Coding Auditor & Educator

Outpatient Coding - Team Lead

At Children's Wisconsin, we believe kids deserve the best.

Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country.

We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today.

The Outpatient Coding - Team Lead will assist with the oversight of the daily outpatient surgical coding operations by monitoring work volume and work distribution to maintain optimal efficiency.

This position will also include reviewing & reconciling reports and assigned work queues, troubleshooting problem accounts, researching coding questions and providing coding training as needed.

Position Details:

• 100% Remote
• Full time
• Monday-Friday - 40 hours per week
• Hours: Beginning during the hours of 5:00 AM and 8:00 AM CST

Experience:

• 5+ years of related experience in a highly progressive coding service/unit required
• Experience in a pediatric organization preferred

Education:

• High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) required or relevant experience

Licenses and Certifications:

• CCS-Certified Coding Specialist preferred
• RHIT-Registered Health Information Technician
• RHIA-Registered Health Information Administrator

Knowledge, Skills and Abilities :

• Requires advanced verbal and written communication skills to facilitate communication with physicians, clinicians, and department personnel.
• Strong working knowledge of ICD-10-CM and CPT coding systems, and official coding guidelines, rules and regulations.
• Knowledge of medical terminology
• Knowledge of Anatomy and Physiology
• Effective interpersonal, organizational, and time management skills
• Capacity to work independently as well as in a team environment

Essential Functions:

• Demonstrates understanding and competence in the ICD-10-CM, CPT and HCPCS coding systems and acts as the department's subject matter resource for these coding systems.
• Monitors work volumes, coder staffing and productively provides coding support when needed with a 95% or above accuracy rate.
• Researches questions as they relate to coding and compliance and makes recommendations for coding policies and procedures to ensure consistency in coding of disease processes and procedures.
• Orients and trains new members to the Coding and Clinical Documentation Integrity (CDI) department. Supports the training of new employees by answering questions and performing peer reviews as needed.
• Coordinates, performs, and/or assists with internal and external coding audits when applicable.
• Attends educational seminars, reads pertinent health care literature and maintains credentials, in order to remain current in knowledge of standards and practice of medical coding.
• Assists with peers with information technology issues, and works as one of the department's super users to develop, and/or test current and new information system products or workflows to ensure they meet the needs of the Coding and Clinical Documentation Integrity (CDI) department.
• Assists in the development of processes and procedures to facilitate optimal operations within the Coding and CDI department and health system.
• Leads teams consisting of Coding Specialist I & II. Does not lead inpatient coders.

Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.