Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position. Supervises hospital or professional coding staff and assists the management team in the day-to-day operations of the department, as it pertains to reimbursement, coding, abstracting, and education. Will assist with the implementation and facilitation of ongoing medical coding/abstracting, auditing, monitoring, and physician/coder educational activities for existing and new clinics, locations and hospitals. The duties of this position will help ensure that we remain in compliance with all federal and state coding healthcare rules, regulations, administrative requirements and guidance. Serves as a positive role model for all staff and a representative of department. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High School Diploma or Equivalent 2. Current HIM/Coding Certification through ONE of the following: - American Health Information Management Association (AHIMA) - American Academy of Professional Coders (AAPC) EXPERIENCE: 1. Five (5) years of medical coding experience. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Associates degree or higher in Health Information Management or related field. EXPERIENCE: 1. Previous clinical experience, as an RN, LPN or Medical Assistant, highly desirable. 2. Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG assignment for Hospital Supervising Positions and multi-specialty coding, E&M coding, procedural/surgical coding, as well as knowledge of governmental billing and coding regulations including the “Teaching Physician Guidelines” for Professional Coding Supervisors. 3. Previous supervisory or project management experience. 4. Seven (7) years of medical coding experience preferred. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Supervises coding staff and assists the management team in the day-to-day operations of the department, as it pertains to reimbursement, coding, abstracting, productivity, quality and education. 2. Ensures that all coding backlogs, work queues and charge lag remains at acceptable levels. 3. Acts as expert coding resource not only to coders, providers and revenue cycle, but also to specialty groups and meetings. 4. Responsible for personnel management of coding staff, including but not limited to, interviewing, hiring, coaching and counseling, discipline and performance evaluation in conjunction with management. 5. Develops and maintains coding related policies, procedures, and training materials in conjunction with management. 6. Identifies budgetary needs and maintains fiscal stewardship. 7. Conducts and/or oversees internal and external auditing to determine compliance with medical record documentation, coding and billing guidelines. 8. Works with staff to analyze and resolve issues that impact coding and billing. 9. Maintains effective, open and ongoing communication. 10. Extracts, analyzes and reports data to appropriate management team. 11. Serves as a liaison to vendors and provides input and tests information systems. 12. Assists in staff coding, as needed. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Must be able to sit for long periods of time. 2. Must have visual and hearing acuity within the normal range. 3. Must have manual dexterity needed to operate computer and office equipment. 4. Must be Able to lift, push or pull 10-20 pounds. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment. 2. Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material. 3. May require travel. SKILLS AND ABILITIES: 1. Must possess excellent written and verbal communication skills, as well as interpersonal skills necessary to communicate effectively. 2. Must possess the knowledge of related provider healthcare compliance, revenue cycle operations, and auditing techniques required. 3. Must possess the ability to mentor, educate and train others. 4. Must ensure quality and productivity standards. 5. Must be able to handle high stress and critical situations in a calm and professional manner 6. Must be able to concentrate and maintain accuracy during constant interruptions. 7. Must possess independent decision-making ability. 8. Must possess the ability to prioritize job duties. 9. Must be able to adapt to changes in the workplace and work assignments. 10. Must possess organizational and time management skills. 11. Must possess the knowledge of anatomy, physiology and medical terminology. 12. Must possess analytical and problem solving skills. 13. Must be proficient in office software programs, including medical record and billing systems. 14. Must possess the ability to analyze complex data and reports. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Exempt) Company: SYSTEM West Virginia University Health System Cost Center: 539 SYSTEM HIM Provider Based Coding Analysis

Why ThedaCare? Living A Life Inspired! Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world. At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare. Benefits, with a whole-person approach to wellness – - 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 About ThedaCare! Summary : The Coder (Hospital - II) reviews patient medical record documentation and assigns and sequences ICD-10-CM diagnosis codes and ICD-10-PCS or CPT/HCPCS procedure codes, when applicable, to inpatient, observation, and/or outpatient surgical accounts, abiding by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and in compliance with official coding guidelines and other regulatory requirements. Communicates with providers when needed to obtain complete and specific documentation to accurately assign codes. Follows up and obtains clarification on charge issues. Works with providers and/or clinical documentation improvement (CDI) specialists to achieve a high level of documentation specificity. Maintains department standards for timely coding completion. Job Description: SCHEDULE: - Part time, benefit eligible - 20 hrs/week - Flexible hours - Remote eligible KEY ACCOUNTABILITIES: - Reviews patient medical records for inpatient, observation, and/or outpatient surgical accounts. - Assigns ICD-10-CM diagnosis codes and ICD-10-PCS or CPT/HCPCS procedure codes, when applicable, to all accounts, and sequences as outlined in the ICD Official Coding Guidelines, Uniform Hospital Discharge Data Set (UHDDS), CPT/HCPCS Guidelines, and other regulatory requirements. - Communicates with providers and other clinical team members to obtain additional information, diagnoses specificity, or completion needed to accurately assign codes. - Manages follow up work queues to ensure timely coding completion. QUALIFICATIONS: - High School diploma or GED preferred - Must be 18 years of age - One year of hospital coding experience. - Current or obtained within one year of hire — Certified Coding Credential obtained through AHIMA or AAPC, or RHIT (Registered Health Information Technologist/AHIMA), or RHIA (Registered Health Information Administrator/AHIMA). Minimum certification requirement is either CCA (Certified Coding Associate/AHIMA) or CPC-A (Certified Professional Coder - Apprentice/AAPC). PHYSICAL DEMANDS: - Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance - Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties WORK ENVIRONMENT: - Normally works in climate controlled office environment - Frequent sitting with movement throughout office space - Use of computers throughout the work day - Frequent use of keyboard with repetitive motion of hands, wrists, and fingers Scheduled Weekly Hours: 20Scheduled FTE: 0.5Location: ThedaCare Regional Medical Center - Appleton - Appleton,WisconsinOvertime Exempt: NoWorker Shift Details: Days

Job Opening: Medical Billing Specialist Location: South Africa (Remote – US Hours) Type: Full-Time, Work from Home Hours: Monday to Friday: 9am- 5pm (US Hours) Job Summary: We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in ABA therapy billing. The successful candidate will manage the end-to-end billing process, ensuring accurate claim submissions, payment postings, and resolution of denied claims for ABA therapy services. Familiarity with insurance verification, CPT codes for ABA, and Medicaid/insurance guidelines is essential. Key Responsibilities: - Verify client insurance eligibility and benefits specific to ABA therapy. - Accurately prepare and submit insurance claims (electronic and paper) for ABA services. - Review and correct billing errors and ensure compliance with payer requirements. - Post payments and reconcile insurance and patient accounts. - Follow up on unpaid or denied claims; appeal and resolve denials in a timely manner. - Communicate with insurance companies, clients, and internal teams regarding billing issues. - Maintain patient confidentiality and adhere to HIPAA regulations. - Generate patient statements and manage collections process as needed. - Stay updated with billing codes and payer-specific rules. - Assist in monthly reporting and analysis of billing performance and revenue cycle metrics. Qualifications: - Minimum 2 years of experience in medical billing, with a strong preference for ABA billing. - Proficient in using billing software and electronic health records. - Knowledge of ABA-specific CPT codes and insurance procedures. - Strong understanding of payer guidelines including Medicaid, commercial insurance, and managed care. - Excellent attention to detail, organizational, and time management skills. - Effective communication and problem-solving abilities Preferred Skills: - Familiarity with insurance authorizations and re-authorizations. - Experience in multi-state billing or handling multiple payers. - Knowledge of HIPAA and other healthcare compliance standards - Fluent or neutral English accent - Reliable internet and backup power Salary and Benefits - Comfortable working U.S. hours - Remote work

Job DetailsJob Location: Homewood Main Campus - BIRMINGHAM, AL 35209Position Type: Full TimeGeneral Summary The Payment Poster is responsible for accurately posting payments, adjustments, and denials received from insurance companies and patients into the practice management system. This role ensures the integrity of financial data, supports revenue cycle efficiency, and contributes to timely and accurate reimbursement for services provided by Urology Centers of Alabama, P.C. Essential Functions Post insurance payments, patient payments, and electronic remittances (ERAs) accurately and in a timely manner Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) to ensure proper payment application Identify and post contractual adjustments, denials, and variances according to payer guidelines Reconcile daily payment batches and ensure all transactions balance Research and resolve payment discrepancies, including underpayments and overpayments Communicate with billing, coding, and collections teams regarding payment issues or trends Maintain compliance with payer contracts, company policies, and regulatory requirements Assist with month-end closing processes and reporting as needed Maintain confidentiality of patient and financial information in accordance with HIPAA regulations Support continuous process improvement initiatives within the Revenue Cycle Department Knowledge, Skills, and Abilities Strong understanding of EOBs, ERAs, CPT/ICD coding basics, and payer reimbursement methodologies Proficiency with practice management systems and electronic health records (EHR) High attention to detail and accuracy Strong analytical and problem-solving skills Ability to work in a fast-paced, high-volume environment Excellent organizational and time management skills Effective communication and teamwork abilities Proficient in Microsoft Office (Excel, Word) Key Competencies Accuracy & Attention to Detail Accountability Time Management Problem Solving Team Collaboration Compliance Awareness Supervisory Requirements This position will not supervise any other staff members. Working Conditions Primarily office-based or remote work environment (as applicable). Prolonged periods of sitting and computer use. May require occasional overtime to meet departmental deadlines. QualificationsMinimum Qualifications High school diploma or equivalent required; Associate degree preferred. Minimum of 1–2 years of experience in medical payment posting, medical billing, or revenue cycle operations. Experience in a specialty practice (urology preferred) is a plus. Preferred Qualifications Experience in a specialty practice (urology preferred).