Coder (Clinic - II)

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

About ThedaCare

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.

Responsibilities

• 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 hr/week

• Flexible schedule, suggested hours between 7:00am-5:00pm CT REMOTE position 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.

Requirements

Must be 18 years of age

• Coding certificate or associate’s degree in medical business or coding/health information
• Coding certification through AAPC or AHIMA (CPC, CPC-A or CCS or CCS-P) 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
• Frequent use of keyboard with repetitive motion of hands, wrists, and fingers

Preferred

• High School diploma or GED preferred
• One year of experience in general medical or specialty coding

Benefits

• 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!

Scheduled Weekly Hours

40 Scheduled FTE: 1 Location: ThedaCare Corporate Office - Neenah,Wisconsin Overtime Exempt: No Worker Shift Details: Days