Coder (Clinic - II)

ThedaCare; Neenah (AL); On-site; USD 60,000 - 82,000; Full time

Job summary

ThedaCare in Neenah, Wisconsin seeks a Clinic - II Coder to review CPT/ICD-10-CM coding for primary care and specialty services, ensuring accurate reflection of services and adherence to coding standards.

The role audits medical records, collaborates with providers, and educates staff to improve documentation; a remote, full-time coding position supporting ThedaCare Physician Services.

Qualifications

• High School diploma or GED preferred.
• One year of experience in general medical or specialty coding.
• Coding certificate or associate's degree in medical business or coding/health information.
• AAPC or AHIMA coding certification (CPC, CPC-A or CCS or CCS-P) required.

Responsibilities

• Reviews and assigns CPT and ICD-10-CM codes for primary care and specialty clinic services with high accuracy.
• Performs documentation reviews and shares results with providers and auditing team; identifies educational opportunities.
• Collaborates with providers and clinical staff to ensure complete and clear medical records for accurate coding.
• Manages payer denials and claim edits to ensure timely reimbursement; researches payer policies.
• Maintains charge capture for all billable services and responds to inquiries with world-class service.

Education

High School diploma or GED

Coding certificate or associate’s degree in medical business or coding/health information

AAPC or AHIMA coding certification (CPC, CPC-A, CCS, CCS-P)

One year of experience in general medical or specialty coding

Job description

Why ThedaCare?

Living A Life Inspired!

Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.

At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.

Benefits, with a whole-person approach to wellness –

• Lifestyle Engagement
  • e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support

• Access & Affordability
  • e.g. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!

Summary :

The Coder (Clinic - II) performs coding review for primary care or specialty services for ThedaCare Physician Services to accurately reflect services rendered. Reviews and processes charges using industry standard methodologies (CPT, ICD-10-CM, HCPCS), abides by Standards of Ethical Coding (AAPC/AHIMA), and complies with official coding guidelines and other regulatory requirements. Audits medical record documentation for completeness and accuracy. Educates and/or collaborates with providers and other clinical staff when completion or clarity is needed.

Job Description:

SCHEDULE

• Full time, benefit eligible
• Remote coding position
• 40 hrs/week
• Flexible business hours (suggested 8-4:30pm CT)

KEY ACCOUNTABILITIES:

• Reviews and/or assigns CPT and/or diagnosis codes (ICD-10-CM, including HCC risk adjustment) for primary care and/or specialty clinic services (E&M, office procedures, inpatient hospital rounding, OB services, outpatient general practice procedures, etc.) with a high degree of accuracy.
• Performs documentation reviews with the use of department auditing tools, shares results with providers and auditing team, and identifies educational opportunities.
• Collaborates with providers, clinical team members, and/or other departments when completion or clarity is needed within the medical record to accurately complete coding functions.
• Manages and maintains coding inventory responsibilities related to payer denials and claim edits to ensure timely reimbursement for services provided. Researches payer policies.
• Manages and maintains operational coding functions to ensure charge capture of all billable services.
• Performs world class service to our customers, responding timely and professionally to inquiries.

QUALIFICATIONS:

• High School diploma or GED preferred
• Must be 18 years of age
• Coding certificate or associate’s degree in medical business or coding/health information
• One year of experience in general medical or specialty coding
• Coding certification through AAPC or AHIMA (CPC, CPC-A or CCS or CCS-P)

PHYSICAL DEMANDS:

• Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance
• Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties

WORK ENVIRONMENT:

• Normally works in climate controlled office environment
• Frequent sitting with movement throughout office space
• Use of computers throughout the work day
• Frequent use of keyboard with repetitive motion of hands, wrists, and fingers

Scheduled Weekly Hours:

40

Scheduled FTE:

1

Location:

CIN 3 Neenah Center - Appleton,Wisconsin

Overtime Exempt:

No

Worker Shift Details:

Days