- Location: Green Bay, WI.
- Hours: Full-time 40 hours/week, Day's, hybrid work schedule.
- Contact [email protected] with questions.
The Coding and Documentation Education Specialist is responsible to teach and provide expert advice in CPT (Current Procedural Terminology) and ICD (International Classification of Diseases) coding guidelines, clinical documentation, risk adjustment methods, billing and revenue integrity policies, denials analysis and prevention to the medical staff and associate staff. The Education Specialist proactively analyzes and interprets the revenue and reimbursement implications of clinical documentation as it is translated into ICD and CPT codes, charge capture, and risk adjustment methods. The research, analysis, education and recommendations contribute to compliant optimization of revenue and quality measures. Also, prepares and leads medical staff and associate staff education on CPT and ICD-10 related payer coverage policies, documentation of medical necessity, risk adjustment factors, e.g., hierarchical condition categories (HCC). Interprets and translates coding, payment, and reimbursement policies and regulations for the benefit of leaders and staff within and outside of the department, effective change management, and continuous improvement to achieve and sustain results.
Education : Medical Coding certificate, Associate or Bachelor’s degree in Healthcare Business Services, Health Information Technology, or related degree or applicable Coder experience required.
Certification/Registration/Licensure : Certified Coding Administrator (CCA), Specialist (CCS), or Certified Professional Coder (CPC) credentials required; Registered Health Information Administrator (RHIA), or Registered Health Information Technology (RHIT), or similar program; RHIA or RHIT certificate preferred.
Experience : Minimum three years of experience in coding with demonstrated expertise in ICD-10, PCS, CPT and HCPCS coding and DRG and APC assignment demonstrating knowledge of disease process, anatomy and physiology, medical terminology required. Experience conducting coding audits and effectively communicating the results to end users and stakeholders. Experience in complex data analysis and use of Excel and other tools to interpret and explain results preferred.
With so many amazing healthcare organizations in this area, why Bellin?
Bellin Health offers a proud, local history spanning more than 100 years. Our personalized patient care model is only the beginning of what you will experience as we foster population health transformation and innovation to serve our communities. You can be part of an exciting dynamic place that offers an employee-first culture, work-life balance, and career advancement & growth opportunities. This culture allows our organization to attract elite talent, like yourself!
Additional perks include:
- Top-notch benefits: 401(k) with matching, paid time off, competitive health insurance, wellness programs to keep you and your family healthy, tuition reimbursement, and more
- Preventative care focused medical coverage that includes free visits to: Bellin primary care providers, Urgent Care & Fast Care facilities, physical therapy sessions and any labs required during these visits
- Access to online continuing education for professional and career development
- Empowerment to shape your work environment, encouragement to improve processes and create efficiencies, and support when seeking opportunities for growth.
- Culture that encourages self-care and provides you with opportunities to be your best self at work and at home
- Be a member of a passionate workforce, that feels like family and is driven to provide exceptional patient care with a strong focus on community.
We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values – belonging, respect, excellence, accountability, teamwork and humility – our pillars set our foundation and our future.
Bellin Health is an Equal Opportunity Employer.
