About Sauk Prairie Healthcare
Sauk Prairie Healthcare is a not-for-profit healthcare network based in Prairie du Sac, Wisconsin. We provide a comprehensive range of primary and specialty services, including a 36-bed acute care hospital, a wellness center, and two surgical specialty practices in Prairie du Sac, along with four primary care clinics in nearby towns like Mazomanie and Spring Green. Our integrated, community-focused approach ensures high standards for patient excellence, safety, and overall quality.
We’re proud recipients of multiple Advisory Board’s Workplace of the Year Awards and Press Ganey’s Guardian of Excellence Awards for Patient Experience and Clinical Quality. Our team of experienced healthcare professionals provides exceptional care in a local, hometown setting. Services we offer include a Birth Center, Joint Health Center, general surgery, orthopedics, emergency care, family medicine, and urology.
Careers at Sauk Prairie Healthcare
At Sauk Prairie Healthcare, over 600 dedicated individuals work together to make a real difference in the lives of our patients. We support our staff with manageable workloads and patient ratios, fostering a close-knit, multidisciplinary team environment. Our commitment to providing excellent, personalized care has earned us significant distinctions in patient experience and quality, reflecting our belief that truly caring leads to better care.
Job Title: Medical Coding Specialist (Outpatient)
Location: Remote (Wisconsin residency required) Schedule: Full-time, 40 hours/week (Monday-Friday, 7:00 AM – 3:30 PM) No Holiday, Weekend, or On-Call Rotations
Position Summary
As a Medical Coding Specialist, you’ll play a vital role in healthcare by reviewing medical reports and physician documentation for both clinic and hospital outpatient services. Your primary responsibility will be to apply accurate diagnostic and procedural codes to patient health information, which is essential for claims processing, data retrieval, and analysis.
Technical Responsibilities
You’ll be responsible for:
- Assigning codes for outpatient services using established coding protocols like ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) for both facility and professional services, including Emergency Room and Urgent Care providers.
- Auditing electronic medical records to ensure patient and insurance information, diagnoses, and procedure codes are accurate for proper billing and reimbursement.
- Resolving coding edits from National Correct Coding Initiatives (NCCI) and Outpatient Code Editor (OCE).
- Communicating with clinical departments and medical billing staff to clarify coding guidelines and resolve claim issues.
- Identifying and communicating missed revenue opportunities to ambulatory departments.
- Collaborating with business analysts to create new charge codes when needed.
- Investigating and appealing denied claims from insurance carriers to secure accurate reimbursement.
- Abstracting relevant patient information from hospital information systems.
- Querying physicians for documentation clarification or code assignment.
- Identifying coding concerns or trends and escalating them to Revenue Cycle leadership when necessary.
- Providing education on coding changes and staying current with industry updates through continuing education.
- Assisting with the development of coding policies and procedures.
- Training new employees and offering job shadowing support.
- Performing other related duties as assigned.
Position Requirements
Education:
- Required: Successful completion of a professional coding course recognized by AHIMA (American Health Information Management Association) or AAPC (American Academy of Professional Coders), OR an Associate’s degree in a healthcare-related program.
- Preferred: Associate’s degree in a healthcare-related program.
Experience:
- Required: None
- Preferred: Prior ambulatory coding experience.
Certifications:
- Required: Must obtain one of the following certifications from AHIMA or AAPC within six months of hire and maintain it:
- RHIT (Registered Health Information Technician)
- RHIA (Registered Health Information Administrator)
- CCA (Certified Coding Associate)
Benefits
We offer a competitive benefits package, including:
- Comprehensive health and dental insurance.
- Flexible paid time off to help you balance work and life.
- A retirement plan with immediate vesting and employer matching contributions.
- Discounted membership to our cutting-edge fitness facility.
- Generous tuition reimbursement.
- Employer-provided life and disability insurance.
- Free (implies a service or benefit not fully specified, but likely a valuable perk).
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