Medical Coding Auditor Jobs in Wisconsin (NOW HIRING)

Will support:

• Cardiology

Schedule:

• First shift 8:00am - 5:00pm

Certification required:

• An active coding certification issued by the American Academy of Coders (AAPC) OR

• American Health Information Management Association (AHIMA);

• Dual certifications, preferred

Remote opportunity:

Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY

Pay Range:

Major Responsibilities:

• Independently perform complex, specialty-specific professional fee coding (CPT/HCPCS and ICD-10-CM) for physician servicesrenderedin both office and hospital settings, ensuring expert application of modifiers and E/M guidelines, or;

• Perform entry-level facility coding for simple outpatient encounters (e.g., diagnostic imaging, labs) and basic inpatient services (e.g., uncomplicated admissions, short stays) using ICD-10-CM and ICD-10-PCS,where applicable

• Ensure all coding adheres strictly to official guidelines (e.g., provided by AAPC or AHIMA), federal regulations (CMS), and organizational compliance standards

• Identifythe need forformal clinical queries for documentation clarification when necessary for professionalorfacility records

• Maintain high accuracy and productivity standards appropriate to the complexity of the assigned workload

• Mayprovideinformal guidance to new coding staff on professionalcodingnuances

Licensure, Registration, and/or Certification Required:

• An active coding certification issued by the American Academy of Coders (AAPC) OR

• American Health Information Management Association (AHIMA);

• Dual certifications, preferred

Education Required:

• Completion of an accredited medical coding or HIM program(or equivalentexperience)

• High School Diploma or Equivalent required

Experience Required:

• Minimum of 3-5 years of direct professional fee coding experience in a multi-specialty environment isrequired

• Experience with professional procedural coding (e.g., surgical, interventional procedures) is preferred

• Experience with Epic or similar electronic health record systems isrequired

Knowledge, Skills & Abilities Required:

• Proficientknowledge of medical terminology, anatomy, and pathophysiology

• Advancedproficiencyin CPT/HCPCS and ICD-10-CM/PCS coding systems

• Basic understanding of facility payment methodologies (MS-DRGs) as they apply to simple encounters

• Strong analytical skills, attention to detail, and ability to context-switch between different coding guidelines

• Ability to work independently, manage a varied workload, and meet deadlines in a fast-paced environment

Physical Requirements and Working Conditions:

• Exposed to normal office environment in a remote work setting

• Job mayrequireoccasional travel for training or meetings, therefore, may be exposed to road and weather hazards

• May need to be able tolift upto 40 lbs. occasionally (e.g., equipment)

• Sitsthe majority ofthe workday, but also may lift, reach, and bend throughout the day

• Operates all equipment necessary to perform the job

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

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Our CommitmenttoYou:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

• Premium pay such as shift, on call, and more based on a teammate's job

• Incentive pay for select positions

• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs

• Health and welfare benefits such as medical, dental, vision, life, andShort- and Long-Term Disability

• Flexible Spending Accounts for eligible health care and dependent care expenses

• Family benefits such as adoption assistance and paid parental leave

• Defined contribution retirement plans with employer match and other financial wellness programs

• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.