United States of America Remote (Global) Full-time

Children's Wisconsin is hiring a Professional Surgical Coding Specialist III - Remote

About the Role

Position OverviewJoin a mission-driven organization as a Professional Surgical Coding Specialist III, working fully remote to support accurate surgical coding and billing integrity. This role plays a key part in ensuring compliance, precise charge documentation, and efficient revenue cycle processes across specialized clinical areas, particularly Cardiology and Cardiothoracic Surgery.

Key Responsibilities

  • Partner with clinical teams and specialty departments to assign, verify, and submit surgical codes in a timely manner
  • Ensure adherence to coding standards using ICD-10, CPT, and HCPCS guidelines
  • Apply knowledge of CCI edits, payer policies, and regulatory requirements to support compliant billing practices
  • Collaborate with providers and staff to resolve coding discrepancies and clarify documentation needs
  • Maintain complete and accurate charge capture across electronic health record systems

Qualifications

Candidates must demonstrate a strong foundation in surgical coding and healthcare compliance.

  • Minimum of 3 years of hands-on surgical coding experience in a healthcare setting
  • Validated certification: CPC, CCS-P, CCS-C, or RHIT from AAPC or AHIMA
  • Proven understanding of ICD-10, CPT, and HCPCS coding frameworks
  • Familiarity with CCI edits, insurance guidelines, and federal and state regulations
  • Experience with Electronic Health Records; Epic proficiency is preferred
  • High School Diploma, GED, or HSED required
  • Strong written and verbal communication skills
  • Ability to work autonomously, apply critical thinking, and manage complex coding scenarios

Work Environment

This is a full-time, remote position with standard Monday through Friday hours. No relocation is required. The organization is dedicated to fostering an inclusive, equitable workplace that values diverse perspectives and lived experiences.

Commitment to Equity and Inclusion

The organization is an equal opportunity employer and does not tolerate discrimination based on race, color, religion, sex, gender identity, sexual orientation, national origin, age, disability, veteran status, or any protected status under applicable law. All employees are expected to uphold principles of dignity, respect, and fairness in every interaction.

Required Skills
Surgical CodingICD-10CPTHCPCSCCI EditsHealthcare Insurance GuidelinesRegulatory ComplianceEpicElectronic Health Record (EHR)AHIMA StandardsABPC Coding StandardsClinical DocumentationMedical Coding CertificationCoding AuditHealth Information Management Surgical CodingICD-10CPTHCPCSCCI EditsHealthcare Insurance GuidelinesRegulatory ComplianceEpicElectronic Health Record (EHR)AHIMA StandardsABPC Coding StandardsClinical DocumentationMedical Coding CertificationCoding AuditHealth Information Management
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About company
Children's Wisconsin

Children’s Wisconsin is the region’s only independent health care system dedicated solely to the health and well-being of children. The organization provides comprehensive services including medical care, dental care, child and family counseling, foster care, adoption, social services, child advocacy, and injury prevention.

As Wisconsin's only health care system focused 100% on kids and teens, Children’s Wisconsin supports the physical, mental, and social health of children at every stage. The organization partners with the Medical College of Wisconsin to bring world-renowned pediatric specialists and researchers to serve children and families.

Its mission extends beyond the hospital, offering community programs, school resources, and preventive care initiatives to ensure children reach their full potential.

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Job Details
Category other
Posted 5 hours ago