Coder (Clinic - II)

ThedaCare; United States; Remote; USD 30,000 - 41,000; Full time

Job summary

ThedaCare in Wisconsin is seeking a Clinic - II Coder to perform coding reviews for primary care and specialty services, ensuring CPT and ICD-10-CM accuracy and adherence to ethical coding standards.

The role audits documentation, educates providers, and collaborates with the clinical team to ensure complete charge capture and timely reimbursement. Full-time, 40 hours weekly, with a remote position flexible arrangement at ThedaCare Corporate Office in Neenah.

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

Responsibilities

• Reviews CPT and ICD-10-CM codes for primary care and specialty services with high accuracy.
• Performs documentation reviews and shares results with providers and auditing team.
• Collaborates with providers and clinical staff to complete coding functions accurately.
• Manages coding inventory related to payer denials and claim edits to ensure timely reimbursement.
• Researches payer policies and ensures charge capture of all billable services.

Skills

Coding knowledge

Medical coding experience

Communication

Education

Coding certificate

Associate's degree in medical coding or health information

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

• 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 40 hr/week Flexible schedule, suggested hours between 7:00am-5:00pm CT Remote position

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: ThedaCare Corporate Office - Neenah,Wisconsin Overtime Exempt: No Worker Shift Details:

About ThedaCare

ThedaCare is a community health system consisting of seven hospitals, numerous clinics and related services. We are the third largest health care employer in Wisconsin and the largest employer in the state's second largest economic market - Northeast Wisconsin - with approximately 6,800 employees. Through our 100-year history, ThedaCare has woven itself into the very fabric of the communities we serve. For our employees, ThedaCare offers an environment that not only welcomes but also encourages innovative thinking and fresh approaches to today’s health care challenges. We have improved the health of thousands of individuals. We know this because we track our quality and constantly seek to improve our care and services for the members of our communities. This job posting is available in other languages besides English free of charge.

ThedaCare is an Equal Opportunity Employer. ThedaCare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, ancestry, color, religion, sex, gender identity, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.