve coding edits and denial issues, (outpatient, inpatient,
and clinical episodes of care), providing education to all partners.
Performs both professional and facility coding functions to ensure
compliancy. Performs other duties as assigned. May be asked to work
weekends and reasonable amounts of overtime when necessary.
Responsibilities Reviews, analyzes, and interprets documentation and
identifies discrepancies between the code selection and the
documentation; corrects them, and presents findings and education to the
appropriate partner. Resolves pre-bill claim edits from all areas and as
identified by claims scrubbing software. Maintains a close working
relationship with departmental staff, frequently querying them and
providing education when coding discrepancies arise. Researches and
provides education to all partners regarding CMS policies related to
outpatient coding, inpatient coding, and professional fee coding, and
presents findings to them. Solves complex billing and claim denial
issues related to coding by researching policies and guidelines.
Demonstrates extensive knowledge of official coding guidelines
established by the American Medical Association (AMA), the Center for
Medicare & Medicaid Services (CMS) and contracted payers. Has a thorough
understanding of the differences between professional coding in a clinic
setting as compared to professional coding in a hospital setting
(outpatient and inpatient), and demonstrates a high skill level in the
practical application of that knowledge. Maintains an in-depth knowledge
of Epic billing, ambulatory, and hospital modules. Responds to customer
concerns through coding reviews requested by other departments. Assists
with all coding functions at or above the level of a Medical Coding 1
job description. Works as a team to achieve productivity goals.
Education and Experience High School graduate or equivalent Three years
of experience coding professional or hospital services in an outpatient
or clinic setting Knowledge of denial management\... For full info
follow application link. EOE&AA/M/F/Vet/Disabled. Mercy is an equal
employment opportunity employer functioning under Affirmative Action
Plans. \*\*\*\*\* APPLICATION INSTRUCTIONS: Apply Online:
ipc.us/t/40E71CED8FEF468D