Medical Coding & Educatn Specialist

Mercy Health System Janesville , WI 53548

Posted 3 weeks ago

JOB SUMMARY Provides physician, medical staff and other medical departments with ongoing coding education, coding regulations and policy updates. Performs other duties as assigned. # ESSENTIAL DUTIES AND RESPONSIBILITIES # Reviews medical records for appropriate coding levels and reimbursement.

Direct coding staff with education, chart reviews and works with Medical Records staff on random audits to assure coding accuracy. Design and run training sessions on a regular or as needed basis. Administer coding resources for all coding staff and physicians.

Develop efficient coding processes for coding staff and physicians. Offer input to the Physician Billing Department on policies and procedures as they relate to coding and documentation. Maintain regular contact and concise communication with providers.

Maintain current coding library for MHS clinics. Maintain CPC certification Required to work weekends, holidays and reasonable amounts of overtime if necessary. Maintain patient confidentiality Attend all mandatory in-service and department meetings.

Maintain a professional appearance and encourage behavior appropriate for a healthcare setting. Actively participate in organization committees. Consistently demonstrate a self-directed, mature, disciplined and tactful approach to completing work duties. Keep updated on applicable regulations, laws and new procedures. # CULTURE OF EXCELLENCE BEHAVIOR EXPECTATIONS To perform the job successfully, an individual should demonstrate the following behavior expectations: # Quality

  • Follows policies and procedures; adapts to and manages changes in the environment; Demonstrates accuracy and thoroughness giving attention to details; Looks for ways to improve and promote quality; Applies feedback to improve performance; Manages time and prioritizes effectively to achieve organizational goals. # Service

  • Responds promptly to requests for service and assistance; Follows the Mercyhealth Critical Moments of service; Meets commitments; Abides by MH confidentiality and security agreement; Shows respect and sensitivity for cultural differences; and effectively communicates information to partners; Thinks system wide regarding processes and functions. # Partnering

  • Shows commitment to the# Mission of Mercyhealth and Culture of Excellence through all words and actions; Exhibits objectivity and openness to other#s views; Demonstrates a high level of participation and engagement in day-to-day work; Gives and welcomes feedback; Generates suggestions for improving work: Embraces teamwork, supports and encourages positive change while giving value to individuals. # Cost

  • Conserves organization resources; Understands fiscal responsibility; Works within approved budget; Develops and implements cost saving measures; contributes to profits and revenue. # EDUCATION # EXPERIENCE # High School graduate or equivalent Must be a Certified Professional Coder or have equivalent experience Maintain a CPC certification Four years coding experience in a medical practice setting, billing office, consulting firm or other related organizations. ADDITIONAL REQUIREMENTS Passing the Driver#s License Check and/or Credit Check (for those positions requiring). Passing the WI Caregiver Background Check and/or IL Health Care Workers Background Check.

    Must be able to follow written/oral instructions. OTHER SKILLS AND ABILITIES ###

Familiarity and experience with ICD-10, CPT and HCPC codes. Working knowledge of medical practice and medical terminology.

Maintain patient confidentiality Ability to operate a computer, word processing, and spreadsheet software. Ability to interact and effectively communicate verbally and in writing with coworkers, physicians, patients and patient#s families.# Required to work weekends, holidays and reasonable amounts over overtime when necessary.



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Computer Skills To perform this job successfully, an individual should have knowledge of EPIC; Payor Sites for coding regulations and guidelines, Internet software; Excel Spreadsheet software and Word Processing software. # Language skills Ability to read, interpret and write business correspondence. Ability to effectively present information and respond to questions from groups within Mercyhealth. # WORK ENVIRONMENT The noise level in the work environment is usually moderate.

Occupational Exposure: Category C - No partners in the specified job classification have occupational exposure. # AGE OF PATIENTS SERVED ######



Neonate (birth # 28 days) ######



Infant (29 days # less than 1 year) ######



Pediatric (1 year # 12 years) ######



Adolescents (13 years # 17 years) ######



Adult (18 years # 64 years) ######



Geriatric (65 years and older) # INFORMATION ACCESS Partner may access patient care information needed to perform their duties. # WORK CONTACT GROUP ### Physicians, nurses, medical records and other billing department staff.



##################



SPECIAL PHYSICAL DEMANDS The Special Physical Demands are considered Essential Job Function of the position with or without accommodations Manual dexterity to operate a keyboard, mouse and telephone. Must be able to hear; speak, read and write in English.

Must be able to walk, sit, crawl, crouch, climb, balance, touch, finger and feel. While performing the duties of this Job, the employee is regularly required to use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee may be required to stand; walk; sit and stoop, kneel, crouch, or crawl. Specific vision abilities required by this job include close vision and ability to adjust focus.

This position is critical for educating both coders and providers on CMS policy and AMA documentation guidelines. Auditing is a big part of this role which ensures compliance and accuracy with our reported services.



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Medical Coding & Educatn Specialist

Mercy Health System