JOB REQUIREMENTS: Works Account, Charge Review, Claim Edit and Denial Work queues to verify that billed Hospital, Ancillary, Outpatient and Primary Care Clinic charges have been appropriately identified for each patient visit including Evaluation and Management (E/M) Level, applicable Current Procedural Terminology (CPT) codes, inpatient charges, ICD-10-CM Codes and modifiers as wells as diagnosis codes in accordance with established coding guidelines Codes encounters in accordance with Memorial Hospital of Lafayette County\'s quality and productivity standards Monitors coding of encounters to ensure all are coded in a timely manner and assures charges provide optimal payment to which the facility is legally entitled Communicates with appropriate staff, including providers and Patient Financial services to resolve problems encountered when coding Accurately abstracts, keys or posts codes for facility billing and completion of databases Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines Queries physicians when code assignments are not straightforward or documentation in the medical record is inadequate, ambiguous or unclear for coding purposes Uses knowledge and skills to teach, coach and/or mentor others in the coding process Viewed by coworkers as a reliable resource person in the coding process Resolves National Correction Coding Initiative (NCCI) edits appropriately along with all Coding Edits as according to current Local Coverage Determinations (LCDs), National Coverage Determinations (NCDs) and CMS Articles Researches coding issues using available resources such and the internet, 3M encoder and provided coding books. Reviews issues with Lead Coder/HIM Director and submits tickets to resolve In conjunction with Patient Financial Services, processes denials relating to coding errors Demonstrates and understands the medical legal implications and responsibilities related to the coding of patient records to protect the patient and the business/institution Researches and investigates difficult cases using internet and speaking with the providers/nursing staff Seeks educational opportunities to expand knowledge to new departments Strives to increase coding knowledge by attending seminars, taking education courses and maintaining coding certification Collects, verifies and abstracts defined data elements from patient medical records and enters into computer database Assures encounters are complete and accurate, resolves discrepancies, follows up to ensure completion of missing information Continuously evaluates the quality of physician documentation and completes monthly written audits assuring quality documentation and coding by MHLC providers. Communicates deficiencies to the Lead Coder and HIM Director on a weekly basis Provides education to facility healthcare professionals in use of coding guidelines, practices and proper documentation techniques Educates physicians regarding improvements in documentation to meet established requirements, coding/reimbursement and quality of care issues Maintains confidentiality, is courteous to all customers (Patients, families, and all other hospital staff) addresses and follows up on all customer concerns Acts as a liaison for coding issues between departments Collaborates and communicates with other areas of the department in matters of mutual concern Assists in responding to walk in and phone requests for information when ROI staff is unavailable Communicates effectively by seeking and giving feedback, articulating ideas, listening and sharing information with all stakeholders Participates in a variety of communication medium to stay abreast of current issues within the department and hospital ***** OTHER EXPERIENCE AND QUALIFICATIONS: A minimum of three to four years coding experience. Knowledge of medical terminology, a atomy, physiology, clinical medicine, lCD-10-CM, ICD-10, and CPT-4. ***** APPLICATION INSTRUCTIONS: Apply Online: https://www.lafayettecountywi.org/hr/job-opening/mhlc-full-time-medical-coding-specialist-0