Coding Integrity Specialist

Bellin Health; Green Bay (WI); Remote; USD 70,000 - 90,000; Full time

Benefits offered by this job

401(k) with matching

Paid time off

Competitive health insurance

Wellness programs

Tuition reimbursement

Professional Development

Job summary

Emplify Health by Bellin is hiring a Coding Integrity Specialist to support coding quality, compliance and education across the organization. The role emphasizes auditing, reporting, and collaboration with coding, clinical, and revenue cycle teams.

The position is full-time in Green Bay, WI with potential remote options and a focus on accurate coding practices and continuous improvement. Chat with Marissa Zorzin for more information.

Qualifications

• Minimum three years of coding experience with ICD-10, PCS, CPT and HCPCS coding.
• Experience conducting coding audits and communicating results to stakeholders.
• Experience in training and education preferred.

Responsibilities

• Conduct coding audits to ensure compliance with coding guidelines, payer requirements, and regulatory standards
• Provide education and feedback to coding staff and leadership based on audit findings
• Monitor documentation and coding practices to identify improvement opportunities for providers and coders
• Collaborate with Revenue Cycle, Coding leadership, and Clinical Documentation teams on process improvements and regulatory updates
• Manage multiple audit projects, reporting, and quality improvement initiatives

Skills

ICD-10 coding

CPT coding

HCPCS coding

DRG/APC assignment

Auditing

Excel

Education

Medical Coding certificate

Associate or Bachelor’s degree in Healthcare Business Services/Health IT

Tools

Microsoft Excel

Job description

US:WI:Green Bay:2020 S Webster Ave or Remote | Professional & Technical | Full-Time

Description

We are hiring for a Coding Integrity Specialist! Emplify Health by Bellin is seeking a highly detail-oriented and analytical individual to support coding quality, compliance, and education across our organization. This role plays a key part in ensuring accurate and compliant coding practices through auditing, reporting, and collaboration with coding, clinical, and revenue cycle teams.

Job Specifics:

Location:2020 S Webster Ave, Green Bay, WI 54301
FTE Status:Full-Time 1.0 FTE (40 hours/week)
Work Schedule:Days. Monday - Friday. No weekends or holidays
Want to learn more:Chat with Marissa Zorzin at [e-mail]

Qualifications:

Education : Medical Coding certificate, Associate or Bachelor’s degree in Healthcare Business Services, Health Information Technology, or related degree or applicable Coder experience required.

Certification/Registration/Licensure : Certified Coding Administrator (CCA), Specialist (CCS), or Certified Professional Coder (CPC) credentials required; Registered Health Information Administrator (RHIA), or Registered Health Information Technology (RHIT), or similar program; RHIA or RHIT certificate preferred. Certified Professional Medical Auditor (CPMA) preferred.

Experience : Minimum three years of experience in coding with demonstrated expertise in ICD-10, PCS, CPT and HCPCS coding and DRG and APC assignment demonstrating knowledge of disease process, anatomy and physiology, medical terminology required. Experience conducting coding audits and effectively communicating the results to end users and stakeholders. Experience in training and education preferred. Experience in complex data analysis and use of Excel and other tools to interpret and explain results preferred.

Responsibilites:

• Conduct coding audits to ensure compliance with coding guidelines, payer requirements, and regulatory standards
• Provide education and feedback to coding staff and leadership based on audit findings
• Monitor documentation and coding practices to identify improvement opportunities for providers and coders
• Collaborate with Revenue Cycle, Coding leadership, and Clinical Documentation teams on process improvements and regulatory updates
• Manage multiple audit projects, reporting, and quality improvement initiatives

Why Emplify Health by Bellin?

With so many amazing healthcare organizations in this area, why Emplify?

Emplify Health offers a proud, local history spanning more than 100 years. Our personalized patient care model is only the beginning of what you will experience as we foster population health transformation and innovation to serve our communities. You can be part of an exciting dynamic place that offers an employee-first culture, work-life balance, and career advancement & growth opportunities. This culture allows our organization to attract elite talent, like yourself!

Additional perks include:

• Top-notch benefits: 401(k) with matching, paid time off, competitive health insurance, wellness programs to keep you and your family healthy, tuition reimbursement, and more
• Preventative care focused medical coverage that includes free visits to: Emplify Health by Bellin primary care providers, Urgent Care & Fast Care facilities, physical therapy sessions and any labs required during these visits
• Professional Development: Access to online continuing education for career growth
• Empowerment:Shape your work environment, encouragement to improve processes and create efficiencies, and support when seeking opportunities for growth.
• Self-Care Culture:Encourages self-care and provides you with opportunities to be your best self at work and at home

Be a member of a passionate workforce, that feels like family and is driven to provide exceptional patient care with a strong focus on community.We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values – belonging, respect, excellence, accountability, teamwork, and humility – our pillars set our foundation and our future.

Emplify Health is an Equal Opportunity Employer.