<h3>It's more than a career, it's a calling.</h3>WI-REMOTE<h3>Worker Type:</h3>Regular<h3>Job Summary:</h3>Coordinates, organizes and prioritizes the work flow activities for the coding area.<h3>Job Responsibilities and Requirements:</h3><h3>PRIMARY RESPONSIBILITIES</h3><ul><li>Leads and/or coordinates shift operations, work assignments and daily priorities of assigned activities, resources, and/or associates. Serves as a leader through modeling, mentoring and training assigned staff.</li><li>Manages assigned charge review and coding-related claim work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plan follow-up steps.</li><li>Reviews medical record documentation in the electronic health record and/or on paper. Identifies, enters and posts CPT-4 and ICD-10 codes to the electronic health record. Identifies need for medical records from outside the organization and follows established procedures to obtain. Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines.</li><li>Contacts providers and/or support staff when clarification is needed to appropriately bill for services. Ensures all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or payer-specific guidelines.</li><li>Assists coding staff, physician, and other health care practitioners with questions regarding coding and documentation guidelines. Provides ongoing feedback based on observations from coding physician/provider documentation. Assists in educational needs of coding staff based on these conversations and questions.</li><li>Corrects claim edit errors in the work queues, assures charges provide optimal appropriate reimbursement with appropriate documentation. Provides feedback and guidance to coders and clinicians on recurring errors. Suggests rules to proactively work these edits prior to claim edit.</li><li>Partners with follow-up department to analyze payer updates affecting/resulting in coding denials and applies knowledge to assist in correction, submission, and payment of claims. Tracks denials and reports trends to leadership. Provides feedback and guidance to coders and providers when there are recurring issues or new trends.</li><li>Is watchful for charge review, claim edit, and coding-related denial trends and shares trends with supervisor, managers, and team members to facilitate root cause analysis and continuous process improvement. Assists coding teammates with coding questions, charge review, claim edits, payer requirements, and clarification of policies, procedures, and processes where needed.</li><li>Performs other duties as assigned.</li></ul><h3>EDUCATION</h3><ul><li><p>High School diploma/GED or 10 years of work experience</p></li></ul><h3>EXPERIENCE</h3><ul><li>Three years' experience</li></ul><h3>PHYSICAL REQUIREMENTS</h3><ul><li>Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.</li><li>Fr