Coding Audit & Education Coordinator

Children's Wisconsin

. Conduct research on appropriate coding of services for all specialties using reputable professional coding sources .

Posted 11/11/2026full-timeRemote • Wisconsin • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Expertise in multispecialty coding, including CPT, ICD-10-CM, and HCPCS coding guidelines, along with the ability to develop educational materials and collaborate on coding policies. Strong problem-solving skills and independent judgment are essential for reducing coding denials and maintaining accurate coding practices.

Highest-signal resume keywords

CPT CodingICD-10-CM CodingHCPCS CodingCertified Professional Coder (CPC)Multi-Specialty Coding Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Professional CodingCoding ResearchCoding Guidelines KnowledgeDocumentation Policies UnderstandingCoding Denial Reduction

Soft Skills

Excellent Communication SkillsIndependent JudgmentProblem-Solving Ability

Tools & Technologies

Electronic Health Record (EHR)

Certifications & Qualifications

Certified Professional Coder (CPC)Certified Coding Specialist (CCS)Certified Coding Specialist Physician Based (CCS-P)Registered Health Information Technician (RHIT)

Industry Keywords

Healthcare Insurance GuidelinesCCI EditsRegulatory GuidanceTeaching Physician PoliciesProfessional Coding Policies

About the role

Key responsibilities & impact

Conduct research on appropriate coding of services for all specialties using reputable professional coding sources
Research new service lines, newly released procedure or diagnosis codes, and current coding practices
Ensure accurate Professional coding and provide providers with accurate coding guidance
Serve as an expert in multispecialty coding, including surgical, inpatient, emergency and/or ambulatory coding
Assign CPT, ICD-10-CM codes and modifiers based on documentation
Research new services performed by providers supported by the Professional Coding team
Develop educational materials based on research of new or existing services
Maintain understanding of Teaching Physician and Provider documentation policies
Collaborate with organizational teams to evaluate Professional Coding policies and workflows
Identify opportunities to reduce preventable Professional Coding denials and implement reduction plans
Develop and maintain internal Professional Coding guidelines
Provide feedback on processes and assist in developing new processes

Requirements

What you’ll need

High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) required
Associate's Degree preferred
Bachelor's Degree preferred
4 years of experience in a multi-specialty physician practice, coding multiple medical/surgical specialties/subspecialties required
One of the following certifications required: CPC (Certified Professional Coder), CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist Physician Based), or RHIT (Registered Health Information Technician)
Advanced knowledge of ICD10, CPT and HCPCS coding guidelines, payer and governmental policies
Working knowledge of CCI edits, healthcare insurance guidelines and other regulatory guidance
Prior use of an Electronic Health Record
Ability to accurately research coding topics using a variety of resources
Excellent communication (oral and written) skills
Ability to work independently, exercise independent judgment and solve problems effectively

Benefits

Comp & perks

100% remote
Full time - 40 hours per week
Monday-Friday
No Evenings or weekends