Remote Coding Reimbursement Specialist III Revenue Cycle

Aurora Health Care; Allenton (WI); On-site; USD 55,000 - 75,000; Full time

Job summary

Aurora Health Care is seeking a skilled medical coder with CPC credentials for its Wisconsin operations. The role focuses on high-complexity CPT/ICD coding, modifier application, and E/M assignments, with emphasis on payer-specific rules and provider education.

The position requires 2+ years of coding experience, extensive medical knowledge, and ability to work with physicians to resolve coding issues. This opportunity may involve remote work within the US and collaboration with a dynamic coding

Qualifications

• Minimum of 2 years of coding experience required.
• CPC or equivalent coding credential required. Maintain coding certification (CPC, CCS, RHIT, RHIA).
• Extensive knowledge of coding, medical terminology, anatomy, and physiology.
• Extensive knowledge of payer-specific rules regarding coding, bundling, and adding appropriate modifiers.
• High School Diploma or GED required.

Responsibilities

• Subject matter expert in at least one specialty (e.g., oncology, gynecology, surgical coding, infusion coding).
• Assigns CPT and ICD codes in cases of moderate to high complexity.
• Reads, interprets and assigns CPT codes from provider documentation.
• Performs ICD and CPT coding of provider services and verifies charge information.
• Appends all modifiers.
• Ranks CPT codes when multiple codes apply.
• Assigns E/M codes.
• Performs reconciliation to ensure all charges are captured.
• Processes charges into billing system.
• Researches and analyzes coding and payer-specific issues.
• Communicates with providers about coding issues of moderate to high complexity, including explanations and education.

Skills

Coding knowledge

Medical terminology

Payer rules knowledge

Education

CPC or equivalent credential

High School Diploma or GED

Maintain coding certification (CPC, CCS, RHIT, RHIA)

Job description

Aurora Health Care is seeking a skilled medical coder with CPC credentials for its Wisconsin operations. The role focuses on high-complexity CPT/ICD coding, modifier application, and E/M assignments, with emphasis on payer-specific rules and provider education.

The position requires 2+ years of coding experience, extensive medical knowledge, and ability to work with physicians to resolve coding issues. This opportunity may involve remote work within the US and collaboration with a dynamic coding