ProFee Coding Specialist III

Children's Wisconsin

. Collaborate with ancillary or specialty departments, locations, and providers to code, review, and release charges timely .

Posted 11/3/2026full-timeRemote • Wisconsin • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in CPT, ICD-10-CM coding, and compliance with coding guidelines while effectively collaborating with clinical staff and providers to ensure accurate charge capture and billing processes.

Highest-signal resume keywords

CPT CodingICD-10-CM CodingCharge CaptureCPC CertificationEpic Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Pro-Fee E/M CodingInpatient CodingBedside Procedure CodingClaim Edits ManagementDenial ResolutionHealthcare Insurance GuidelinesCCI Edits KnowledgeCoding ComplianceSpecialty Coding Knowledge

Soft Skills

Excellent Communication SkillsIndependent JudgmentProblem Solving

Certifications & Qualifications

CPCCCS-PCCSRHIT

Industry Keywords

Charge Capture ComplianceCoding GuidelinesRegulatory GuidanceMulti-Specialty CodingTeaching Physician Documentation

About the role

Key responsibilities & impact

Collaborate with ancillary or specialty departments, locations, and providers to code, review, and release charges timely
Ensure correct coding, billing compliance, and complete charge capture
Collaborate with providers and departmental staff and leaders on coding and charge capture questions
Assign or verify CPT, ICD-10-CM coding, and modifiers based on documentation
Serve as subject matter expert in one or more specialties and cover multiple surgical or medical specialties for abstraction, ambulatory, and/or surgical/procedural coding
Ensure compliance with official coding guidelines
Resolve edits for various charges according to established policies and procedures
Monitor charge capture volumes and work queues
Support department leaders, administrators, clinical staff, and revenue cycle staff with consistent and accurate charge capture
Work with clinic staff and providers regarding missing or unclear billing information
Query providers as needed and coordinate responses to provider questions
Identify coding trends and educational opportunities for providers and staff
Identify opportunities to reduce denials
Develop and maintain protocols and processes for assigned areas
Maintain understanding of teaching physician and provider documentation policies
May train other coders on new departments or specialties

Requirements

What you’ll need

Three years of experience coding Pro-Fee E/M services for multi-specialty required
Inpatient experience preferred
Experience coding bedside procedures in the inpatient setting
Experience working claim edits and denials
Epic experience preferred
One of the following certifications: CPC (Certified Professional Coder), CCS-P (Certified Coding Specialist Physician Based), CCS (Certified Coding Specialist), or RHIT (Registered Health Information Technician)
High School graduate, GED, or HSED required
Knowledge of ICD-10, CPT, and HCPCS coding guidelines
Working knowledge of CCI edits, healthcare insurance guidelines, and other regulatory guidance
Excellent oral and written communication skills
Ability to work independently, exercise independent judgment, and solve problems effectively
Specialty coding knowledge

Benefits

Comp & perks

Full-time schedule, Monday-Friday, 40 hours per week