CODING EDUCATOR & AUDITOR, FCH - NEMG REVENUE CYCLE
Boost your chances before you apply.
Froedtert
Manitowoc, WI, US
Summary
The role involves developing and conducting coding and billing training programs while ensuring compliance with government and third-party regulations. Additionally, the incumbent will perform medical coding audits for providers and staff to address educational needs and maintain documentation standards.
Job Description
Discover. Achieve. Succeed. #BeHere
Location: US:WI:MANITOWOC at our FROEDTERT HOLY FAMILY MEM HOSP facility.
This job is REMOTE.
FTE: 1.000000
Standard Hours: 40.00
Shift: Shift 1
Job Summary:
Responsible for developing and conducting coding and billing training programs for a multi-specialty physician practice and coding support staff while remaining compliant with government and third party payer regulations and guidelines. Perform medical coding audits for providers and coding specialists resulting in detailed reports; addressing educational needs as appropriate. Responsible for revenue cycle billing coding and documentation compliance for governmental payers. Works with revenue producing departments regarding billing compliance and regulatory updates. Update providers, coders and billing office staff on changes in CPT, ICD and HCPCS codes as well as changes to government payer regulations and guidelines. This role will work collaboratively with Community Physician professional services providers; Patient Financial Services (Billing & Collections); Charge Capture; Epic Charge Process; Clinic Operations; Clinical Compliance and Health information and Management staff.
EXPERIENCE DESCRIPTION:
A minimum of 3 years of experience of providing education / training and or auditing related to CPT, ICD-10 and HCPCS codes for a multiple specialty physician practice is required. Knowledge of revenue cycle with a focus on Medicare and Medicaid regulatory and billing guidelines is required. A minimum of 3 years of experience with Multi Specialty CPT Coding. Experience developing and providing education (CPT and ICD-9-CM) education to providers and coding staff. Experience with performing provider and coding specialist audits. Other areas of experience may include: Health Information management.
EDUCATION DESCRIPTION:
Associate's Degree in Health Care related field is required. In lieu of a degree a High School diploma or equivalent and 7 years of relevant experience will be considered. Coding Credential from AHIMA (CCS-P) or AAPC (CPC) etc. Bachelors Degree in Health Care related field is preferred. RHIT or RHIA degree is preferred.
SPECIAL SKILLS DESCRIPTION:
Practice Management computer experience required. Prior education and presentation experience preferred, as well as proficiency in Microsoft Office Applications (Word, Excel, PowerPoint). Current knowledge of coding, billing, and Medicare regulations and coverage guidelines. Enjoy and excel at speaking in front of large groups.Self directed worker who can effectively manage large projects and multiple priorities. Demonstrate critical thinking, good oral/written communication skills and the ability to create accurate, interesting and effective education materials and presentations.
LICENSURE DESCRIPTION:
Professional Coding Certification (CPC) is required. RHIT or RHIA certification is preferred.
Compensation, Benefits & Perks at Froedtert Health
Pay is expected to be between: (expressed as hourly) $24.05 - $38.48. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.
Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following:
- Paid time off
- Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
- Academic Partnership with the Medical College of Wisconsin
- Referral bonuses
- Retirement plan - 403b
- Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
- Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available
The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.
We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.
The Froedtert & the Medical College of Wisconsin health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma Center at Froedtert Hospital, Milwaukee, an internationally recognized training and research center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes 10 hospital locations, more than 2,300 physicians and more than 45 health centers and clinics, draws patients from throughout the Midwest and the nation. In our most recent fiscal year, outpatient visits were more than 1.6 million, inpatient admissions to our hospitals exceeded 57,500 and visits to our network physicians totaled more than 1.28 million.
In addition to Froedtert Hospital, the network includes Froedtert Bluemound Rehabilitation Hospital, Froedtert Holy Family Memorial Hospital, Froedtert Menomonee Falls Hospital, Froedtert West Bend Hospital and Froedtert Community Hospital with locations in Mequon, New Berlin, Oak Creek and Pewaukee. The health network represents the collaboration of Wisconsin’s largest multispecialty physician practice with two community-based physician groups. In 2017, an existing affiliation with the former United Hospital System was expanded to include what is now known as Froedtert Pleasant Prairie Hospital and related clinics in the network. In 2024, Froedtert Health and ThedaCare became one organization, making it possible for the health network to enhance access to care for more people in Wisconsin.
Company size
10,001+ employees
Industry
Hospitals and Health Care
Org type
Nonprofit
Headquarters
Milwaukee, WI
The Froedtert & the Medical College of Wisconsin health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma Center at Froedtert Hospital, Milwaukee, an internationally recognized training and research center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes 10 hospital locations, more than 2,300 physicians and more than 45 health centers and clinics, draws patients from throughout the Midwest and the nation. In our most recent fiscal year, outpatient visits were more than 1.6 million, inpatient admissions to our hospitals exceeded 57,500 and visits to our network physicians totaled more than 1.28 million.
In addition to Froedtert Hospital, the network includes Froedtert Bluemound Rehabilitation Hospital, Froedtert Holy Family Memorial Hospital, Froedtert Menomonee Falls Hospital, Froedtert West Bend Hospital and Froedtert Community Hospital with locations in Mequon, New Berlin, Oak Creek and Pewaukee. The health network represents the collaboration of Wisconsin’s largest multispecialty physician practice with two community-based physician groups. In 2017, an existing affiliation with the former United Hospital System was expanded to include what is now known as Froedtert Pleasant Prairie Hospital and related clinics in the network. In 2024, Froedtert Health and ThedaCare became one organization, making it possible for the health network to enhance access to care for more people in Wisconsin.
Company size
10,001+ employees
Industry
Hospitals and Health Care
Org type
Nonprofit
Headquarters
Milwaukee, WI