Coding specialist - imaging and procedures

Location

WI-SSM Health St. Mary's Hospital - Madison.

Regular

Day Shift (United States of America)

36

Monday–Friday, 8:00–4:30 (flexible), full-time (.9/36 hours). This is a new role supporting imaging and procedure lab charges and charge reconciliation. The individual will help define and build the role and support St. Mary’s and the WI region as needed.

Supports assigned department(s) as a subject matter expert for achieving operational efficiency, compliance, and exceptional patient care. Serves as a liaison between clinical and Revenue/Financial departments with a strong understanding of both components.

• Serves as a resource and subject matter expert for department workflows, documentation, coding, charging, and software applications.
• Manages all work queues using subject matter expertise to investigate/correct errors to aid in timely and accurate claims.
• Investigates clinical & technical report deficiencies to ensure all reports are completed timely to prevent delays in patient care.
• Ensures accuracy & completeness of daily charges/CPT code assignment; applies modifiers as needed and ensures supporting documentation is present.
• Works one‑on‑one with staff and physicians to ensure documentation requirements are met according to coding & billing guidelines.
• Creates and generates reports utilizing multiple reporting tools across multiple databases to support leadership on strategic initiatives.
• Completes audit/project evaluations and reviews selected records to determine accuracy of orders, charges, and documentation; shares findings with leadership and collaborates to achieve departmental goals, objectives, and best practice.
• Maintains current knowledge of Charge Description Master (CDM), Charge Preference List (CPL) and Flowsheet Charging to provide support for assigned health ministry to produce a bill/claim by attending coding conferences, workshops, and self‑guided learning.
• Collaborates with management and subject matter experts to understand desired performance, assess learning needs, and develop appropriate training solutions; provides ongoing training relative to charge accuracy & department‑specific workflows that impact coding/billing compliance and delivery of timely patient results.
• Performs other duties as assigned.

• Associate's degree, or equivalent years of experience and education.

• Two years of experience in assigned department(s) or coding experience.

• Frequent lifting/carrying and pushing/pulling objects weighing 0‑25 lbs.
• Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
• Frequent use of hearing and speech to share information through oral communication; ability to hear alarms, malfunctioning machinery.
• Frequent keyboard use/data entry.
• Occasional bending, stooping, kneeling, squatting, twisting and gripping.
• Occasional lifting/carrying and pushing/pulling objects weighing 25‑50 lbs.
• Rare climbing.

• None.

• Paid parental leave: one week of paid parental leave for newborns or newly adopted children (pro‑rated based on FTE).
• Flexible payment options: voluntary benefit offered through Daily Pay offers eligible hourly team members instant access to earned, unpaid base pay before payday (fees may apply).
• Upfront tuition coverage: upfront tuition coverage through Flex Path Funded for eligible team members.

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law.