Role Description We're seeking a proficient medical billing clerk to handle invoice preparation and patient account management. In this position, you'll interact with patients with outstanding balances, potentially involving interactions with collection agencies. Additionally, you'll coordinate with medical insurance providers to secure payment authorization for procedures. To excel as a medical billing clerk, you'll routinely oversee patient accounts and coordinate with insurance providers to guarantee timely settlements. A capable medical billing clerk is knowledgeable about insurance protocols, adept at addressing patient inquiries calmly and effectively. - Administering patient accounts and generating invoices. - Entering patient data accurately and maintaining updated records using computer software. - Confirming the delivery of accounts to patients. - Managing administrative duties like phone calls and email correspondence. - Gathering and documenting patients' medical insurance information, and coordinating with insurance providers to authorize patient payments. - Following up with patients regarding late or seriously overdue accounts. - Adhering to hospital or clinic protocols and complying with state and federal regulations. - Enhancing job proficiency by networking and staying informed about current medical service fees for accurate billing. - Ensuring meticulous handling of patient records, accounts, and payments. - Maintaining strict confidentiality of all patient records. Qualifications - Completion of high school or equivalent (GED). - Minimum of 2 years of administrative experience within a medical or healthcare environment. - An Associate's degree in accounting, business, or economics may be preferred. - Fundamental mathematical aptitude. - Strong communication abilities to interact with medical insurance companies and clarify financial matters to both patients and staff. - Exceptional organizational skills to swiftly locate files or patient records. - Keen attention to detail to proficiently maintain patient records and ensure accurate account entries. - Capability to process cash or credit card transactions. - Competence in entering account data to generate patient statements. - Familiarity with medical coding procedures.

Role Description The Carl T. Hayden Veterans Affairs Medical Center in Phoenix, Arizona is seeking a dynamic Medical Records Technician (Clinical Documentation Improvement Specialist (CDIS-Outpatient and Inpatient)) to join our Health Information Management (HIM) team. The incumbent will be responsible for reviewing the overall quality and completeness of clinical documentation. - Reviews clinical documentation and provides education to clinical staff on both inpatient and outpatient episodes of care including admissions and discharges, observation, emergency department/urgent care, and clinic visits. - Provides education to providers on the need for accurate and complete documentation in the health record, appropriate code selection of Evaluation and Management (E/M), Current Procedural Terminology (CPT) and ICD-10 diagnosis codes, and ensuring documentation supports the codes selected to the highest degree of specificity. - Adheres to accepted coding practices, guidelines and conventions when verifying the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. - Expertly searches the patient health record to find documentation justifying code assignment based on an expanded knowledge of the organization and structure of the patient record. - Identifies trends and/or opportunities to improve clinical documentation. - Provides advice and guidance in relation to issues such as documentation requirements, liability issues, advance directives, informed consent, patient privacy and confidentiality, state reporting, etc. - Compiles, reviews, abstracts, analyzes and interprets medical data incidental to a variety of patient care and treatment activities. Requirements - Work Schedule: Monday-Friday 8:00 am to 4:30 pm - Recruitment Incentive (Sign-on Bonus): Not Authorized - Permanent Change of Station (Relocation Assistance): Not Authorized - Pay: Higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade). Benefits - 37-50 days of annual paid time off per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year). - Selected applicants may qualify for credit toward annual leave accrual, based on military service experience. - Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. - Child Care Subsidy: After 60 days of employment, full-time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. - Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA. - Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement). - Virtual: This position is telework eligible but may be required to return to the office permanently at a later date. Qualifications - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - Experience: One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of health records. - Education: An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management. - Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. - Certification: Persons hired or reassigned to MRT (Coder) positions in the GS-0675 series in VHA must have either Apprentice/Associate Level Certification through AHIMA or AAPC, Mastery Level Certification through AHIMA or AAPC, or Clinical Documentation Improvement Certification through AHIMA or ACDIS.

