Certified Coder

Prevea Health • Howard, WI

1d • Hybrid

About The Position

Come work where we specialize in you! We have nearly 2,000 reasons for you to
consider a career with Prevea Health—they're our employees. We're an
organization that values kindness, responsibility, inclusivity, wellness and
inspiration. At Prevea, we provide continuous education, training and support so
every member of the team contributes to our success. Together we are the best
place to get care and the best place to give care.

Job Summary
The Certified Coder is responsible for accurately translating medical records
and patient services into standardized numerical codes for billing and
reimbursement purposes. This role ensures compliance with federal, state, and
organizational regulations, while maintaining the highest standards of patient
confidentiality. The Certified Coder works independently and collaboratively to
support the revenue cycle and overall operational efficiency of the healthcare
organization.

Requirements

• High School Diploma and/or GED Required
• 1-3 years experience in a medical office or healthcare setting Required
• Knowledge of medical terminology, anatomy, physiology, ICD-10, CPT, and HCPCS coding systems.
• Strong analytical skills with attention to detail and accuracy.
• Ability to work independently and efficiently in a fast-paced environment.
• Strong organizational skills with the ability to manage multiple tasks simultaneously.
• Effective verbal and written communication skills to interact with healthcare providers and administrative staff.
• Proficiency with computer applications and electronic health record (EHR) systems.
• Commitment to confidentiality, professionalism, and being a collaborative team member
• CPC (Certified Professional Coder) accreditation by AAPC Upon Hire Required

Responsibilities

• Review and analyze patient medical records, physician notes, and other documentation to assign appropriate ICD-10, CPT, and HCPCS codes.
• Ensure accurate coding for diagnosis, procedures, and services for proper reimbursement.
• Review denials and appeal with supporting documentation/comments for reimbursement. In addition, educate departments on correct coding initiatives based on charge review and denials from specific payers.
• Stay current on coding regulations, guidelines, and updates, including compliance with Medicare, Medicaid, and other payer requirements.
• Collaborate with healthcare providers, billing staff, and administrative teams to clarify documentation discrepancies and support accurate claims submission.
• Assist with audits, quality assurance, and reporting activities related to coding accuracy and compliance.
• Participate in ongoing professional development, including coding seminars, workshops, and technical courses, to maintain and enhance coding knowledge and proficiency.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees