ThedaCare

Empowering Northeast and Central Wisconsin residents to live their best lives through access to outstanding care.

Coder, Clinic – II

Medical Billing and CodingMedical Billing and CodingFull TimeRemoteTeam 5,001-10,000H1B SponsorCompany SiteLinkedIn

Location

Wisconsin

Posted

20 days ago

Salary

Not specified

High School1 yr expEnglish

Job Description

• 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.

Job Requirements

  • 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)

Benefits

  • 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

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