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Coding Specialist IV Lead
Coding Specialist IV Lead-June 2024
Milwaukee
Jun 13, 2025
About Coding Specialist IV Lead

  JOB REQUIREMENTS: Position Description: Every day, in ways both big andsmall, the Medical College of Wisconsin (MCW) is impacting lives for thebetter. MCW ... changemaking for a healthier Wisconsin. In the role ofCoding Specialist IVyou will beworking in the Clinical Practice Servicesdepartment. You will serve as expert resource regarding all aspest ofdocumentation, coding and billing. Support supervisor and team byguiding and directing specific employees in their day to day jobfunctions. Train new and existing staff. Provide cross coverage formulitple specialty areas. Investigate and resolve issues pertaining tocharge capture, billing and reimbursment. Complete special projects asassigned. Act as supervisor in supervisors absence. Responsibilities:CHARGE PROCESSING Expert knowledge of multispecialty coding which mayinclude surgical, inpatient, emergency and/or ambulatory coding;assignment or verification of CPT, ICD-10 CM coding and modifiers basedupon documentation. Guide and direct specific employees in theirday-to-day job functions. Answer questions and resolve coding andbilling issues. Identify, report, and resolve coding and reimbursementissues with physicians, department administrators and other billingoffice staff, including reimbursement staff. Resolve edits forelectronic charges, following established policies and procedures toensure that all data elements (claim requirements - CPT, ICD-10 CM,modifiers, provider, billing area, etc.) are applied. Resolve edits forelectronic charges, following established policies and procedures toensure that all data elements (claim requirements - CPT, ICD-10 CM,modifiers, provider, billing area, etc.) are applied Serve as a resourceto staff for accurate assignment of CPT procedure and ICD-10-CMdiagnosis coding of complicated multi-specialty services for appropriatereimbursement Provide out of office coding coverage to multi-specialtyareas. ASSIST WITH TEAM SUPERVISION AND SPECIAL PROJECTS Primary contactfor staff when issues or questions arise. Monitor team workflow, assignand re-assign work to meet team and organizational goals. Quality reviewof staff work and workflows. Act as Supervisor in Supervisor\'s absence.TRAINING STAFF Onboarding/training of new or existing coding specialiststaff. CLAIM DENIALS/BILLING ISSUES Identify report and resolve codingand reimbursement issues. Work with physicians, departmentadministrators and other billing office staff, including reimbursementstaff. Identify opportunities to reduce denials and enhance revenue.PROTOCOLS Develop and maintain all protocols related to theirassigned... For full info follow application link. EEO/AAMinorities/Females/Vets/Disability The Medical College of Wisconsin isan affirmative action/equal opportunity employer and does notdiscriminate in hiring or employment on the basis of age, sex, race,color, religion, national origin, veteran status, disability or sexualorientation. ***** APPLICATION INSTRUCTIONS: Apply Online:ipc.us/t/6413C27C571B48A5 Qualified females, minorities, and specialdisabled veterans and other veterans are encouraged to apply.

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