Remote Medical Coding Educator & Mentor

TheDacare, Inc.; Oregon; Hybrid; USD 65,000 - 85,000; Full time

Benefits offered by this job

Fully remote

Job summary

ThedaCare, Inc. is seeking a The Coder (Clinic - III) to perform coding review for surgical specialties for ThedaCare Physician Services, ensuring accurate reflection of services rendered.

This role uses CPT, ICD-10-CM, HCPCS, and adheres to AAPC/AHIMA standards, auditing medical records and educating providers on documentation improvements. The schedule is full-time (40 hrs/week), with flexible hours between 7:00am–5:00pm CT, and is fully remote.

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.
• Three years of experience in general medical or specialty coding.
• Dual certifications through AAPC and/or AHIMA.

Responsibilities

• Reviews and/or assigns proper CPT procedures and/or diagnosis codes (ICD-10-CM including HCC risk adjustment diagnosis) for professional services including specialty medical services, in and outpatient E&M, and surgical procedures with a high degree of accuracy.
• Educates providers on documentation improvement opportunities and conducts internal documentation audits to ensure compliance.
• Performs internal reviews in response to third party data summaries and investigations; creates mitigation plans to reduce future risk.
• Manages coding inventory, internal reporting, payer denials, and claim edits to ensure timely reimbursement; researches policy and communicates with payers.
• Mentors and trains team members to skills matrix requirements; provides orientation training to new staff.

Skills

General medical coding

Specialty coding

CPT/ICD-10 coding

Education

High School diploma or GED

Coding certificate or associate's degree

Job description

ThedaCare, Inc. is seeking a The Coder (Clinic - III) to perform coding review for surgical specialties for ThedaCare Physician Services, ensuring accurate reflection of services rendered.

This role uses CPT, ICD-10-CM, HCPCS, and adheres to AAPC/AHIMA standards, auditing medical records and educating providers on documentation improvements. The schedule is full-time (40 hrs/week), with flexible hours between 7:00am–5:00pm CT, and is fully remote.