Job Description

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.

Please follow this link for a closer look at what it’s like to work at Children’s Wisconsin:https://www.instagram.com/lifeatcw/

Supervises the Professional Coding Auditor Team. Ensures that Audits are accurate and performed based on the Auditing timeline guidelines. Requires thorough knowledge of both medical coding and auditing. Should have extensive experience with auditing of medical coding along with advanced experience with electronic medical records and excel.

Essential Functions

• Leads Audit activities to ensure accuracy, consistency, and timeliness in the Professional Audit team
• Monitors key departmental metrics in quality, efficiency, and production.
• Collaborates with Revenue Cycle Leaders as well as leaders in the clinical areas.
• Serves as a subject matter expert for all auditing activities and demonstrates expert knowledge in evaluation and management coding as well as multiple relevant specialty areas.
• Maintains current knowledge of coding rules and guidelines and provides guidance on requirements established by CMS, payers, professional coding organizations and medical specialty professional organizations.
• Coordinates and performs training for team members as needed.
• Demonstrates knowledge of organization safety policies and procedures and actively maintains a safe and positive work environment.
• Works with Professional Coding Coordinator to ensure timely processing of scheduling of Provider training as well as Provider Audits.
• Performs human resources responsibilities for staff which includes coaching on performance, completes performance reviews and overall staff morale. Recommends hiring, terminations, compensation changes, promotions, corrective action decisions, and terminations.
• Responsible for understanding and adhering to the Children’s Organizational Code of Ethics and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to Children's business.
• Performs people management responsibilities for employees which may include but are not limited to: employee engagement, recruitment, performance management and development

People Management Responsibility

• Performs people management responsibilities for employees which may include but are not limited to: employee engagement, recruitment, performance management and development

Education

• High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) required
• Coding certifications specific to outpatient professional coding required
• Associate's Degree preferred or
• Bachelor's Degree preferred

Experience

• 2+ years of coding leadership experience demonstrating progressive responsibilities required
• Recent experience applying ICD-10-CM, CPT and HCPCs codes required
• Recent experience in performing Coding Audits for Providers or Coders required
• Three or more years of Coding Audit leadership experience demonstrating progressive responsibilities preferred

Knowledge, Skills and Abilities

• Exhibits excellent customer service and professionalism when interacting with providers, staff, patients, families and co-workers to ensure all are treated with kindness and respect.
• Professional attitude and ability to relate to and interact with others throughout the organization.
• Demonstrates leadership skills, organizational skills, and conflict resolution skills.
• Must be able to work collaboratively in a team environment.
• Must be able to work effectively in a remote environment.
• Must have excellent attention to detail ability.
• Exhibits a commitment to continuous quality improvement.
• Responsible for understanding and adhering to the Children’s Organizational Code of Ethics and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to Children's business

Licenses and Certifications

• + one of the following: - N/A
• CCS-Certified Coding Specialist - American Health Information Management Association
• CPC-Certified Professional Coder - American Board of Professional Coders
• CCS-P-Certified Coding Specialist Physician Based - American Health Information Management Association
• RHIA-Registered Health Information Administrator - American Health Information Management Association
• RHIT-Registered Health Information Technician - American Health Information Management Association

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.

Certifications/Licenses:

+ one of the following: - N/A, CCS-Certified Coding Specialist - American Health Information Management Association, CCS-P-Certified Coding Specialist Physician Based - American Health Information Management Association, CPC-Certified Professional Coder - American Board of Professional Coders, RHIA-Registered Health Information Administrator - American Health Information Management Association, RHIT-Registered Health Information Technician - American Health Information Management Association