Profee Surgical Coding Specialist III - REMOTE

At Children’s Wisconsin, we believe kids deserve the best.

Children’s Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.

We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.

Please follow this link for a closer look at what it’s like to work at Children’s Wisconsin: https://www.instagram.com/lifeatcw/

The Profee Surgical Coding Specialist III (Pediatric Urology and ENT) will work in collaboration with Ancillary or specialty departments/locations/providers to code, review and release charges in a timely manner and to ensure correct coding, billing compliance and complete charge capture. Collaborates with providers and other departmental staff/leaders on coding or charge capture related questions/topics.

• 100% Remote
• Full time:  Monday-Friday (40 hrs per week)

Experience:

• 3 years of experience of Profee coding in a healthcare position required
• Specialty surgical coding knowledge in Pediatric Urology and Pediatric ENT preferred

Knowledge, Skills and Abilities:

• Knowledge of ICD10, CPT and HCPCS coding guidelines.  
• Working knowledge of CCI edits, healthcare insurance guidelines and other regulatory guidance.
• Prior use of an Electronic Health Record.
• Epic experience preferred.
• Excellent communication (oral and written) skills.
• Ability to work independently, exercise independent judgment and solve problems effectively.

Licenses and Certifications:

Certification: one of the following:

• CPC-Certified Professional Coder - American Board of Professional Coders
• CCS-P-Certified Coding Specialist Physician Based - American Health Information Management Association
• CCS-Certified Coding Specialist - American Health Information Management Association
• RHIT-Registered Health Information Technician - American Health Information Management Association

Essential Functions:

Assigns or verifies CPT, ICD-10 CM coding and modifiers based upon documentation. Subject matter expert in one or more specialties and may also cover multiple surgical/medical specialties for abstraction, ambulatory and/or surgical/procedural coding. Ensures compliance with official coding guidelines.

Education:

High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) required

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.

Certifications/Licenses:

+ one of the following: - N/A, CCS-Certified Coding Specialist - American Health Information Management Association, CCS-P-Certified Coding Specialist Physician Based - American Health Information Management Association, CPC-Certified Professional Coder - American Board of Professional Coders, RHIT-Registered Health Information Technician - American Health Information Management Association