Certified Medical Coder

HUDSON PHYSICIANS SC•Hudson, WI

2d•Hybrid

About The Position

The primary purpose of this position is to review procedural and diagnostic (ICD-10) coding to ensure appropriate billing and compliance with insurance regulations. This role is largely remote, operating during clinic hours, with occasional in-person meetings with providers required. The position demands a strong understanding of coding and compliance rules, including reviewing provider documentation, coding and posting charges for various healthcare services, and providing coding education to providers. The coder will research and communicate governmental and payer-specific rules, identify best practices, and work through coding-related denials and edits. Additionally, the role involves assisting patients and staff with coding and pricing inquiries, performing chart audits to assess CMS guideline understanding and improve clinic reimbursement, and attending department meetings and training sessions.

Requirements

Certification Professional Coder (AAPC) or Certified Coding Specialist certification (HIMA).
Minimum of 2 years of clinical coding experience.
Strong E/M coding background.
Ability to work independently with minimal instruction in a team environment.
Excellent verbal and written communication skills.
Ability to prioritize and multi-task.
Demonstrated PC skills in Word and Excel.
Maintain positive working relationships.
Must live within reasonable traveling distance from Hudson, WI.

Nice To Haves

Experience in podiatry and lab coding is preferred.
2-5 years in primary care and/or multi-specialty.
Knowledge of Oracle PowerChart and Cerner PM productions are a plus.

Responsibilities

Review provider documentation, code and post charges for healthcare services.
Provide coding education and engage with assigned providers.
Research and communicate governmental and payer-specific rules and regulations to ensure coding compliance.
Identify and communicate best practices based on provider documentation, insurance payer medical policies, and CMS guidelines.
Review, code, and post charges for hospital outpatient and inpatient services if applicable.
Work CCI/LMRP edits, claims manager rules, and coding-related denials.
Assist patients and staff with coding and pricing issues.
Provide support for customer service issues.
Perform chart audits to assess overall understanding of CMS guidelines and increase clinic reimbursement.
Attend department meetings, educational seminars, and trainings.
Maintain confidentiality.
Work effectively under pressure in a fast-paced environment.
Attend relevant training sessions, department and employee meetings.
Abide by clinic protocols, ergonomic recommendations, and OSHA standards.