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Professional Coding Auditor - Full-time

extra parental leave
Remote: 
Full Remote
Contract: 
Experience: 
Mid-level (2-5 years)
Work from: 
Wisconsin (USA), United States

Offer summary

Qualifications:

High school education or equivalent, CPC, CCS, CCS-P or RHIT certification required, Three years experience in physician evaluation and coding, Knowledge of healthcare insurance guidelines, Experience with Electronic Health Record, preferably Epic.

Key responsabilities:

  • Create and implement education and audit plans
  • Ensure correct coding and billing compliance
  • Develop and assess provider coding education plans
  • Maintain charge capture within assigned medical specialties
  • Frequent travel to clinic locations
Children's Wisconsin logo
Children's Wisconsin Large https://www.childrenswi.org/
1001 - 5000 Employees
See more Children's Wisconsin offers

Job description

At Children’s Wisconsin, we believe kids deserve the best.

Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.

We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.

Please follow this link for a closer look at what it’s like to work at Children’s Wisconsin: https://www.instagram.com/lifeatcw/

Responsible for creating, implementing and maintaining an education and audit plan to ensure correct coding, billing compliance and complete charge capture within the medical specialties assigned.

Minimum Responsibilities and Requirements

  • High school education or equivalent. Advanced education preferred.

  • Three or more years of experience in Physician (Professional) Evaluation and Management (E&M)and office/clinic-based procedures, coding, auditing and/or Provider education.

  • CPC, CCS ,CCS-P or RHIT certification is required. Working knowledge of CCI edits, healthcare insurance guidelines and other regulatory guidance.

  • Ability to develop, deliver and assess Provider coding education plans.

  • Experience working with Electronic Health Record, preferably Epic.

  • Advanced level reading, writing and oral communication skills along with knowledge of Microsoft office products.

  • Job requires frequent travel between clinic locations (75% travel).

  • Normal office environment where there is no reasonable potential for exposure to blood or other high risk bodily fluid.

We are primarily seeking someone with strong experience in Mental and Behavioral Health for this role.

This is a fully remote position. There is no required travel to our Main Campus in Milwaukee.

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.

Certifications/Licenses:

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Verbal Communication Skills
  • Analytical Thinking
  • Microsoft Office

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