Medical Coder

ClearSky Health; Town of Texas (WI); Hybrid; USD 60,000 - 86,000; Full time

Job summary

ClearSky Health in Eau Claire, WI seeks a Medical Coder to review and assign ICD-10-CM codes for patient records, ensuring compliance with state and federal regulations. This role supports accurate coding and data integrity across the hospital system.

The ideal candidate has 3+ years of medical coding experience or a recognized coding certification, with strong knowledge of CPT/ICD-10 and a commitment to HIPAA privacy. Rehabilitation coding experience is a plus.

Qualifications

• 3 years medical coding experience OR Coding certification required.
• Rehabilitation coding experience preferred.
• Associate's degree in related field preferred.

Responsibilities

• Assigns codes using ICD-10-CM.
• Ensures codes are accurate and sequenced correctly per regulations.
• Maintains a 95% threshold for coding accuracy.
• Receives and reviews patient charts for accuracy.
• Queries physician for clarification to improve accuracy.
• Keeps up-to-date with coding guidelines and HIPAA regulations.
• Protect patient confidentiality per HIPAA.

Skills

ICD-10-CM coding

HIPAA compliance

Medical terminology

Anatomy & physiology

Regulatory knowledge

Education

AHIMA or AAPC certification

Associate's degree preferred

Job description

Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve.

The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice.

Essential Functions Include:

• Assigns codes using the International Classification of Disease-10th Revision-Clinical modification (ICD-10-CM).
• Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations.
• Maintains a 95% threshold for coding accuracy.
• Receives and reviews patient charts and documents for accuracy.
• Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear.
• Queries physician for clarification and diagnostic details as needed for accuracy and specificity in coding.
• Remains up-to-date and knowledgeable of coding and diagnostic procedures and remains current on federal legislative changes.
• Complies with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), to protect patient confidentiality.

Minimum Job Requirements Minimal Education & Experience:

• 3 years medical coding experience OR Coding certification (AHIMA or AAPC) required.
• Rehabilitation coding experience preferred.
• Associate's degree in related field preferred.

Required Knowledge, Skills & Abilities

• Current knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third party payer requirements regarding coding and billing.
• Working knowledge of medical terminology, anatomy, and physiology.
• Knowledge of state and federal regulatory guidelines for reimbursement in the prospective payment system to interface with physicians.

Physical Requirements Over the Course of a Shift

• A significant amount of sitting and reaching.
• Lifting/exerting of up to 10 lbs.
• Sufficient manual dexterity to operate equipment and computer keyboard.
• Close vision and the ability to adjust focus.
• Ability to hear overhead pages.

Authentic. Inspiring. Transformative.

ClearSky Health and our affiliated Hospitals provide high-quality care that transforms the lives of those living with disabling injuries and illnesses.

We value our employees’ skills, talents, and input.

We believe in maintaining hospital environments where employees are:

• Valued
• Treated with dignity
• Respected
• Provided educational and training opportunities
• Recognized
• Rewarded

ClearSky Health has plans to open a medical rehabilitation hospital at the location listed below.

Eau Claire, WI