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ThedaCare logo
ThedaCare

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.

Coder (Clinic - II)

Medical Billing and CodingMedical Billing and CodingFull TimeRemoteMid LevelTeam 5,001-10,000

Location

United States

Posted

3 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Coder (Clinic - II)

ThedaCare

Role Description The Coder (Clinic - II) performs coding review for primary care or specialty services for ThedaCare Physician Services to accurately reflect services rendered. Reviews and processes charges using industry standard methodologies (CPT, ICD-10-CM, HCPCS), abides by Standards of Ethical Coding (AAPC/AHIMA), and complies with official coding guidelines and other regulatory requirements. Audits medical record documentation for completeness and accuracy. Educates and/or collaborates with providers and other clinical staff when completion or clarity is needed. SCHEDULE: - Full time, benefit eligible - 40 hrs/week - Remote eligible and flexibility in schedule - Strong E/M experience is required and surgical experience is preferred. KEY ACCOUNTABILITIES: - 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. 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 - One year of experience in general medical or specialty coding - Coding certification through AAPC or AHIMA (CPC, CPC-A or CCS or CCS-P) Requirements - 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 - 40 Scheduled FTE - 1 Location - ThedaCare Corporate Office - Neenah, Wisconsin Overtime Exempt - No Worker Shift Details - Variable

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