• Medical Coding Technician, Days, 80 Hrs / 2 wks
• Location: Mercycare Bldg, Janesville, WI OR Rockton Ave Campus, Rockford, IL. Hybrid, flexible work schedule, and remote opportunities available. Mercyhealth does not currently support remote workers with residency in the following states: CA, OH, OR, PA, NJ, NY.

Performs coding reviews and claim audits in order to resolve coding edits and denial issues, (outpatient, inpatient, and clinical episodes of care), providing education to all partners. Performs both professional and facility coding functions to ensure compliancy. Performs other duties as assigned. May be asked to work weekends and reasonable amounts of overtime when necessary.

• Reviews, analyzes, and interprets documentation and identifies discrepancies between the code selection and the documentation; corrects them, and presents findings and education to the appropriate partner.
• Resolves pre-bill claim edits from all areas and as identified by claims scrubbing software.
• Maintains a close working relationship with departmental staff, frequently querying them and providing education when coding discrepancies arise.
• Researches and provides education to all partners regarding CMS policies related to outpatient coding, inpatient coding, and professional fee coding, and presents findings to them.
• Solves complex billing and claim denial issues related to coding by researching policies and guidelines.
• Demonstrates extensive knowledge of official coding guidelines established by the American Medical Association (AMA), the Center for Medicare & Medicaid Services (CMS) and contracted payers.
• Has a thorough understanding of the differences between professional coding in a clinic setting as compared to professional coding in a hospital setting (outpatient and inpatient), and demonstrates a high skill level in the practical application of that knowledge.
• Maintains an in-depth knowledge of Epic billing, ambulatory, and hospital modules.
• Responds to customer concerns through coding reviews requested by other departments.
• Assists with all coding functions at or above the level of a Medical Coding 1 job description.
• Works as a team to achieve productivity goals.

High School graduate or equivalent
Three years of experience coding professional or hospital services in an outpatient or clinic setting
Knowledge of denial management preferred

Certified in professional or hospital coding (CPC, CPC-H) or other equivalent coding certification required

The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations.
While performing the duties of this job, the partner is regularly required to talk and hear. Eyesight to identify numbers, folders, colors, and computer printouts. Speech to communicate one-on-one and over the telephone. Manual dexterity to operate keyboards, mouse and telephones. Prolonged sitting; use hands to finger, handle, or feel and reach with hands and arms. The partner is occasionally required to stand; walk and stoop, kneel, crouch, or crawl. The partner must occasionally lift and/or move up to 25 pounds.