Top 5 Coding denials specialist clinical practice services Jobs in Madison Wi

Coding Specialist II, Psychiatry - Clinical Practice Services
The Medical College of Wisconsin, Inc. —Madison, WI
- Full-time
- Psychiatry
- Computer literacy
- Mid-level
- Paid parental leave
- Paid holidays
Quick Apply
Coding Denials Specialist - Clinical Practice Services
The Medical College of Wisconsin, Inc. —Madison, WI
- Full-time
- 5 years
- Writing skills
- Research
- Paid parental leave
- Paid holidays
Quick Apply
4d
Coding Quality Analyst - Clinical Practice Services
The Medical College of Wisconsin, Inc. —Madison, WI
- $75,300 - $95,900 a year
- Full-time
- Word processing
- Writing skills
- Bachelor's degree
- Paid parental leave
- Paid holidays
Quick Apply
Inpatient Coding Auditor
Huron Managed Services LLC —Madison, WI
- $38.46 - $52.40 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Dental insurance
Quick Apply

Other jobs to consider

Find your next job by exploring related positions.

Coding Denials Specialist - Clinical Practice Services
The Medical College of Wisconsin, Inc. —Madison, WI
The individual is responsible for resolving coding claim edits, coding-related claim denials & coding correspondence, monitoring for trends and assist in the…
Quick Apply
4d
Coding Quality Analyst - Clinical Practice Services
The Medical College of Wisconsin, Inc. —Madison, WI
Support Charge Capture Team in analyzing coding denial trends and troubleshooting solutions such as front-end system edits and/or front-end education to…
$75,300 - $95,900 a year
Quick Apply

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Medical Billing Specialist
St. Vincent Family Center —Columbus, OH
Review claims for submission to payers which may include federal, state, private or third-party payers. Review payments received via paper or electronic means…
$18 - $20 an hour
Quick Apply
5d
Billing Specialist
ST VINCENT FAMILY SERVICES —Columbus, OH
Review claims for submission to payers which may include federal, state, private or third-party payers. Review payments received via paper or electronic means…
Quick Apply
5d

Show more jobs in cities nearby

I want to receive the latest job alert for coding denials specialist clinical practice services in madison wi

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

coding denials specialist clinical practice services jobs near madison wi

Coding Specialist II, Psychiatry - Clinical Practice Services

The Medical College of Wisconsin, Inc. -
Madison, WI

Quick Apply

Job Details

Full-time

Benefits

Paid parental leave
Paid holidays
Health insurance
Dental insurance
Tuition reimbursement
Parental leave
Vision insurance
403(b)
Pet insurance

Qualifications

RHIA
Computer literacy
Health insurance policy knowledge
Employee relationship building
Mid-level
RHIT
Medical coding experience in outpatient clinics
High school diploma or GED
Certified Professional Coder
Medical coding for emergency department records
Charge capture (medical billing)
Certified Coding Associate
Data verification
Medical coding for surgical records
Health information management
Medical claim denial management
Healthcare coding investigations
2 years
Teaching
Quality data entry

Full Job Description

Summary

Perform coding and related duties using established billing office policies in an accurate and timely manner. Primary contact with physicians, department administrators, hospital and/or clinical department administrators and their support staff and billing staff. Coordinates professional service billings for selected clinical departments.

All remote work must be performed within one of the MCW registered payroll states, which currently includes: WI, AL, AZ, DE, FL, GA, IN, MD, MI, MN, MO, NC, TN, TX, & UT.

Primary Responsibilities

CHARGE PROCESSING:

Assignment or verification of CPT, ICD-10 CM coding and modifiers based upon documentation. (Inpatient/Emergency Department abstraction, ambulatory coding and/or surgical/procedural coding)
Resolve edits for electronic charges, following established policies and procedures to ensure that all data elements (claim requirements – CPT, ICD-10 CM, modifiers, provider, billing area, etc.) are applied.
Charge Entry as needed.

RECONCILIATION OF CHARGES:

Monitor charge flow and act as a liaison with managers, department administrators and other billing personnel to assure consistent and accurate change flow.
Work with clinic staff and physicians regarding missing or unclear information that is required for billing.

CLAIM DENIALS / BILLING ISSUES:

Identify, report, and resolve coding and reimbursement issues.
Working with physicians, department administrators and other billing office staff, including reimbursement staff.
Identify opportunities to reduce denials and enhance revenue.

PROTOCOLS:

Develop and maintain all protocols related to their assigned areas.

PROVIDER EDUCATION:

Maintain understanding all Teaching Physician and provider documentation policies.
Actively participate in new provider orientations.
Note and address trends in provider documentation that may impact coding and billing.

Knowledge – Skills – Abilities

Working knowledge of CPT and ICD-10 CM coding.
Understanding of medical insurance guidelines and governmental policies.
Progressive computer skills.
Detail oriented.
Ability to establish and maintain effective working relationships with the team and department staff (including administrative staff and faculty).
Meet or exceed established production rate and performance standards.

Qualifications

Appropriate experience may be substituted for education on an equivalent basis.

Minimum Required Education: High school diploma

Minimum Required Experience: 2 years of related coding and/or health care experience

Required Certification/Licensure(s): Coding certification (CPC, CPC-A, CCS-P, or CCA) and/or Health Information Management credential (RHIT or RHIA).

#LI-RT1

Physical Requirements

Work requires occasionally lifting moderate weight materials, standing, or walking continuously.

Work Environment

Occasional exposure to dust, noise, temperature changes, or contact with water or other liquids. Work is performed in an environmentally controlled environment.

Sensory Acuity

Ability to detect and translate speech or other communication required. May occasionally require the ability to distinguish colors and perceive relative distances between objects.

Why MCW?

Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options
403B Retirement Package
Competitive Vacation and Paid Holidays offered
Tuition Reimbursement
Paid Parental Leave
Employee & Family Assistance Program (EFAP)
Pet Insurance
On campus Fitness Facility, offering onsite classes
Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.

For a brief overview of our benefits see: Benefits Overview

For a full list of positions see: MCW Careers

At MCW all of our endeavors, from our internal operations to our interactions with our partners, are driven by our shared organizational values: Caring – Collaborative – Curiosity – Inclusive – Integrity – Respect. We are committed to fostering an inclusive environment that values diversity in backgrounds, experiences, and perspectives through merit-based processes and in alignment with all applicable laws. We believe that embracing human differences is critical to realize our vision of a healthier world, and we recognize that a healthy and thriving community starts from within. Our values define who we are, what we stand for and how we conduct ourselves at MCW. If you believe in embracing individuality and working together according to these principles to improve health for all, then MCW is the place for you. For more information, please visit our institutional website.

MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination:

The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering an inclusive community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.

Quick Apply

Refine Your Search

coding denials specialist clinical practice services jobs in madison wi

Coding Specialist II, Psychiatry - Clinical Practice Services

Coding Denials Specialist - Clinical Practice Services

Coding Quality Analyst - Clinical Practice Services

Inpatient Coding Auditor

Other jobs to consider

Explore jobs in cities nearby

I want to receive the latest job alert for coding denials specialist clinical practice services in madison wi

Explore jobs in more locations

Summary

Primary Responsibilities

Knowledge – Skills – Abilities

Qualifications

Physical Requirements

Work Environment

Sensory Acuity

Why MCW?

MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination:

Job Seeker Tools

Employer Tools

Browse

Stay Connected