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Children's WisconsinCW

Profee Surgical Coding Specialist III - REMOTE

Children's Wisconsin is the sole independent health care system in the region focused entirely on children's health, providing a diverse range of services and care options.

Children's Wisconsin

Employee count: 1001-5000

United States only

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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 Urologyand Pediatric ENTpreferred

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

About the job

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Job type

Full Time

Experience level

Education

High school
Professional certificate

Experience

3 years minimum

Location requirements

Hiring timezones

United States +/- 0 hours

About Children's Wisconsin

Learn more about Children's Wisconsin and their company culture.

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At Children's Wisconsin, we care deeply about the health and well-being of children throughout the region. As the only independent health care system in Wisconsin dedicated exclusively to pediatric care, we focus on providing specialized medical, dental, and behavioral health services tailored to meet the unique needs of children. Our comprehensive approach encompasses a variety of treatments and programs, extending from routine care to complex medical cases, ensuring every child receives the highest quality of care.

Our facilities are equipped with state-of-the-art technology, and our team consists of pediatric experts who are not only highly trained but also passionate about making a difference in the lives of children and their families. Children's Wisconsin has a rich history dating back to 1894, continually growing and adapting to meet the ever-evolving landscape of pediatric healthcare. Our commitment goes beyond immediate treatments; we actively engage in community outreach and educational programs aimed at preventing health issues and promoting wellness among children, emphasizing that a foundation for good health starts early in life. Through our innovative practices, we aim to set new standards in pediatric care, ensuring that every child has the opportunity to thrive.

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Children's Wisconsin

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