Medical Coding Specialist (0.8 FTE)

Western Wisconsin Health is looking for a full-time Medical Coding Specialist (0.8 FTE) to join the Health Information Management department. The Medical Coding Specialist is responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. Under the direction of the HIM Director, accurately code inpatient, observation, outpatient diagnostic, therapeutic, consultative, emergency department services, ambulatory surgery (same day surgery), and clinic encounters, as assigned.  Obtain appropriate reimbursement levels for professional services by reviewing and coding clinical diagnoses and procedures for physician visits and other services, conditions and procedures as documented in the ICD-10-CM and Official Guidelines for Coding and Reporting and CPT Coding Guidelines. Resolve errors associated with billing software edits, identify and report error patterns, and assist in design and implementation of workflow changes to reduce billing errors and improve coding efficiencies as appropriate for area of coding responsibility.  Analyze denial and rejection reports and appeals whenever appropriate. Provide information and direction relevant to coding, to the physicians. Submit charges in a timely manner. All of this is done to support the organization’s mission while living our values.