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Responsible for reviewing and researching new code changes released by Coding Authorities (AMA, CMS) for system implementation in PPO and HMO Commercial Business. A diverse knowledge of the coding world and experience with AMA, CMS, HCPCS, CPT, and ICD-10 PCS codes is essential.

We're Hiring: Medical Coding Analyst!Location: Detroit, MI Role: Medical Coding Analyst We are seeking a detail-oriented and experienced Medical Coding Analyst to join our healthcare team. This role is for an Analyst with coding experience. The team takes new codes when released and researches and documents the reasons why a code will or will not be implemented into BCBSM policy and procedures. They review payability based on reviews within the team and information provided by providers in the network regarding the new codes. We are looking for someone with analytical thinking/root-cause analysis experience who is also a team player. A diverse knowledge of the coding world and experience with AMA, CMS, HCPCS, CPT, and ICD-10 PCS codes is essential. Any type of certification for coding will be considered. (Candidates with a strong coding and analytical history but no certification may be considered on a case-by-case basis). Previous payor experience with systems, benefits, and provider networks is extremely helpful and will be prioritized in the interview process.Engagement Description:<ul><li>Responsible for reviewing and researching new code changes released by Coding Authorities (AMA, CMS) for system implementation in PPO and HMO Commercial Business.</li></ul>Top 3 Required Skills/Experience:<ul><li>Must be knowledgeable in the use of CPT, HCPCS, ICD-10-CM, and ICD-10-PCS code books</li><li>RHIT or RHIA Certification Required</li><li>Ability to analyze, investigate, and organize ideas in defining and formulating solutions</li></ul>Education/Certifications:<ul><li>Bachelor's degree in a related field</li><li>Certified Professional Coder</li></ul>Required Skills/Experience:<ul><li>Proficient in current industry standard PC applications and systems (e.g., Word, Excel, Microsoft Office)</li><li>Ability to work independently and within a team environment while handling multiple priorities</li><li>Strong oral and written communication skills</li><li>Must be knowledgeable in the use of CPT, HCPCS, ICD-10-CM, and ICD-10-PCS code books</li><li>RHIT or RHIA with specialty certification of CCS, CCS-P preferred</li><li>Works collaboratively with physicians and other team members</li><li>Knowledge of PPO and HMO claim systems and benefits is a plus</li><li>Other related skills and/or abilities may be required to perform this job</li></ul>Preferred Skills/Experience:<ul><li>Previous experience working with NASCO or MOS systems preferred</li></ul> Ready to make an impact? Apply now and let's grow together!

Tap Growth ai

Medical Coding Analyst

ingoedebanen

OTHER

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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. Proficiency in accounting software, specifically, Intaact, QuickBooks Online, NetSuite, Bill.com, Microsoft Office Suit and a demonstrated ability to embrace new technologies.

Overview:
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.   This role can be worked remotely anywhere in the US!

Responsibilities:
Responsibilities: <ul style="direction:ltr;unicode-bidi:embed;margin-top:0in;margin-bottom:0in"><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Review and deliver financial reports and KPIs.</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Assist with budgeting, forecasting, and cash flow modeling.</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Provide technical accounting assistance to clients and internal engagement teams.</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Develop and coach staff and senior accountants.</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Collaborate with advisory teams and external partners.</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Identify opportunities to transition clients to higher-value services in collaboration with advisory teams.</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Assist with onboarding new clients, including system setup and process documentation.</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Monitor team KPIs and implement process improvements.</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Support the integration of new technology platforms and train team members on system enhancements.</li></ul> 

Knowledge, Skills and Abilities:
Qualifications: <ul style="direction:ltr;unicode-bidi:embed;margin-top:0in;margin-bottom:0in"><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Bachelor’s degree in accounting, finance, or business required.</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">4–6 years of experience in public or private accounting</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">3+ years of managing associates and/or teams.</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Regulatory Compliance: Familiarity with federal and state healthcare regulations affecting financial reporting required.</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Professional certification (e.g.,MBA, CPA) preferred.</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Healthcare Revenue Cycle Management: Experience with billing, coding, and collections processes in physician practices.</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Cost Allocation for Multi-Specialty Practices: Experience in allocating costs and revenues across departments or specialties within a physician group.</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Understanding of Physician Compensation Models: Knowledge of how physician productivity, incentives, and contractual arrangements impact financial statements.</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Ability to balance multiple projects simultaneously.</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Proficiency in accounting software, specifically, Intaact, QuickBooks Online, NetSuite, Bill.com, Microsoft Office Suit and a demonstrated ability to embrace new technologies.</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Strong interpersonal and relationship‑building skills.</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Excellent written, verbal and presentation skills</li><li style="margin-top:0;margin-bottom:0;vertical-align:middle;color:black">Ability to travel up to 10%</li></ul> Christine Villicana from Wipfli’s recruiting team will be guiding you through this process.  Visit her <a href="https://www.linkedin.com/search/results/all/?fetchDeterministicClustersOnly=true&heroEntityKey=urn%3Ali%3Afsd_profile%3AACoAAAHLEKkB-l9CKeYrgqE9-m51nw0-3U4ATWs&keywords=christine%20villicana&origin=RICH_QUERY_TYPEAHEAD_HISTORY&position=0&searchId=83a2c7b5-d791-4b0c-9221-f670b726d6a6&sid=eoH&spellCorrectionEnabled=true" rel="noopener nofollow noreferrer" style="margin:0px;padding:0px;color:#467886" target="_blank">LinkedIn Page</a> to connect!   #LI-REMOTE #LI-CV1 

Additional Details:
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 identity, 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 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.

Wipfli Advisory LLC

Manager, Financial Reporting - Physician Practice Clients

Accounting

Accounting Software

Billing

Budgeting

Business Administration

Business Services

Cash Flow

Certified Public Accountant (CPA)

Coaching

Consulting

Cost Allocation

Credit and Collections

Customer Support/Service

Dental Insurance

Documentation

Employee Assistance Plan

Enterprise Application Integration (EAI)

Federal Laws and Regulations

Finance

Financial Reporting

Financial Statements

Forecasting

Health Maintenance Organization (HMO)

Health Plan

Healthcare

Interpersonal Skills

Intuit Quickbooks

LinkedIn

Medical Coding

Microsoft Office

Multitasking

NetSuite

Onboarding

Performance Metrics

Preferred Provider Organization (PPO)

Presentation/Verbal Skills

Process Improvement

Public Accounting

Regulatory Compliance

Revenue Management

State Laws and Regulations

Systems Administration/Management

Team Lead/Manager

Technical Accounting

Technical Support

Willing to Travel

Writing Skills

[AW]-iCims

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Manager, Financial Reporting - Physician Practice ClientsWipfli Advisory LLC

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