At Wipfli, people count. At Wipfli, our people are core to everything we do-the catalyst behind our ability to create exceptional impact and extraordinary results. We believe in flexibility. We focus on relationships. We encourage each individual to follow their own path. People truly matter and they feel it. For those looking to make a difference and find a professional home, Wipfli offers a career-defining opportunity. Responsibilities: - Act as the subject matter expert for clients on medical coding standards, compliance, and best practices. - Assess client needs, identify solutions, and plan work to meet requirements. - Lead and manage multiple client engagements with minimal supervision, ensuring timelines and budgets are met or exceeded. - Deliver professional presentations and provide consultative guidance to clients for accurate and efficient coding practices. - Collaborate with cross-functional teams to achieve project goals and client deliverables. - Maintain up-to-date knowledge of industry regulations and coding updates (e.g., ICD-10, CPT, HCPCS) while ensuring quality assurance and compliance. - Mentor Associates to support career development and contribute to team growth. - Support business development through client relationship management, solution design, and assisting in the sales process to define scope of work. Qualifications: - Bachelor's Degree and two to three years of related work experience in healthcare, or equivalent experience considered in lieu of education. - Minimum of 3-5 years of hands-on medical coding experience across various specialties. - Certification in medical coding (e.g., CPC, CCS, RHIT, or equivalent). - Demonstrated ability to multitask and manage competing priorities effectively. - Strong presentation skills with experience delivering to executive-level audiences. - Proven leadership in multicultural and cross-functional environments. - Excellent written and verbal communication skills. - Proficiency in coding software and healthcare data systems. - Training, support or consulting advisory experience preferred. - Experience with compliance or professional standards associated with area of expertise desired. Alaina Lister, from our recruiting team, will be guiding you through this process. Visit her LinkedIn page to connect! #LI-AL1 #LI-Remote Additional Details: Wipfli is an equal opportunity/affirmative action employer. All candidates will receive consideration for employment without regards to race, creed, color, religion, national origin, sex, age, marital status, sexual orientation, gender identify, veteran status, disability, or any other characteristics protected by federal, state, or local laws. Wipfli is committed to providing reasonable accommodations for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or participate in our recruiting process, please send us an email at hr@wipfli.com Wipfli values fair, transparent, and competitive compensation, considering each candidate's unique skills and experiences. The estimated base pay range for this role is $60,000 to $81,000, with offers typically not made at the maximum, allowing for future salary increases. The actual salary at the time of offer depends on business related factors like location, skills, experience, training/education, licensure, certifications, business needs, current associate pay, and relevant employment laws. Individuals may be eligible for an annual discretionary bonus, subject to participation rules and based on a variety of factors including, but not limited to, individual and Firm performance. Wipfli cares about our associates and offers a variety of benefits to support their well-being. Highlights include 8 health plan options (both HMO & PPO plans), dental and vision coverage, opportunity to enroll in HSA with potential Firm contribution and an Employee Assistance Program. Other benefits include firm-sponsored basic life and short and long-term disability coverage, a 401(k) savings plan & profit share as well as Firm matching contribution, well-being incentive, education & certification assistance, flexible time off, family care leave, parental leave, family formation benefits, cell phone reimbursement, and travel rewards. Voluntary benefit offerings include critical illness & accident insurance, hospital indemnity insurance, legal, long-term care, pet insurance, ID theft protection, and supplemental life/AD&D. Eligibility for all benefits programs is dependent on annual hours expectation, position status/level and location. "Wipfli" is the brand name under which Wipfli LLP and Wipfli Advisory LLC and its respective subsidiary entities provide professional services. Wipfli LLP and Wipfli Advisory LLC (and its respective subsidiary entities) practice in an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable law, regulations, and professional standards. Wipfli LLP is a licensed independent CPA firm that provides attest services to its clients, and Wipfli Advisory LLC provides tax and business consulting services to its clients. Wipfli Advisory LLC and its subsidiary entities are not licensed CPA firms.

We are seeking a Coding Specialist III who will be responsible for all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines. Works closely with departmental management and coordinates with Clinical Practice Association, Office of Billing Quality Assurance to include review of documentation. Serves as departmental expert on coding questions. Exercises independent judgment and decision making on a regular basis. Responsible for developing coding and billing change procedures. Responsible for training on all coding and billing changes. Specific Duties & Responsibilities Procedural Knowledge - Responsible for all aspects of coding, quality assurance, and compliance with Federal payer documentation guidelines. - Works closely the Office of Billing Quality Assurance to include review of documentation. - Serves as departmental expert on coding questions. - Exercises independent judgment and decision-making on a regular basis with respect to code selection. - Holds bills and seeks corrective action for services not meeting documentation requirements in accordance with CPA policies. - Researches and answers billing and documentation questions or problems submitted by faculty, department, billing staff, and others to ensure compliance with specific payer regulations and CPA policies and procedures. - Supports department compliance efforts through participation in department training and education programs relative to specific product lines in accordance with established policies. - Conducts feedback/training sessions for physicians to present the results of medical record documentation as warranted. - Gathers and verifies all information required to produce a clean claim, including special billing procedures that may be defined by a payer or contract. - Maintains a system of billing accuracy through encounter verification, i.e., clinic schedules, encounter forms, I/P consults, and medical records. - Review and resolve Epic Charge Review Edits daily. - May act as a backup to Charge Entry when needed. - Pro Fee Tracking Database- May fill out the missing information form and forward it to the appropriate contact person. - Works with Department Management to create Charge Review Rules to prevent unnecessary denials. - Works with Department Management on maintenance of provider preference lists. - Provides training on all coding changes to providers and staff. Develops presentations to effectively communicate how changes will affect provider billing and coding. Provide face-to-face training on changes to providers based at all Hopkins locations. Technical Knowledge - Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI). - Working knowledge of JHU/ PBS Billing Applications. - Utilize online resources to facilitate efficient claims processing. - Capable of advanced problem-solving in medical billing and coding. Professional & Personal Development - Participate in ongoing educational activities. - Assist in the training of staff, providers, management, and administration. - Keep current of industry changes by reading assigned material on work-related topics and providing updates to providers, staff, management, and administration - Complete three days of training annually. Minimum Qualifications - High School Diploma or graduation equivalent. - Five years coding experience with demonstrated analytical skills. - Medical Terminology, Anatomy and Physiology courses required or demonstrated appropriate knowledge. - CPC certification. - Specialty CPC certification or second AAPC certification. - Experience with Medicare regulations. - Understanding of third-party payer issues. - Epic experience preferred. - Additional education may substitute for required experience, and additional related experience may substitute for required education beyond a high school diploma/graduation equivalent, to the extent permitted by the JHU equivalency formula. Classified Title: Coding Specialist III Job Posting Title (Working Title): Coding Specialist III (Anesthesiology & Critical Care Medicine) Role/Level/Range: ATO 40/E/03/OG Starting Salary Range: $24.25 - $42.50 HRLY ($63,000 targeted; Commensurate w/exp.) Employee group: Full Time Schedule: Monday-Friday (8 hours) FLSA Status: Non-Exempt Location: Remote Department name: SOM Ane Production Unit Billing Personnel area: School of Medicine