Medical Coding Specialist II

• Medical Coding Specialist, Janesville, Days, 80 hrs / wks
• Hybrid, Remote, and flexible work schedule opportunities available. Mercyhealth does not currently support remote workers with residency in the following states: CA, OH, OR, PA, NJ, NY.

Reviews assigned providers' procedure and diagnosis codes, and makes coding changes as necessary. Provides timely feedback to providers regarding documentation guidelines, coding, and audits. Performs other duties as assigned. May be asked to work weekends and reasonable amounts of overtime when necessary.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Reviews, analyzes, and interprets provider documentation with regards to procedure and diagnosis code selection.
• Performs audits of provider coding and documentation to make recommendations for improvements and enhancements.
• Maintains a close working relationship with assigned providers and medical office, frequently querying the provider when coding discrepancies arise.
• Researches any coding inquiries the provider or medical staff may have, and presents findings to them.
• Reviews hospital, clinical, and surgical documentation and the assigned diagnosis and procedure codes, releasing charges within the Epic system. Identifies discrepancies between the provider code selection and the medical record documentation; makes appropriate corrections, and presents findings and education to the provider.
• 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.
• Works with billing partners in developing efficient coding processes and researching denials.
• Responds to customer concerns through coding reviews requested by other departments.
• Conducts provider coding orientation and education sessions and documents all information presented.
• Maintains an in-depth knowledge of Epic ambulatory and hospital modules.
• Works as a team to achieve productivity goals.

EDUCATION AND EXPERIENCE

High School graduate or equivalent
Two years of experience coding professional services in multiple specialties

CERTIFICATION AND LICENSURE

Certified Professional Coder (CPC) or other equivalent coding certification required

Mercyhealth offers a generous total rewards package to eligible employees including, but not limited to:

* Comprehensive Benefits Package: Mercyhealth offers a retirement plan with competitive matching contribution, comprehensive medical, dental, and vision insurance options, life and disability coverage, access to flexible spending plans, and a variety of other discounted voluntary benefit options.

* Competitive Compensation: Mercyhealth offers market competitive rates of pay and participates in various shift differential and special pay incentive programs.

* Paid Time Off: Mercyhealth offers a generous paid time off plan, which increases with milestone anniversaries, to allow employees the opportunity for a great work-life balance.

* Career Advancement: Mercyhealth offers a number of educational assistance programs and career ladders to support employees in their educational journey and advancement within Mercyhealth.

* Employee Wellbeing: Mercyhealth has a focus on wellbeing for employees across the organization and offers a number of tools and resources, such as an employer-sponsored health risk assessment and a Wellbeing mobile application, to assist employees on their wellbeing journey.

* Additional Benefits: Mercyhealth employees have access to our internal and external employee assistance programs, employee-only discount packages, paid parental and caregiver leaves, on-demand pay, special payment programs for patient services, and financial education to help with retirement planning.