3 jobs found in Oconomowoc

Rogers Behavioral Health in Wisconsin seeks a Lead Professional Coder to oversee the Coding Unit, audit records, and ensure accurate documentation within EHR systems. You will lead education, maintain data integrity, and ensure compliance with Joint Commission and state regulations while collaborating with clinical and administrative teams. The role requires expertise in ICD-9/ICD-10, CPT/HCPCS coding, DRG assignments, and ongoing regulatory updates. #J-18808-Ljbffr

Summary: The Lead Professional Coder is responsible for day-to-day operations of the Coding Unit. The Lead Professional Coder will be auditing, coordinating, and ensuring that optimal coding is associated with medical records, data integrity, and quality of documentation is met in accordance with Rogers Medical Staff by-laws, Joint Commission, Federal and State regulations, in addition to acting as a liaison between clinical and administrative teams such as medical staff, nursing, regulatory, compliance, patient financial services, etc. The Lead Professional Coder is an expert in managing patient health information and medical records, administering computer information systems, collecting and analyzing patient data, and using classification systems and medical terminologies. Possesses comprehensive knowledge of medical, administrative, ethical and legal requirements and standards related to healthcare delivery and the privacy of protected patient information. Interacts with all...

Job Description Job Description Job Summary As a Billing & Coding Specialist, you are responsible for conducting the assigned billing department’s daily operations within the healthcare setting. This includes preparation and submission of claims to insurance companies, ensuring accuracy in billing processes, maintaining records, monitoring and conducting proper follow up with insurance companies, and all other duties as assigned. This position is critical to maintaining a healthy revenue cycle and providing excellent support to patients and providers. Responsibilities: Review medical records and documentation to assign appropriate ICD-10 (International Classification of Diseases, 10th Revision), CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) codes for billing purposes Prepare and submit accurate claims to insurance companies using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems Follow up on unpaid or denied...