Medical College of Wisconsin · 3 weeks ago
Coding Quality Analyst
United States
Full-time
Remote
Senior Level
$74K/yr - $95K/yr
6+ years expThe Medical College of Wisconsin is seeking a Coding Quality Analyst to serve as an expert resource for multi-specialty documentation, coding, and billing. This role involves performing medical coding audits, educating clinicians and coding staff, and ensuring compliance with coding guidelines and regulations.
EducationHealthcareHigher EducationMedical
No H1B
Responsibilities
Expert resource of multispecialty coding, charge capture and reimbursement which may include surgical, inpatient, emergency and/or ambulatory coding; assignment or verification of CPT, ICD-10 CM coding and modifiers based upon documentation
Participate in workgroups to evaluate, produce and/or update policies and procedures related to internal process in relation to documentation, coding, and billing
Educate/train new and existing employees in multispecialty clinical areas, include government documentation and coding regulations. Assist lead/CS IV team in educational session, include coding/charge capture process and Epic related changes
Onboard/educate new and existing physicians and APP’s on documentation and coding rules and regulations
Perform documentation and coding audits on clinicians and coding specialist staff for coding accuracy
Support Charge Capture Team in analyzing coding denial trends and troubleshooting solutions such as front-end system edits and/or front-end education to minimize reimbursement delays
Assist in the training of coworkers, coding staff, clinicians as appropriate to provide evaluation, education and/or orientation adhering to CPT, ICD-10CM and Government documentation and coding regulations
Subject Matter Expert for Encoder Pro
Participates in new employee orientation to acquaint them with the charge capture process
Maintain current knowledge of medical terminology, procedure codes, modifiers, diagnosis codes, coding requirements and practices. Communicates changes to appropriate persons
Review payer policy publications, notices and websites for coding and policy information to assist in appeal writing or to support other action determinations
Responsible for the day-to-day prioritization and the execution of various projects
Perform other duties or projects as assigned
Other duties as assigned
Qualification
Required
Bachelor's Degree
6 years of experience
Coding certification (CPC, CCS-P) and/or Health Information Management credential (RHIT, RHIA)
Preferred
Front end professional coding
Epic
Encoder Pro
Benefits
Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options
403B Retirement Package
Competitive Vacation and Paid Holidays offered
Tuition Reimbursement
Paid Parental Leave
Employee & Family Assistance Program (EFAP)
Pet Insurance
On campus Fitness Facility, offering onsite classes
Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.
Company
Medical College of Wisconsin
Medical College of Wisconsin is a school in Milwaukee.
5001-10000 employees
Funding
Current Stage
Late StageTotal Funding
$30.2MKey Investors
Avalon Action Alliance"US Department of Commerce, Economic Development Administation"National Institutes of Health
2026-06-30Grant· $7.5M
2024-07-03Grant
2023-08-17Grant
Leadership Team
Shekar Kurpad
President and Chief Executive Officer
Recent News
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