Practice Services Liaison (Anesthesiology Coding)

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Company:
 		Medical College of Wisconsin
Company Profile | Current Opportunities (136)
Job Location(s): Milwaukee, Wauwatosa
Special Notes/Instructions:Please apply on-line at www.mcw.edu/careers and search for postion 094.27682.
Employment Term: Regular
Employment TypeFull Time
Hours per Week: Full Time
Work Hours (i.e. shift): M-F
Start Date:Negotiable
Starting Salary Range:Based on experience
Salary/Benefit Notes:Medical College of Wisconsin offers excellent benefits including Vacation, Holidays, Sick Leave, Health Insurance, Dental Insurance, Short Term and Long Term Disability, Retirement Plan, Tuition Reimbursement and more.
Required Education: Bachelor's Degree
Required Experience: 5 to 20+ years
Related Categories:Healthcare - Administration/Billing, Building Services - Management, Education - College/University

Position Description

POSITION PURPOSE
 
Focus on maximizing collections of the assigned clinical departments. Complexanalysis of AR related reports and monthly financial reports to keep clinical department faculty and administration informed of their financialstatistics. Utilizing anesthesia and surgical coding knowledge, identify opportunities for improved reimbursement. Partner with the billing office staff and clinical department to make changes as appropriate that result in increased reimbursement (within regulatory constraints) and fewer denials. Serve as a resource to both coding specialists and reimbursement teams to assist in preparing appeals. 
 
 
ESSENTIAL DUTIES
1. Focused Account Review and Report Generation
?   Augment normal CPS claims follow-up procedures through follow-up on self-generated reports and on other current standard system reports to identify additional appeal tactics and escalation measures.   
 
  • Report findings of positive and negative trends for further consideration on next steps. Offer suggestions for improvement and/or develop action plan.
 
2. Financial Review and Report Preparation
  • Analyze monthly financial reports in preparation for regular meetings with the providers.   
 
  • Develop additional reports and charts that may be needed to illustrate the impact on the revenue cycle and/or what may indicate a trend.
 
  • Analyze reports that may be requested directly or indirectly in response to providers’ request for a special review.
 
3. Provider Communication
 
  • Provide regular updates and reminders to the providers on areas of change or clarification that impact them, including but not limited to, regulatory issues, documentation needs, modifier usage, policy changes, new, revised, deleted diagnosis and CPT codes, etc.        
 
  • Act as the point-of-contact for all communications from the assigned department(s) including being a resource to the department faculty on questions of coding, reimbursement and payment policy.      
 
  • Meet with providers to explain the financial statistics including, but not limited to, charge lag, charges, payment, adjustments, AR days, collection rate, payer mix etc.   
 
 
4. Liaison Role to CPS Billing and Collections staff
  • In cooperation with clinical department staff, assist other CPS Billing and Collection staff seeking to resolve a problem relating to a charge, insurance and/or patient pay issue. This may include assisting provider in preparation of appeal letters.
 
  • Participate in the development or revision of departmental policies and/or processes involving complex or potentially sensitive issues as requested.
 
  • Act as a resource to the coding specialists.  
 
  • Assist with clinic form development as needed.
 
  • Participate in CPS billing meetings and CPS billing related committees as needed.
 
 
OTHER DUTIES
 
Complete special projects as needed.
 
 
MINIMUM POSITION QUALIFICATIONS
Appropriate education and/or experience may be substituted on equivalent basis
 
Education:                   Bachelor’s Degree in Business, Health Care Administration, Finance or Statistics          
 
Experience:                 5years experience coding that includes anesthesia and some surgical coding, healthcare claims and insurance follow up                                                               
 
Certifications/Licenses: Coding Certification Preferred
KNOWLEDGE, SKILLS, & ABILITIES
Excel, strong financial analysis skills, excellent communication and problem solving skills. Ability to follow through independently and clearly document related actions taken. Ability to communicate results to all concerned. Be knowledgeable of primary/secondary health insurance rules and managed care contractprovisions. Responsible professional informed image essential in daily activities.

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