Medical Billing and Coding

• Collaborate with ancillary or specialty departments, locations, and providers to code, review, and release charges promptly
• 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, medical, ambulatory, and procedural coding areas
• Ensure compliance with official coding guidelines
• Resolve charge edits 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 to resolve missing or unclear billing information
• Query providers and coordinate responses to provider questions
• Identify coding trends and educational opportunities
• Identify opportunities to reduce denials
• Develop and maintain protocols and processes for assigned responsibilities
• Maintain understanding of teaching physician and provider documentation policies
• Train other coders on new departments or specialties as needed

Explore ProFee Inpatient Coding Specialist III at Children's Wisconsin. Review requirements and application details.