Certified Medical Coder

Ascension•Milwaukee, WI

1d•$25 - $34•Remote

About The Position

This role is responsible for abstracting relevant medical information and assigning accurate ICD, CPT, and HCPCS codes to establish DRG or APC assignments, including handling complex cases. The position also involves querying physicians to clarify ambiguous, incomplete, or unclear record documentation and providing appropriate education to physicians and associates. Additionally, the role requires conducting internal coding and physician documentation audits while maintaining strict adherence to AHIMA's Standards of Ethical Coding and official guidelines. The Certified Medical Coder must maintain required productivity and quality standards while continually keeping up-to-date with evolving coding, compliance, and reimbursement rules.

Requirements

Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date. All specialties accepted.
Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date. All specialties accepted.
Coder specializing in Cardiac credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date.
Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
Minimum 3–5 years of professional fee coding experience in a multi-specialty or hospital-based environment.
Knowledge of CPT, HCPCS, ICD-10-CM, CMS guidelines, NCCI edits, and payer-specific policy requirements.

Nice To Haves

Prior experience with E/M leveling, and complex specialty coding.
Extensive experience in Cardiology and Electrophysiology.
Familiarity with revenue cycle operations, charge capture, edits, and denials management.
Experience with electronic health records (EPIC preferred) and coding workflow tools (encoder).

Responsibilities

Abstract relevant medical information and assign accurate ICD, CPT, and HCPCS codes to establish DRG or APC assignments, including handling complex cases.
Query physicians to clarify ambiguous, incomplete, or unclear record documentation.
Provide appropriate education to physicians and associates.
Conduct internal coding and physician documentation audits.
Maintain strict adherence to AHIMA's Standards of Ethical Coding and official guidelines.
Maintain required productivity and quality standards.
Continually keep up-to-date with evolving coding, compliance, and reimbursement rules.