BILLING SPECIALIST, FCH - FCH RESEARCH & INNOVATV CARE
Froedtert

Job Info

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Discover. Achieve. Succeed. #BeHere

Location: US:WI:MILWAUKEE at our FROEDTERT HOSPITAL facility.

This job is HYBRID.

FTE: 1.000000

Shift: Flexible 1st shift 6 am to 4 pm

Job Summary:
The Coding and Billing Specialist will be responsible for assisting and coordinating the budget process, pricing, coding, charge reconciliation, charge ticket and/or study billing plan creation, monitoring, managing denials, and medical necessity letters for clinical trials and innovative services. This position does require some travel. Other duties as assigned.

EXPERIENCE DESCRIPTION:

Two to four years of experience in clinical, coding, or knowledge and/or experience in a health care setting is required.

In-depth knowledge of third-party payor policies and procedures is required.

EDUCATION DESCRIPTION:

Associate (or 2 yr) Degree in Business, Coding, Billing, or Clinical is required. In lieu of degree equivalent relevant hospital experience is required.

Relevant experience would include: identification of services in the hospital setting (inpatient/outpatient) of individual tests, procedures, and services based on CPT-4 and ICD-9 codes; coordinating with the clinical service area and finance to determine hospital costs, Medicare reimbursement, and total charges for related activities; identification of costs, define associated charges, creation of charging and coding processes for hospital service area procedures/activities; operational management of charges from entry to reconciliation.

Prefer ICD-10 experience

SPECIAL SKILLS DESCRIPTION:

Knowledge of Medical Terminology is preferred.

LICENSURE DESCRIPTION:

Coding Certification is preferred.

Perks & Benefits at Froedtert Health

Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following:

• Paid time off
• Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
• Academic Partnership with the Medical College of Wisconsin
• Referral bonuses
• Retirement plan - 403b
• Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
• Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.

We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.

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