Coder (Hospital - II)

Thedacare•Appleton, WI

1d•Remote

About The Position

ThedaCare is seeking a Coder (Hospital - II) to join their team. The organization is driven by a vision to reinvent healthcare, aiming to be a proactive partner in health, enrich lives, and create value. Team members are empowered to be catalysts of change through values of compassion, excellence, leadership, innovation, and agility, supported by opportunities for learning, transparent leadership, and work/life balance. The Coder (Hospital - II) is responsible for reviewing patient medical record documentation and assigning and sequencing ICD-10-CM diagnosis codes and ICD-10-PCS or CPT/HCPCS procedure codes for inpatient, observation, and/or outpatient surgical accounts. This role requires adherence to the Standards of Ethical Coding set by AHIMA, compliance with official coding guidelines and regulatory requirements. The Coder will communicate with providers to obtain complete and specific documentation for accurate code assignment, clarify charge issues, and collaborate with providers and/or clinical documentation improvement (CDI) specialists to ensure high documentation specificity. Maintaining department standards for timely coding completion is also a key aspect of the position.

Requirements

Must be 18 years of age
One year of hospital coding experience.
Current or obtained within one year of hire — Certified Coding Credential obtained through AHIMA or AAPC, or RHIT (Registered Health Information Technologist/AHIMA), or RHIA (Registered Health Information Administrator/AHIMA). Minimum certification requirement is either CCA (Certified Coding Associate/AHIMA) or CPC-A (Certified Professional Coder - Apprentice/AAPC).

Nice To Haves

High School diploma or GED preferred

Responsibilities

Reviews patient medical records for inpatient, observation, and/or outpatient surgical accounts.
Assigns ICD-10-CM diagnosis codes and ICD-10-PCS or CPT/HCPCS procedure codes, when applicable, to all accounts, and sequences as outlined in the ICD Official Coding Guidelines, Uniform Hospital Discharge Data Set (UHDDS), CPT/HCPCS Guidelines, and other regulatory requirements.
Communicates with providers and other clinical team members to obtain additional information, diagnoses specificity, or completion needed to accurately assign codes.
Manages follow up work queues to ensure timely coding completion.