Medical Coding Technician
Mercyhealth Wisconsin and Illinois
full-time
Posted on:
Location Type: Office
Location: Rockford • Illinois • United States
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Salary
💰 $24 - $35 per hour
About the role
- 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.
Requirements
- High School graduate or equivalent
- Three years of experience coding professional or hospital services in an outpatient or clinic setting preferred
- Knowledge of denial management preferred
- Certification and Licensure Certified in professional or hospital coding (CPC, CPC-H) or other equivalent coding certification required
Benefits
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Applicant Tracking System Keywords
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Hard Skills & Tools
codingbillingclaims denial managementdocumentation analysiscoding discrepancies resolutioncoding guidelines interpretationoutpatient codinginpatient codingEpic billingmedical coding
Soft Skills
communicationteamworkproblem-solvingeducationrelationship management
Certifications
Certified Professional Coder (CPC)Certified Professional Coder-Hospital (CPC-H)